Medical Facilities 07/01/2008 TYPE: OUTPATIENT PHYSICAL THERAPY/SPEECH PATHOLOGY SERVICES, SUBTYPE: MEDICARE, ID: MED0548, LICENSE: , NAME: MOHAVE PHYSICAL THERAPY REHAB*****CLOSED*****, LEGALLY: MOHAVE PHYSICAL THERAPY REHABILITATION SERVICES, ADDRESS: 2167 BIRCH SQUARE, SUITE A, CITY: LAKE HAVASU CITY, STATE: AZ, ZIP: 86403, PHONE: (928) 680-6116, FAX: (928) 680-6797, CAPACITY: , COUNTY: MOHAVE TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED0841, LICENSE: OSC4330, NAME: SOUTHWESTERN EYE SURGICENTER-CASA GRANDE, LEGALLY: SOUTHWESTERN EYE SURGICENTER - CASA GRANDE, ADDRESS: 560 NORTH CAMINO MERCADO, SUITE 1, CITY: CASA GRANDE, STATE: AZ, ZIP: 85222, PHONE: (520) 426-9224, FAX: (480) 833-6246, CAPACITY: 0, COUNTY: PINAL TYPE: MED-OUTPATIENT SURGERY CENTER, SUBTYPE: OUTPATIENT SURGERY CENTER, ID: MED2896, LICENSE: OSC0071, NAME: DESERT MOUNTAIN SURGICENTER, LEGALLY: DESERT MOUNTAIN SURGICENTER, ADDRESS: 7776 SOUTH POINT PARKWAY WEST, SUITE 135, CITY: PHOENIX, STATE: AZ, ZIP: 85044, PHONE: (602) 431-9585, FAX: (602) 431-1677, CAPACITY: 0, COUNTY: MARICOPA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED0167, LICENSE: OSC3519, NAME: EYES OF ARIZONA VISION & SURGERY CENTER, LEGALLY: EYES OF ARIZONA VISION & SURGERY CENTER, ADDRESS: 40 CAPRI BOULEVARD, SUITE 102, CITY: LAKE HAVASU CITY, STATE: AZ, ZIP: 86403, PHONE: (928) 855-9477, FAX: (928) 855-1799, CAPACITY: 0, COUNTY: MOHAVE TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: AZ037047, LICENSE: HHA0049, NAME: NORTHERN ARIZONA HOMECARE FLAGSTAFF, LEGALLY: NORTHERN ARIZONA HOMECARE FLAGSTAFF, ADDRESS: 107 EAST OAK AVENUE, SUITE 102A, CITY: FLAGSTAFF, STATE: AZ, ZIP: 86001, PHONE: (928) 773-2238, FAX: (928) 773-2078, CAPACITY: 0, COUNTY: COCONINO TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED2109, LICENSE: NONE, NAME: BARNET DULANEY EYE CENTER SHOW LOW, LEGALLY: BARNET DULANEY EYE CENTER SHOW LOW, ADDRESS: 1500 SOUTH WHITE MOUNTAIN ROAD, CITY: SHOW LOW, STATE: AZ, ZIP: 85901, PHONE: (602) 508-4843, FAX: (602) 508-4744, CAPACITY: 0, COUNTY: NAVAJO TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED0408, LICENSE: OSC0067, NAME: PRESCOTT UROCENTER LTD, LEGALLY: PRESCOTT UROCENTER, LTD, ADDRESS: 811 AINSWORTH DRIVE, SUITE 101, CITY: PRESCOTT, STATE: AZ, ZIP: 86301, PHONE: (928) 771-5282, FAX: (928) 771-5283, CAPACITY: 0, COUNTY: YAVAPAI TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED0358, LICENSE: NONE, NAME: SUN CITY ENDOSCOPY CENTER, LEGALLY: SUN CITY ENDOSCOPY CENTER, ADDRESS: 13203 NORTH 103RD AVE, CITY: SUN CITY, STATE: AZ, ZIP: 85351, PHONE: (623) 972-2116, FAX: (623) 972-0521, CAPACITY: 0, COUNTY: MARICOPA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED0160, LICENSE: OSC4189, NAME: BARNET DULANEY EYE CENTER-SUN CITY, LEGALLY: BARNET DULANEY EYE CENTER-SUN CITY, ADDRESS: 9425 W. BELL ROAD, CITY: SUN CITY, STATE: AZ, ZIP: 85351, PHONE: (602) 508-4910, FAX: (602) 508-4749, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED0559, LICENSE: HSPC0031, NAME: HOSPICE FAMILY CARE INPATIENT-MESA (031537), LEGALLY: HOSPICE FAMILY CARE INPATIENT UNIT-MESA, ADDRESS: 5037 E BROADWAY RD BLDG 1, CITY: MESA, STATE: AZ, ZIP: 85206, PHONE: (480) 807-2655, FAX: (480) 844-9711, CAPACITY: 10, COUNTY: MARICOPA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: AZ037133, LICENSE: HHA0175, NAME: EL SOL HOME HEALTH INC, LEGALLY: EL SOL HOME HEALTH, INC, ADDRESS: 694 SOUTH ELLIOT AVENUE, CITY: CASA GRANDE, STATE: AZ, ZIP: 85222, PHONE: (520) 421-0447, FAX: (520) 421-0775, CAPACITY: 0, COUNTY: PINAL TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED0314, LICENSE: HSPC0007, NAME: NORTHLAND HOSPICE & PALLIATIVE, LEGALLY: NORTHLAND HOSPICE & PALLIATIVE CARE, ADDRESS: 452 NORTH SWITZER CANYON DRIVE, CITY: FLAGSTAFF, STATE: AZ, ZIP: 86002, PHONE: (928) 779-1227, FAX: (928) 779-5884, CAPACITY: 0, COUNTY: COCONINO TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: AZ HHA ONLY, ID: MED0477, LICENSE: HHA0170, NAME: GENTIVA HEALTH SERVICES, LEGALLY: GENTIVA HEALTH SERVICES, ADDRESS: 50 EAST 100TH SOUTH, SUITE 200, CITY: ST GEORGE, STATE: UT, ZIP: 84770, PHONE: (801) 628-5277, FAX: (602) 943-3245, CAPACITY: 0, COUNTY: WASHINGTON TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: AZ037024, LICENSE: HHA0163, NAME: SCOTTSDALE HEALTHCARE, LEGALLY: SCOTTSDALE HEALTHCARE HOME HEALTH SERVICES, ADDRESS: 5111 NORTH SCOTTSDALE ROAD, SUITE 143, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85250, PHONE: (480) 882-4222, FAX: (480) 882-4531, CAPACITY: 0, COUNTY: MARICOPA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED0182, LICENSE: OSC0001, NAME: TEMPE SURGICAL CENTER, LEGALLY: TEMPE SURGICAL CENTER, ADDRESS: 2000 EAST SOUTHERN SUITE 106, CITY: TEMPE, STATE: AZ, ZIP: 85282, PHONE: (480) 838-9313, FAX: (480) 491-8802, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: AZ037141, LICENSE: HHA0185, NAME: ACCENTCARE HOME HEALTH OF YUMA, INC, LEGALLY: ACCENTCARE HOME HEALTH OF YUMA, INC, ADDRESS: 2702 NORTH 3RD STREET, SUITE 3045, CITY: PHOENIX, STATE: AZ, ZIP: 85004, PHONE: (928) 376-6485, FAX: (928) 539-7031, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED0551, LICENSE: HSPC0037, NAME: BANNER HOSPICE, LEGALLY: BANNER HOSPICE, ADDRESS: 1325 N FIESTA BLVD STE 1, CITY: GILBERT, STATE: AZ, ZIP: 85233, PHONE: (480) 497-5535, FAX: (480) 497-7100, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: AZ037037, LICENSE: HHA0039, NAME: GENTIVA HEALTH SERVICES, LEGALLY: GENTIVA HEALTH SERVICES, ADDRESS: 14050 NORTH 83RD AVENUE, SUITE 150, CITY: PEORIA, STATE: AZ, ZIP: 85381, PHONE: (623) 979-7471, FAX: (623) 979-3352, CAPACITY: 0, COUNTY: MARICOPA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED0159, LICENSE: OSC0026, NAME: EYE INSTITUTE AT BOSWELL, THE, LEGALLY: EYE INSTITUTE AT BOSWELL, THE, ADDRESS: 10541 W. THUNDERBIRD BLVD., CITY: SUN CITY, STATE: AZ, ZIP: 85351, PHONE: (623) 933-3402, FAX: (623) 972-5014, CAPACITY: 0, COUNTY: MARICOPA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED0557, LICENSE: OSC0074, NAME: AIMS OUTPATIENT SURGERY, LEGALLY: AIMS OUTPATIENT SURGERY, ADDRESS: 3636 STOCKTON HILL ROAD, CITY: KINGMAN, STATE: AZ, ZIP: 86401, PHONE: (928) 757-3690, FAX: (928) 757-3635, CAPACITY: 0, COUNTY: MOHAVE TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: AZ037162, LICENSE: HHA0191, NAME: NURSING SOLUTIONS, LEGALLY: NURSING SOLUTIONS, ADDRESS: 7228 NORTH DREAMY DRAW DRIVE, CITY: PHOENIX, STATE: AZ, ZIP: 85020, PHONE: (602) 331-1100, FAX: (602) 331-1204, CAPACITY: 0, COUNTY: MARICOPA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED0175, LICENSE: OSC0032, NAME: OUTPATIENT SURGICAL CARE LTD, LEGALLY: OUTPATIENT SURGICAL CARE, LTD., ADDRESS: 1530 W. GLENDALE AVE., SUITE 105, CITY: PHOENIX, STATE: AZ, ZIP: 85021, PHONE: (602) 995-3395, FAX: (602) 995-1853, CAPACITY: 0, COUNTY: MARICOPA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED1188, LICENSE: OSC0079, NAME: RUMMEL EYE CARE/EYE SURGERY, LEGALLY: RUMMEL EYE CARE/EYE SURGERY SERVICES, ADDRESS: 1022 WILLOW CREEK RD, CITY: PRESCOTT, STATE: AZ, ZIP: 86301, PHONE: (928) 445-1341, FAX: (928) 777-0175, CAPACITY: 0, COUNTY: YAVAPAI TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED0163, LICENSE: OSC4205, NAME: BARNET DULANEY EYE CENTER-MESA, LEGALLY: BARNET DULANEY EYE CENTER-MESA, ADDRESS: 6335 EAST MAIN ST, CITY: MESA, STATE: AZ, ZIP: 85205, PHONE: (480) 981-1000, FAX: (602) 508-4744, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: AZ037068, LICENSE: HHA3635, NAME: BAYADA NURSES, LEGALLY: BAYADA NURSES, INC., ADDRESS: 706 EAST BELL ROAD, SUITE 101, CITY: PHOENIX, STATE: AZ, ZIP: 85022, PHONE: (602) 870-6364, FAX: (602) 997-8893, CAPACITY: 0, COUNTY: MARICOPA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED1304, LICENSE: OSC0085, NAME: LASER SURGERY CENTER, LEGALLY: LASER SURGERY CENTER, ADDRESS: 1008 EAST MCDOWELL ROAD, CITY: PHOENIX, STATE: AZ, ZIP: 85006, PHONE: (602) 258-7003, FAX: (602) 254-3474, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: AZ037178, LICENSE: HHA3429, NAME: HORIZON HOME HEALTH, LEGALLY: HORIZON HOME HEALTH, LLC, ADDRESS: 32 NORTH 10TH AVENUE, SUITE 8, CITY: PAGE, STATE: AZ, ZIP: 86040, PHONE: (928) 645-9110, FAX: (480) 894-5134, CAPACITY: 0, COUNTY: COCONINO TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED0357, LICENSE: OSC0061, NAME: WHITE MOUNTAIN AMBULATORY SURGERY CENTER, LEGALLY: WHITE MOUNTAIN AMBULATORY SURGERY CENTER, ADDRESS: 2650 EAST SHOW LOW LAKE ROAD, SUITE 2, CITY: SHOW LOW, STATE: AZ, ZIP: 85901, PHONE: (928) 537-4240, FAX: (928) 537-4541, CAPACITY: 0, COUNTY: NAVAJO TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED0533, LICENSE: OSC4400, NAME: CARRIKER EYE CENTER, LEGALLY: CARRIKER EYE CENTER, ADDRESS: 6245 NORTH 16TH ST, CITY: PHOENIX, STATE: AZ, ZIP: 85016, PHONE: (602) 274-1703, FAX: (602) 274-3216, CAPACITY: 0, COUNTY: MARICOPA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED1303, LICENSE: OSC3775, NAME: BANNER THUNDERBIRD SURGICENTER, LEGALLY: BANNER THUNDERBIRD SURGICENTER, ADDRESS: 5555 B WEST THUNDERBIRD ROAD, CITY: GLENDALE, STATE: AZ, ZIP: 85306, PHONE: (602) 865-5475, FAX: (602) 588-5472, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED1353, LICENSE: HSPC0060, NAME: HOSPICE FAMILY CARE-PRESCOTT, LEGALLY: HOSPICE FAMILY CARE - PRESCOTT, ADDRESS: 100 EAST SHELDON SUITE100, CITY: PRESCOTT, STATE: AZ, ZIP: 86301, PHONE: (928) 541-1740, FAX: (928) 541-1745, CAPACITY: 0, COUNTY: YAVAPAI TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: AZ037057, LICENSE: HHA0063, NAME: HAVASU REGIONAL MED CENTER HHA, LEGALLY: HAVASU REGIONAL MEDICAL CENTER HOME HEALTH AGENCY, ADDRESS: 1851 MESQUITE BLVD, SUITE 206, CITY: LAKE HAVASU CITY, STATE: AZ, ZIP: 86403, PHONE: (928) 680-1209, FAX: (928) 680-7914, CAPACITY: 0, COUNTY: MOHAVE TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED0355, LICENSE: OSC0063, NAME: SWAGEL WOOTTON EYE CENTER, LEGALLY: SWAGEL WOOTTON EYE CENTER, ADDRESS: 220 SOUTH 63RD STREET, CITY: MESA, STATE: AZ, ZIP: 85206, PHONE: (480) 641-3937, FAX: (480) 641-7433, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: AZ037202, LICENSE: HHA0271, NAME: HOME HEALTH RESOURCES, LEGALLY: HOME HEALTH RESOURCES, INC, ADDRESS: 2423 WEST DUNLAP AVENUE, SUITE 147, CITY: PHOENIX, STATE: AZ, ZIP: 85021, PHONE: (602) 216-6005, FAX: (602) 216-6112, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: AZ037205, LICENSE: HHA0275, NAME: NURSECORE OF PHOENIX, LEGALLY: NURSECORE OF PHOENIX, ADDRESS: 7000 NORTH 16TH STREET, SUITE 156, CITY: PHOENIX, STATE: AZ, ZIP: 85020, PHONE: (602) 274-3400, FAX: (602) 234-0577, CAPACITY: 0, COUNTY: MARICOPA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED1300, LICENSE: OSC0082, NAME: PHOENIX OPHTHALMOLOGY ASC, LEGALLY: PHOENIX OPHTHALMOLOGY ASC, ADDRESS: 300 EAST OSBORN, SUITE 102, CITY: PHOENIX, STATE: AZ, ZIP: 85012, PHONE: (602) 234-8478, FAX: (602) 234-8492, CAPACITY: 0, COUNTY: MARICOPA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED0189, LICENSE: OSC0039, NAME: SOUTHWESTERN EYE SURGICENTER-STAPLEY, LEGALLY: SOUTHWESTERN EYE SURGICENTER - STAPLEY, ADDRESS: 1055 SOUTH STAPLEY DRIVE, CITY: MESA, STATE: AZ, ZIP: 85202, PHONE: (480) 892-8400, FAX: (480) 833-6246, CAPACITY: 0, COUNTY: MARICOPA TYPE: FEDERALLY QUALIFIED HEALTH CENTER, SUBTYPE: FEDERALLY QUALIFIED HEALTH CENTER, ID: MED1767, LICENSE: OTC0004, NAME: SUN LIFE FAMILY HEALTH CENTER INC- CASA GRANDE, LEGALLY: SUN LIFE FAMILY HEALTH CENTER, INC., ADDRESS: 865 NORTH ARIZOLA ROAD, CITY: CASA GRANDE, STATE: AZ, ZIP: 85222, PHONE: (520) 836-3446, FAX: (520) 381-0307, CAPACITY: 0, COUNTY: PINAL TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: AZ037011, LICENSE: HHA4087, NAME: AMEDISYS HOME HEALTH OF PHOENIX, LEGALLY: AMEDISYS ARIZONA, LLC, ADDRESS: 13714 NORTH PLAZA DEL RIO BOULEVARD, CITY: PEORIA, STATE: AZ, ZIP: 85381, PHONE: (623) 974-7810, FAX: (623) 974-7894, CAPACITY: 0, COUNTY: MARICOPA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED0186, LICENSE: OSC0051, NAME: SURGICARE, LLC, LEGALLY: SURGICARE, LLC, ADDRESS: 5115 NORTH CENTRAL AVENUE, CITY: PHOENIX, STATE: AZ, ZIP: 85012, PHONE: (602) 266-2522, FAX: (602) 264-2172, CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-OUTPATIENT SURGERY CENTER, SUBTYPE: OUTPATIENT SURGERY CENTER, ID: MED2885, LICENSE: OSC0059, NAME: T A S I SURGERY CENTER, LEGALLY: T A S I SURGERY CENTER, ADDRESS: 5585 NORTH ORACLE ROAD, SUITE B, CITY: TUCSON, STATE: AZ, ZIP: 85704, PHONE: (520) 293-7077, FAX: (520) 293-7561, CAPACITY: 0, COUNTY: PIMA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: AZ037030, LICENSE: HHA0035, NAME: YRMC HOME HEALTH SERVICES, LEGALLY: YRMC HOME HEALTH SERVICES, ADDRESS: 3262 N WINDSONG DRIVE, CITY: PRESCOTT VALLEY, STATE: AZ, ZIP: 86314, PHONE: (928) 759-5900, FAX: (928) 759-5982, CAPACITY: 0, COUNTY: YAVAPAI TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED0180, LICENSE: OSC3782, NAME: SURGICENTER OF AMERICA, LP, LEGALLY: SURGICENTER OF AMERICA, LP, ADDRESS: 1040 E MCDOWELL RD, CITY: PHOENIX, STATE: AZ, ZIP: 85006, PHONE: (602) 258-1521, FAX: (602) 340-0889, CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-OUTPATIENT SURGERY CENTER, SUBTYPE: OUTPATIENT SURGERY CENTER, ID: MED2974, LICENSE: OSC0068, NAME: OUTPATIENT SURGERY CENTER, LEGALLY: OUTPATIENT SURGERY CENTER, ADDRESS: 2255 NORTH SCOTTSDALE ROAD, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85257, PHONE: (480) 464-8000, FAX: (480) 990-2934, CAPACITY: 0, COUNTY: MARICOPA TYPE: FEDERALLY QUALIFIED HEALTH CENTER, SUBTYPE: FEDERALLY QUALIFIED HEALTH CENTER, ID: MED1770, LICENSE: OTC0187, NAME: SUN LIFE FAMILY HEALTH CENTER-MARICOPA SATELLITE, LEGALLY: SUN LIFE FAMILY HEALTH CENTER, INC. - MARICOPA SATELLITE, ADDRESS: 44765 HATHAWAY AVENUE, CITY: MARICOPA, STATE: AZ, ZIP: 85239, PHONE: (520) 568-2245, FAX: (520) 568-2316, CAPACITY: 0, COUNTY: PINAL TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED1377, LICENSE: OTC1239, NAME: CONCENTRA MEDICAL CENTER-NORTHWEST (URGENT CARE), LEGALLY: CONCENTRA MEDICAL CENTERS NORTHWEST, ADDRESS: 7400 WEST OLIVE AVENUE, SUITE #1, CITY: PEORIA, STATE: AZ, ZIP: 85345, PHONE: (623) 487-8598, FAX: (623) 487-8647, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: AZ037146, LICENSE: HHA3820, NAME: MOHAVE HOME HEALTH, LEGALLY: WESTERN ARIZONA REGIONAL HOME HEALTH AND HOSPICE, INC., ADDRESS: 2755 SILVER CREEK ROAD, SUITE B-207, CITY: BULLHEAD CITY, STATE: AZ, ZIP: 86442, PHONE: (928) 763-6979, FAX: (928) 704-8815, CAPACITY: 0, COUNTY: MOHAVE TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED1114, LICENSE: OSC4206, NAME: BARNET DULANEY EYE CENTER-PRESCOTT, LEGALLY: BARNET DULANEY EYE CENTER-PRESCOTT, ADDRESS: 1680 WILLOW CREEK ROAD, CITY: PRESCOTT, STATE: AZ, ZIP: 86301, PHONE: (928) 778-3950, FAX: (602) 508-4744, CAPACITY: 0, COUNTY: YAVAPAI TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED0151, LICENSE: OTC0108, NAME: MARIPOSA COMMUNITY HEALTH CENTER, INC, LEGALLY: MARIPOSA COMMUNITY HEALTH CENTER, INC., ADDRESS: 1852 NORTH MASTICK WAY, CITY: NOGALES, STATE: AZ, ZIP: 85621, PHONE: (520) 281-1550, FAX: (520) 281-1112, CAPACITY: 0, COUNTY: SANTA CRUZ TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: AZ HHA ONLY, ID: MED0407, LICENSE: HHA0152, NAME: SOUTHERN UTAH HHA, LEGALLY: SOUTHERN UTAH HOME CARE INC, ADDRESS: 640 EAST 700 SOUTH, SUITE 101A, CITY: SAINT GEORGE, STATE: UT, ZIP: 84770, PHONE: (435) 634-9300, FAX: (435) 652-1677, CAPACITY: 0, COUNTY: WASHINGTON TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED2206, LICENSE: NONE, NAME: SCOTTSDALE MEMORIAL HOSP ESRD, LEGALLY: SCOTTSDALE MEMORIAL HOSP ESRD, ADDRESS: 7400 EAST OSBORN ROAD, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85251, PHONE: (480) 481-4000, FAX: (480) 675-4262, CAPACITY: 0, COUNTY: MARICOPA TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED0060, LICENSE: OTC0114, NAME: CAMELBACK DIALYSIS SERVICES, LEGALLY: CAMELBACK DIALYSIS SERVICES, ADDRESS: 7321 E. OSBORN DRIVE, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85251, PHONE: (480) 970-0924, FAX: (480) 421-9345, CAPACITY: 0, COUNTY: MARICOPA TYPE: FEDERALLY QUALIFIED HEALTH CENTER, SUBTYPE: FEDERALLY QUALIFIED HEALTH CENTER, ID: MED1769, LICENSE: OTC2493, NAME: SUN LIFE FAMILY HEALTH CENTER INC- ELOY SATELLITE, LEGALLY: SUN LIFE FAMILY HEALTH CENTER, INC. - ELOY SATELLITE, ADDRESS: 501 NORTH MAIN STREET, CITY: ELOY, STATE: AZ, ZIP: 85231, PHONE: (520) 466-7883, FAX: (520) 381-0307, CAPACITY: 0, COUNTY: PINAL TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: AZ037212, LICENSE: HHA1412, NAME: HOME HEALTH CARE SERVICES, LEGALLY: HOME HEALTH CARE SERVICES LLC, ADDRESS: 2421 EAST SOUTHERN AVE, SUITE 1, CITY: TEMPE, STATE: AZ, ZIP: 85282, PHONE: (480) 413-9087, FAX: (480) 413-9092, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: AZ HHA ONLY, ID: MED1327, LICENSE: HHA1383, NAME: WESTMINSTER VILLAGE HOME HEALTH SERVICES, LEGALLY: WESTMINSTER VILLAGE HOME HEALTH SERVICES, ADDRESS: 12000 N 90TH STREET, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85260, PHONE: (480) 451-2000, FAX: (480) 451-2202, CAPACITY: 0, COUNTY: MARICOPA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED0339, LICENSE: OSC0056, NAME: SUMMIT SURGERY CENTER, LEGALLY: SUMMIT SURGERY & RECOVERY CARE CENTER, ADDRESS: 1485 NORTH TURQUOISE DRIVE, SUITE 100, CITY: FLAGSTAFF, STATE: AZ, ZIP: 86001, PHONE: (928) 214-3211, FAX: (928) 214-3220, CAPACITY: 0, COUNTY: COCONINO TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED1159, LICENSE: OSC3897, NAME: SOUTHWESTERN EYE SURGICENTER- COTTONWOOD, LEGALLY: SOUTHWESTERN EYE SURGICENTER - COTTONWOOD, ADDRESS: 270 SOUTH CANDY LANE, CITY: COTTONWOOD, STATE: AZ, ZIP: 86326, PHONE: (928) 634-4202, FAX: (928) 634-5963, CAPACITY: 0, COUNTY: YAVAPAI TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED2024, LICENSE: NONE, NAME: PASCUA YAQUI TRIBE DIALYSIS, LEGALLY: PASCUA YAQUI TRIBE DIALYSIS, ADDRESS: 7490 SOUTH CAMINO DE OESTE, CITY: TUCSON, STATE: AZ, ZIP: 85746, PHONE: (520) 879-6000, FAX: (520) 879-6161, CAPACITY: 0, COUNTY: PIMA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED0677, LICENSE: OSC3780, NAME: BANNER DESERT SURGERY CENTER, LEGALLY: BANNER DESERT SURGERY CENTER, LP, ADDRESS: 1500 SOUTH DOBSON ROAD, SUITE 101, CITY: MESA, STATE: AZ, ZIP: 85202, PHONE: (480) 512-3590, FAX: (480) 512-3587, CAPACITY: 0, COUNTY: MARICOPA TYPE: OUTPATIENT PHYSICAL THERAPY/SPEECH PATHOLOGY SERVICES, SUBTYPE: MEDICARE, ID: MED1467, LICENSE: OTC3757, NAME: VIBRANTCARE OUTPATIENT REHAB-PALM VALLEY (036541), LEGALLY: VIBRANTCARE OUTPATIENT REHAB-PALM VALLEY, ADDRESS: 13657 WEST MCDOWELL, SUITE 218, CITY: GOODYEAR, STATE: AZ, ZIP: 85338, PHONE: (623) 935-5538, FAX: (623) 935-3482, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED0576, LICENSE: OTC3761, NAME: MARICOPA COUNTY DEPARTMENT OF PUBLIC HEALTH, LEGALLY: MARICOPA COUNTY DEPARTMENT OF PUBLIC HEALTH SERVICES, ADDRESS: 1645 EAST ROOSEVELT STREET, CITY: PHOENIX, STATE: AZ, ZIP: 85006, PHONE: (602) 506-6657, FAX: (602) 372-0342, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: AZ037215, LICENSE: HHA1446, NAME: LIFE CARE AT HOME OF ARIZONA, LEGALLY: LIFE CARE AT HOME OF ARIZONA, ADDRESS: 11333 N SCOTTSDALE ROAD, SUITE 270, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85254, PHONE: (480) 991-3303, FAX: (480) 922-4944, CAPACITY: 0, COUNTY: MARICOPA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED0162, LICENSE: OSC0012, NAME: CIGNA MEDICAL GROUP-CLYDE WRIGHT CENTER, LEGALLY: CIGNA MEDICAL GROUP-CLYDE WRIGHT CENTER, ADDRESS: 755 E. MCDOWELL ROAD, CITY: PHOENIX, STATE: AZ, ZIP: 85006, PHONE: (602) 271-5111, FAX: (602) 371-2625, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: AZ037154, LICENSE: HHA0204, NAME: NNI HOME CARE SERVICES, LEGALLY: NNI HOME CARE SERVICES, ADDRESS: 3085 NORTH WINDSONG DRIVE, SUITE A, CITY: PRESCOTT VALLEY, STATE: AZ, ZIP: 86314, PHONE: (928) 772-8707, FAX: (928) 772-7054, CAPACITY: 0, COUNTY: YAVAPAI TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED0529, LICENSE: OTC0634, NAME: CHANDLER REGIONAL HOSPITAL - KID CARE, LEGALLY: CHANDLER REGIONAL HOSPITAL - KID CARE, ADDRESS: 1875 WEST FRYE ROAD, CITY: CHANDLER, STATE: AZ, ZIP: 85224, PHONE: (480) 728-3000, FAX: (480) 899-5548, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED1165, LICENSE: HSPC1110, NAME: HIGHWAY CHRISTIAN HOSPICE, LEGALLY: HIGHWAY CHRISTIAN HOSPICE, ADDRESS: 67 EAST WELDON AVENUE, SUITE 317, CITY: PHOENIX, STATE: AZ, ZIP: 85012, PHONE: (602) 274-1952, FAX: (602) 274-2338, CAPACITY: 0, COUNTY: MARICOPA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED1423, LICENSE: OSC4190, NAME: BARNET DULANEY EYE CENTER, LEGALLY: BARNET DULANEY EYE CENTER, ADDRESS: 4800 NORTH 22ND STREET, CITY: PHOENIX, STATE: AZ, ZIP: 85016, PHONE: (602) 955-1000, FAX: (602) 508-4744, CAPACITY: 0, COUNTY: MARICOPA TYPE: OUTPATIENT PHYSICAL THERAPY/SPEECH PATHOLOGY SERVICES, SUBTYPE: MEDICARE, ID: MED0149, LICENSE: OTC0433, NAME: DESERT REHAB PHYSICAL THERAPY, LEGALLY: DESERT REHAB PHYSICAL THERAPY, ADDRESS: 11518 EAST APACHE TRAIL, SUITE 116, CITY: APACHE JUNCTION, STATE: AZ, ZIP: 85220, PHONE: (480) 380-4242, FAX: (480) 380-4240, CAPACITY: 0, COUNTY: PINAL TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED0616, LICENSE: OTC0716, NAME: CARONDELET COMMUNITY HEALTH CENTER CENTRO DE SALUD, LEGALLY: CARONDELET COMMUNITY HEALTH CENTER-CENTRO DE SALUD, ADDRESS: 125 EAST MADISON, CITY: NOGALES, STATE: AZ, ZIP: 85621, PHONE: (520) 873-6553, FAX: (520) 873-3921, CAPACITY: 0, COUNTY: SANTA CRUZ TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED0338, LICENSE: , NAME: BANNER BAYWOOD SURGERY CENTER, LEGALLY: BANNER BAYWOOD SURGERY CENTER, ADDRESS: 6424 EAST BROADWAY ROAD, SUITE #102, CITY: MESA, STATE: AZ, ZIP: 85206, PHONE: (480) 874-5052, FAX: (480) 874-5051, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED0654, LICENSE: HSPC0050, NAME: HOSPICE OF ARIZONA, LEGALLY: HOSPICE OF ARIZONA, ADDRESS: 2222 W NORTHERN AVE #A100, CITY: PHOENIX, STATE: AZ, ZIP: 85021, PHONE: (602) 678-1313, FAX: (602) 242-2178, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED0645, LICENSE: OTC0740, NAME: PLANNED PARENTHOOD - YUMA, LEGALLY: PLANNED PARENTHOOD - YUMA, ADDRESS: 1455 WEST 16TH STREET, SUITE C, CITY: YUMA, STATE: AZ, ZIP: 85364, PHONE: (928) 343-4860, FAX: (928) 343-4845, CAPACITY: 0, COUNTY: YUMA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: AZ037188, LICENSE: HHA0248, NAME: NIGHTINGALE HOMECARE, LEGALLY: NIGHTINGALE HOMECARE, ADDRESS: 2411 WEST ROSE GARDEN LANE, SUITE 110, CITY: PHOENIX, STATE: AZ, ZIP: 85027, PHONE: (602) 504-1555, FAX: (602) 504-1552, CAPACITY: 0, COUNTY: MARICOPA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED0824, LICENSE: OSC0078, NAME: KOKOPELLI EYE CARE SURGERY CTR, LEGALLY: KOKOPELLI EYE CARE SURGERY CENTER, ADDRESS: 2820 NORTH GLASSFORD HILL ROAD, SUITE 101, CITY: PRESCOTT VALLEY, STATE: AZ, ZIP: 86314, PHONE: (928) 771-9000, FAX: (928) 771-9460, CAPACITY: 0, COUNTY: YAVAPAI TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: AZ037185, LICENSE: HHA4351, NAME: SAFENET HOME HEALTH, LEGALLY: SAFENET HOME HEALTH, ADDRESS: 6240 E. THOMAS RD., STE 203, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85251, PHONE: (480) 946-4145, FAX: (480) 946-1280, CAPACITY: 0, COUNTY: MARICOPA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED0164, LICENSE: OSC0041, NAME: WARNER PARK SURGERY CENTER, LEGALLY: WARNER PARK SURGERY CENTER, ADDRESS: 604 WEST WARNER ROAD, BUILDING A, CITY: CHANDLER, STATE: AZ, ZIP: 85225, PHONE: (480) 899-2571, FAX: (480) 899-4263, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED0660, LICENSE: OTC0750, NAME: MARIPOSA COMMUNITY HEALTH CENTER-MESQUITE, LEGALLY: MARIPOSA COMMUNITY HEALTH CENTER, INC. - MESQUITE BUILDING, ADDRESS: 1835 NORTH MASTICK WAY, CITY: NOGALES, STATE: AZ, ZIP: 85621, PHONE: (520) 281-1550, FAX: (520) 281-1112, CAPACITY: 0, COUNTY: SANTA CRUZ TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED1097, LICENSE: NONE, NAME: SOUTHWESTERN EYE SURGICENTER, LEGALLY: SOUTHWESTERN EYE SURGICENTER - NOGALES, ADDRESS: 1815 NORTH MASTICK WAY, CITY: NOGALES, STATE: AZ, ZIP: 85621, PHONE: (520) 761-3533, FAX: (480) 833-6246, CAPACITY: 0, COUNTY: SANTA CRUZ TYPE: OUTPATIENT PHYSICAL THERAPY/SPEECH PATHOLOGY SERVICES, SUBTYPE: MEDICARE, ID: MED0437, LICENSE: OTC3980, NAME: VIBRANTCARE OUTPATIENT REHAB-MESA (036541), LEGALLY: VIBRANTCARE OUTPATIENT REHAB-MESA, ADDRESS: 2680 SOUTH VAL VISTA DRIVE, SUITE 106, CITY: GILBERT, STATE: AZ, ZIP: 85296, PHONE: (480) 892-7986, FAX: (480) 892-7455, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: AZ037015, LICENSE: HHA0015, NAME: BANNER HOME CARE, LEGALLY: BANNER HOME CARE, ADDRESS: 1325 NORTH FIESTA BLVD, SUITE 1, CITY: GILBERT, STATE: AZ, ZIP: 85233, PHONE: (480) 497-5535, FAX: (480) 497-7100, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: AZ037027, LICENSE: HHA0032, NAME: SUMMIT HEALTHCARE HOME HEALTH, LEGALLY: SUMMIT HEALTHCARE, ADDRESS: 2200 SHOW LOW LAKE ROAD, CITY: SHOW LOW, STATE: AZ, ZIP: 85901, PHONE: (928) 537-6900, FAX: (928) 537-1336, CAPACITY: 0, COUNTY: NAVAJO TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: AZ037042, LICENSE: HHA0048, NAME: NORTHERN ARIZONA HOMECARE COTTONWOOD, LEGALLY: NORTHERN ARIZONA HOMECARE COTTONWOOD, ADDRESS: 203 SOUTH CANDY LANE, SUITE 10 B, CITY: COTTONWOOD, STATE: AZ, ZIP: 86326, PHONE: (928) 639-6674, FAX: (928) 639-6003, CAPACITY: 0, COUNTY: YAVAPAI TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: AZ037101, LICENSE: HHA0110, NAME: FOUNDATION FOR SENIOR LIV, LEGALLY: FOUNDATION FOR SENIOR LIVING HOME HEALTH, ADDRESS: 1201 EAST THOMAS RD, CITY: PHOENIX, STATE: AZ, ZIP: 85014, PHONE: (602) 285-1800, FAX: (602) 604-2254, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: AZ037106, LICENSE: HHA3720, NAME: TENDER LOVING CARE, LEGALLY: TENDER LOVING CARE, ADDRESS: 7500 DREAMY DRAW DRIVE, SUITE 242, CITY: PHOENIX, STATE: AZ, ZIP: 85020, PHONE: (602) 395-1999, FAX: (602) 395-3385, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: AZ037114, LICENSE: HHA0139, NAME: PAYSON REGIONAL HOME HEALTH AGENCY, LEGALLY: PAYSON REGIONAL HOME HEALTH AGENCY, ADDRESS: 215 NORTH BEELINE, CITY: PAYSON, STATE: AZ, ZIP: 85541, PHONE: (928) 472-5245, FAX: (928) 472-1348, CAPACITY: 0, COUNTY: GILA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: AZ HHA ONLY, ID: MED2894, LICENSE: HHA0004, NAME: COCONINO HOME HEALTH AGENCY, LEGALLY: COCONINO HOME HEALTH AGENCY, ADDRESS: 2625 NORTH KING STREET, CITY: FLAGSTAFF, STATE: AZ, ZIP: 86004, PHONE: (928) 679-7222, FAX: (928) 679-7351, CAPACITY: 0, COUNTY: COCONINO TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED0517, LICENSE: OTC4098, NAME: RENAL CARE GROUP-TEMPE, LEGALLY: RENAL CARE GROUP-TEMPE, ADDRESS: 1449 WEST SOUTHERN AVENUE, CITY: TEMPE, STATE: AZ, ZIP: 85282, PHONE: (480) 967-6360, FAX: (480) 967-6184, CAPACITY: 0, COUNTY: MARICOPA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED0184, LICENSE: OSC0034, NAME: VALLEY OUTPATIENT SURGERY CTR, LEGALLY: VALLEY OUTPATIENT SURGERY CENTER, ADDRESS: 160 WEST UNIVERSITY DRIVE, # 1, CITY: MESA, STATE: AZ, ZIP: 85201, PHONE: (480) 835-7373, FAX: (480) 969-7981, CAPACITY: 0, COUNTY: MARICOPA TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED0071, LICENSE: OTC0039, NAME: TUCSON WEST DIALYSIS, LEGALLY: TUCSON WEST DIALYSIS, ADDRESS: 1780 WEST ANKLAM ROAD, CITY: TUCSON, STATE: AZ, ZIP: 85745, PHONE: (520) 624-2220, FAX: (520) 620-6365, CAPACITY: 0, COUNTY: PIMA TYPE: RURAL HEALTH CLINICS, SUBTYPE: MEDICARE, ID: MED0431, LICENSE: OTC0508, NAME: PLEASANT VALLEY COMM MEDICAL CENTER (URGENT CARE), LEGALLY: PLEASANT VALLEY COMMUNITY MEDICAL CENTER, ADDRESS: 288 TEWKBURY, CITY: YOUNG, STATE: AZ, ZIP: 85554, PHONE: (928) 462-3435, FAX: (928) 462-6644, CAPACITY: 0, COUNTY: GILA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: AZ037300, LICENSE: HHA2931, NAME: INTERIM HEALTHCARE, LEGALLY: INTERIM HEALTHCARE, ADDRESS: 8125 NORTH 23RD AVENUE, SUITE 221, CITY: PHOENIX, STATE: AZ, ZIP: 85021, PHONE: (602) 443-0111, FAX: (602) 443-0110, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: MED1563, LICENSE: HHA1950, NAME: PROFESSIONAL HOME CARE SERVICES, LEGALLY: PROFESSIONAL HOMECARE SERVICES, LLC, ADDRESS: 7600 N 16TH STREET SUITE 140, CITY: PHOENIX, STATE: AZ, ZIP: 85020, PHONE: (602) 263-5000, FAX: (602) 263-5061, CAPACITY: 0, COUNTY: MARICOPA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED1569, LICENSE: OSC1965, NAME: SQUAW PEAK SURGICAL FACILITY, LEGALLY: SQUAW PEAK SURGICAL FACILITY, ADDRESS: 1635 EAST MYRTLE, SUITE 100, CITY: PHOENIX, STATE: AZ, ZIP: 85020, PHONE: (602) 944-5656, FAX: (602) 944-2727, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED0099, LICENSE: OTC0315, NAME: COCHISE COUNTY HEALTH DEPT/ DOUGLAS, LEGALLY: COCHISE COUNTY HEALTH DEPARTMENT/DOUGLAS, ADDRESS: 515 7TH STREET, CITY: DOUGLAS, STATE: AZ, ZIP: 85607, PHONE: (520) 805-5600, FAX: (520) 432-9497, CAPACITY: 0, COUNTY: COCHISE TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED0157, LICENSE: OSC0043, NAME: PHYSICIANS SURGERY CENTER OF TEMPE, LLC, LEGALLY: PHYSICIANS SURGERY CENTER OF TEMPE, LLC, ADDRESS: 1940 EAST SOUTHERN AVENUE, CITY: TEMPE, STATE: AZ, ZIP: 85282, PHONE: (480) 820-7101, FAX: (480) 820-9291, CAPACITY: 0, COUNTY: MARICOPA TYPE: COMMUNITY MENTAL HEALTH CENTERS, SUBTYPE: MEDICARE, ID: MED2223, LICENSE: FED ONLY, NAME: FRIENDSHIP COMMUNITY MENTAL HEALTH CENTER, LEGALLY: FRIENDSHIP COMMUNITY MENTAL HEALTH CENTER, ADDRESS: 3201 NORTH 16TH STREET, CITY: PHOENIX, STATE: AZ, ZIP: 85011, PHONE: (602) 241-6656, FAX: (602) 241-7506, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED1250, LICENSE: HSPC1141, NAME: HOSPICE OF ARIZONA INPATIENT ST LUKES (031525), LEGALLY: HOSPICE OF ARIZONA INPATIENT UNIT ST. LUKES HOSPITAL, ADDRESS: 1800 EAST VAN BUREN, CITY: PHOENIX, STATE: AZ, ZIP: 85006, PHONE: (602) 678-1313, FAX: (602) 242-2178, CAPACITY: 20, COUNTY: MARICOPA TYPE: FEDERALLY QUALIFIED HEALTH CENTER, SUBTYPE: FEDERALLY QUALIFIED HEALTH CENTER, ID: MED0090, LICENSE: OTC0343, NAME: UNITED COMMUNITY HEALTH CENTER - THREE POINTS, LEGALLY: THREE POINTS CLINIC, ADDRESS: 15921 WEST AJO WAY, CITY: TUCSON, STATE: AZ, ZIP: 85735, PHONE: (520) 625-4401, FAX: (520) 822-2362, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED1611, LICENSE: OTC4143, NAME: UNION HILLS FAMILY MEDICINE CENTER, LEGALLY: UNION HILLS FAMILY MEDICINE CENTER, ADDRESS: 18185-D NORTH 83RD AVENUE, SUITE 107, CITY: GLENDALE, STATE: AZ, ZIP: 85308, PHONE: (623) 583-0306, FAX: (623) 583-1349, CAPACITY: 0, COUNTY: MARICOPA TYPE: PORTABLE X-RAY SUPPLIERS, SUBTYPE: MEDICARE, ID: MED1681, LICENSE: , NAME: HEALTHCARE IMAGING, INC, LEGALLY: HEALTHCARE IMAGING, INC, ADDRESS: 926 EAST MCDOWELL RD, SUITE 131, CITY: PHOENIX, STATE: AZ, ZIP: 85006, PHONE: (602) 258-2381, FAX: (602) 954-9420, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED0016, LICENSE: OTC4358, NAME: PLANNED PARENTHOOD - JEAN L. HOFFMAN CENTER, LEGALLY: PLANNED PARENTHOOD - JEAN L. HOFFMAN CENTER, ADDRESS: 529 WEST WETMORE, CITY: TUCSON, STATE: AZ, ZIP: 85705, PHONE: (520) 628-3071, FAX: (520) 622-8743, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED1176, LICENSE: OTC1471, NAME: CITADEL CARE CENTER THERAPY, LEGALLY: CITADEL CARE CENTER THERAPY, ADDRESS: 5121 E BROADWAY ROAD, THERAPY ANNEX, CITY: MESA, STATE: AZ, ZIP: 85206, PHONE: (480) 832-5555, FAX: (480) 924-0090, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED1198, LICENSE: OTC1070, NAME: CIGNA NORTH VALLEY HEALTHCARE CENTER, LEGALLY: CIGNA HEALTHCARE OF ARIZONA, INC., ADDRESS: 710 WEST BELL ROAD, CITY: PHOENIX, STATE: AZ, ZIP: 85023, PHONE: (602) 678-3065, FAX: (602) 843-7956, CAPACITY: 0, COUNTY: MARICOPA TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED0800, LICENSE: OTC3995, NAME: NRI-COTTONWOOD, LEGALLY: NRI-COTTONWOOD, ADDRESS: 203 SOUTH CANDY LANE, SUITE 11 A/B, CITY: COTTONWOOD, STATE: AZ, ZIP: 86326, PHONE: (928) 639-0014, FAX: (928) 639-0752, CAPACITY: 0, COUNTY: YAVAPAI TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED1348, LICENSE: HSPC0062, NAME: HOSPICE FAMILY CARE - SUN CITY, LEGALLY: HOSPICE FAMILY CARE - SUN CITY, ADDRESS: 17220 N BOSWELL BLVD, SUITE #225E, CITY: SUN CITY, STATE: AZ, ZIP: 85373, PHONE: (623) 876-9100, FAX: (623) 876-9300, CAPACITY: 0, COUNTY: MARICOPA TYPE: FEDERALLY QUALIFIED HEALTH CENTER, SUBTYPE: FEDERALLY QUALIFIED HEALTH CENTER, ID: MED0820, LICENSE: OTC0814, NAME: SUNSET COMMUNITY HEALTH CENTER-WELLTON, LEGALLY: SUNSET COMMUNITY HEALTH CENTER-WELLTON, ADDRESS: 10425 WILLIAMS STREET, CITY: WELLTON, STATE: AZ, ZIP: 85356, PHONE: (928) 785-3256, FAX: (928) 627-3857, CAPACITY: 0, COUNTY: YUMA TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED2196, LICENSE: HSPC3065, NAME: ODYSSEY HEALTHCARE OF PHOENIX, LEGALLY: ODYSSEY HEALTHCARE OF PHOENIX, ADDRESS: 202 EAST EARLL DRIVE, SUITE160, CITY: PHOENIX, STATE: AZ, ZIP: 85012, PHONE: (602) 279-0677, FAX: (602) 279-1085, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED0100, LICENSE: OTC0316, NAME: COCHISE COUNTY HEALTH DEPARTMENT-SIERRA VISTA, LEGALLY: COCHISE COUNTY HEALTH DEPARTMENT - SIERRA VISTA, ADDRESS: 4115 EAST FOOTHILLS DRIVE, SUITE A, CITY: SIERRA VISTA, STATE: AZ, ZIP: 85635, PHONE: (520) 803-3900, FAX: (520) 432-9497, CAPACITY: 0, COUNTY: COCHISE TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: AZ HHA ONLY, ID: MED0502, LICENSE: HHA0192, NAME: HOME HEALTH INSIGHTS, LEGALLY: HOME HEALTH INSIGHTS, ADDRESS: 121 WEST FLORENCE BOULEVARD, SUITE A, CITY: CASA GRANDE, STATE: AZ, ZIP: 85222, PHONE: (520) 421-2239, FAX: (520) 421-2503, CAPACITY: 0, COUNTY: PINAL TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED0108, LICENSE: , NAME: GLENDALE FAMILY HEALTH CENTER AND DIALYSIS SERVICE, LEGALLY: GLENDALE FAMILY HEALTH CENTER AND DIALYSIS SERVICES, ADDRESS: 5141 WEST LAMAR ROAD, CITY: GLENDALE, STATE: AZ, ZIP: 85301, PHONE: (623) 344-6781, FAX: (602) 344-6775, CAPACITY: 0, COUNTY: MARICOPA TYPE: OUTPATIENT PHYSICAL THERAPY/SPEECH PATHOLOGY SERVICES, SUBTYPE: MEDICARE, ID: MED0436, LICENSE: OTC3818, NAME: VIBRANT CARE-TEMPE, LEGALLY: VIBRANT CARE-TEMPE, ADDRESS: 4515 SOUTH MC CLINTOCK DRIVE, SUITE 110, CITY: TEMPE, STATE: AZ, ZIP: 85282, PHONE: (480) 839-2196, FAX: (480) 831-3025, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED0026, LICENSE: OTC0283, NAME: ARIZONA FAMILY CARE ASSOCIATES- LOCATION #1, LEGALLY: ARIZONA FAMILY CARE ASSOCIATES, INC.-LOCATION #1, ADDRESS: 1101 SAN ANTONIO AVE, CITY: DOUGLAS, STATE: AZ, ZIP: 85607, PHONE: (520) 364-7544, FAX: (602) 458-4335, CAPACITY: 0, COUNTY: COCHISE TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED0142, LICENSE: OTC0414, NAME: ARIZONA FAMILY CARE ASSOCIATES INC - LOCATION #2, LEGALLY: ARIZONA FAMILY CARE ASSOCIATES, INC.-LOCATION #2, ADDRESS: 302 EL CAMINO REAL, SUITE 1, CITY: SIERRA VISTA, STATE: AZ, ZIP: 85635, PHONE: (520) 458-4335, FAX: (520) 458-4335, CAPACITY: 0, COUNTY: COCHISE TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED0102, LICENSE: OTC0144, NAME: GRAHAM COUNTY HEALTH DEPARTMENT, LEGALLY: GRAHAM COUNTY HEALTH DEPARTMENT, ADDRESS: 826 WEST MAIN STREET, CITY: SAFFORD, STATE: AZ, ZIP: 85546, PHONE: (928) 428-1962, FAX: (928) 428-8074, CAPACITY: 0, COUNTY: GRAHAM TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED1384, LICENSE: OTC1407, NAME: FMC DIALYSIS SERVICES NORTH SCOTTSDALE, LEGALLY: FMC DIALYSIS SERVICES NORTH SCOTTSDALE DIALYSIS, ADDRESS: 16101 NORTH 82ND STREET, SUITE 6 & 7, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85260, PHONE: (480) 607-2953, FAX: (480) 607-2921, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED0103, LICENSE: OTC0267, NAME: GREENLEE COUNTY HEALTH DEPARTMENT -CLIFTON, LEGALLY: GREENLEE COUNTY HEALTH DEPARTMENT, ADDRESS: FIFTH & LEONARD, CITY: CLIFTON, STATE: AZ, ZIP: 85533, PHONE: (928) 865-2601, FAX: (928) 865-1929, CAPACITY: 0, COUNTY: GREENLEE TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED0364, LICENSE: OTC0608, NAME: SCOTTSDALE HEALTHCARE OUTPATIENT REHAB SVCS, LEGALLY: SCOTTSDALE HEALTHCARE CORP., ADDRESS: 10200 NORTH 92ND STREET, SUITE 100, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85258, PHONE: (480) 323-3934, FAX: (480) 323-3510, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED1481, LICENSE: OTC1610, NAME: DESERT GARDEN ELEMENTARY SCHOOL BASED CLINIC, LEGALLY: DESERT GARDEN ELEMENTARY SCHOOL, ADDRESS: 7020 WEST OCOTILLO, NURSE'S OFFICE, CITY: GLENDALE, STATE: AZ, ZIP: 85303, PHONE: (623) 842-8214, FAX: (623) 528-3120, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED1482, LICENSE: OTC1609, NAME: DON MENSENDICK ELEMENTARY SCHOOL (SCHOOL BASED), LEGALLY: DON MENSENDICK ELEMENTARY SCHOOL, ADDRESS: 5535 NORTH 67TH AVENUE, NURSE'S OFFICE, CITY: GLENDALE, STATE: AZ, ZIP: 85303, PHONE: (623) 866-4600, FAX: (623) 842-8336, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED0120, LICENSE: OTC0084A, NAME: PIMA COUNTY HEALTH DEPARTMENT - AJO OFFICE, LEGALLY: PIMA COUNTY HEALTH DEPARTMENT - AJO OFFICE, ADDRESS: 120 ESTRELLA AVENUE, CITY: AJO, STATE: AZ, ZIP: 85321, PHONE: (520) 387-7206, FAX: (520) 387-5596, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED0121, LICENSE: OTC0079, NAME: PIMA COUNTY HEALTH DEPARTMENT-DOWNTOWN OFFICE, LEGALLY: PIMA COUNTY HEALTH DEPARTMENT-DOWNTOWN OFFICE, ADDRESS: 150 WEST CONGRESS STREET, CITY: TUCSON, STATE: AZ, ZIP: 85701, PHONE: (520) 740-8866, FAX: (520) 740-8329, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED0122, LICENSE: OTC0731C, NAME: PIMA COUNTY HEALTH DEPARTMENT-EAST OFFICE, LEGALLY: PIMA COUNTY HEALTH DEPARTMENT - EAST OFFICE, ADDRESS: 6920 EAST BROADWAY, STE C, E, F, G, CITY: TUCSON, STATE: AZ, ZIP: 85710, PHONE: (520) 298-3888, FAX: (520) 751-9351, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED0126, LICENSE: OTC0136G, NAME: PIMA COUNTY HEALTH DEPARTMENT-THERESA LEE CENTER, LEGALLY: PIMA COUNTY HEALTH DEPARTMENT-THERESA LEE CENTER, ADDRESS: 332 SOUTH FREEWAY, CITY: TUCSON, STATE: AZ, ZIP: 85745, PHONE: (520) 624-8272, FAX: (520) 628-8951, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED0123, LICENSE: OTC0309D, NAME: PIMA COUNTY HEALTH DEPT-GREATER GREEN VALLEY HELTH, LEGALLY: PIMA COUNTY HEALTH DEPARTMENT-GREATER GREEN VALLEY HEALTH & WELLNESS, ADDRESS: 601 NORTH LA CANADA, CITY: GREEN VALLEY, STATE: AZ, ZIP: 85622, PHONE: (928) 698-1626, FAX: (928) 648-6385, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED0124, LICENSE: OTC0552E, NAME: PIMA COUNTY HEALTH DEPARTMENT-NORTH OFFICE, LEGALLY: PIMA COUNTY HEALTH DEPARTMENT - NORTH OFFICE, ADDRESS: 3550 NORTH 1ST AVENUE, SUITE 300, CITY: TUCSON, STATE: AZ, ZIP: 85719, PHONE: (520) 293-4620, FAX: (520) 887-1315, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED0125, LICENSE: OTC0078H, NAME: PIMA COUNTY HEALTH DEPARTMENT-WALTER C ROGERS, LEGALLY: PIMA COUNTY HEALTH DEPARTMENT-WALTER C. ROGERS, ADDRESS: 175 WEST IRVINGTON ROAD, CITY: TUCSON, STATE: AZ, ZIP: 85714, PHONE: (520) 889-9543, FAX: (520) 741-4329, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED1200, LICENSE: OTC1226F, NAME: PIMA COUNTY HEALTH DEPARTMENT-KINO TEEN CENTER, LEGALLY: PIMA COUNTY HEALTH DEPARTMENT-KINO TEEN CENTER, ADDRESS: 2801 EAST AJO WAY, CITY: TUCSON, STATE: AZ, ZIP: 85713, PHONE: (520) 740-4600, FAX: (520) 740-4621, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED1390, LICENSE: OTC1347, NAME: SUN LAKES HEALTH CENTER, LEGALLY: SUN LAKES HEALTH CENTER, ADDRESS: 10440 EAST RIGGS ROAD, SUITE 100, CITY: SUN LAKES, STATE: AZ, ZIP: 85248, PHONE: (480) 728-4247, FAX: (480) 899-5548, CAPACITY: 0, COUNTY: MARICOPA TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED0145, LICENSE: OTC0403, NAME: DESERT MOUNTAIN DIALYSIS CENTER, LEGALLY: DESERT MOUNTAIN DIALYSIS CENTER, ADDRESS: 9220 EAST MOUNTAIN VIEW ROAD, SUITE 105, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85258, PHONE: (480) 391-2241, FAX: (480) 451-8331, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: AZ037132, LICENSE: HHA0178, NAME: MD HOME HEALTH & STAFFING, LEGALLY: MD HOME HEALTH AND STAFFING, ADDRESS: 5727 NORTH 7TH STREET, SUITE 406, CITY: PHOENIX, STATE: AZ, ZIP: 85014, PHONE: (602) 266-9971, FAX: (602) 266-9968, CAPACITY: 0, COUNTY: MARICOPA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED0188, LICENSE: OSC0047, NAME: SCOTTSDALE EYE SURGERY CENTER, LEGALLY: SCOTTSDALE EYE SURGERY CENTER, PC, ADDRESS: 3320 NORTH MILLER ROAD, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85251, PHONE: (480) 949-1208, FAX: (480) 994-3316, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED0530, LICENSE: OTC4051, NAME: NURSES OFFICE, THE, LEGALLY: NURSES OFFICE, THE, ADDRESS: 1757 JACKSON LANE, CITY: LAKESIDE, STATE: AZ, ZIP: 85929, PHONE: (928) 368-0461, FAX: (928) 368-4333, CAPACITY: 0, COUNTY: NAVAJO TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED0748, LICENSE: OTC0626, NAME: CIGNA CHANDLER HEALTHCARE CENTER, LEGALLY: CIGNA CHANDLER HEALTHCARE CENTER, ADDRESS: 1717 WEST CHANDLER BOULEVARD, CITY: CHANDLER, STATE: AZ, ZIP: 85224, PHONE: (480) 821-7565, FAX: (480) 821-4371, CAPACITY: 0, COUNTY: MARICOPA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED0179, LICENSE: OSC0016, NAME: SURGERY CENTER OF PEORIA, LEGALLY: SURGERY CENTER OF PEORIA, ADDRESS: 13260 N. 94TH DRIVE, SUITE # 103, CITY: PEORIA, STATE: AZ, ZIP: 85381, PHONE: (623) 933-2900, FAX: (623) 933-0017, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: AZ037199, LICENSE: HHA0268, NAME: ARIZONA HOME CARE, LEGALLY: ARIZONA HOME CARE, ADDRESS: 1626 SOUTH EDWARD DRIVE, CITY: TEMPE, STATE: AZ, ZIP: 85281, PHONE: (602) 252-5000, FAX: (602) 323-5070, CAPACITY: 0, COUNTY: MARICOPA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED1752, LICENSE: OSC2263, NAME: ARIZONA ONCOLOGY SERVICES SURGICENTER, LEGALLY: ARIZONA ONCOLOGY SERVICES SURGICENTER, ADDRESS: 8994 E DESERT COVE, SUITE 300, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85260, PHONE: (480) 767-0447, FAX: (480) 767-7303, CAPACITY: 0, COUNTY: MARICOPA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED1779, LICENSE: OSC2285, NAME: CANYON SURGERY CENTER, LLC, LEGALLY: CANYON SURGERY CENTER, ADDRESS: 6036 NORTH 19TH AVENUE, SUITE 100, CITY: PHOENIX, STATE: AZ, ZIP: 85015, PHONE: (602) 589-8000, FAX: (602) 249-8084, CAPACITY: 0, COUNTY: MARICOPA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED1798, LICENSE: OSC2303, NAME: AMBULATORY SURGI-CENTER AT FMC, THE, LEGALLY: AMBULATORY SURGI-CENTER AT FMC, THE, ADDRESS: 1200 NORTH BEAVER STREET, SUITE B, CITY: FLAGSTAFF, STATE: AZ, ZIP: 86001, PHONE: (928) 214-3851, FAX: (928) 214-3816, CAPACITY: 0, COUNTY: COCONINO TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED0084, LICENSE: OTC0037, NAME: ST ELIZABETH'S HEALTH CENTER, LEGALLY: ST. ELIZABETH'S HEALTH CENTER, ADDRESS: 140 WEST SPEEDWAY BOULEVARD, CITY: TUCSON, STATE: AZ, ZIP: 85705, PHONE: (520) 628-7871, FAX: (520) 205-8461, CAPACITY: 0, COUNTY: PIMA TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED0095, LICENSE: OTC3619, NAME: YUMA DIALYSIS, LEGALLY: YUMA DIALYSIS, ADDRESS: 2130 WEST 24TH STREET, CITY: YUMA, STATE: AZ, ZIP: 85364, PHONE: (928) 783-2365, FAX: (928) 783-6870, CAPACITY: 0, COUNTY: YUMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED0327, LICENSE: OTC0645, NAME: EL RIO SPECIAL IMMUNOLOGY CLINIC, LEGALLY: EL RIO SPECIAL IMMUNOLOGY CLINIC, ADDRESS: 1701 WEST SAINT MARYS ROAD STE 140, 160, CITY: TUCSON, STATE: AZ, ZIP: 85745, PHONE: (520) 623-8287, FAX: (520) 205-4940, CAPACITY: 0, COUNTY: PIMA TYPE: OUTPATIENT PHYSICAL THERAPY/SPEECH PATHOLOGY SERVICES, SUBTYPE: MEDICARE, ID: MED0414, LICENSE: OTC0533, NAME: LA POSADA OUTPATIENT THERAPIES, LEGALLY: LA POSADA OUTPATIENT THERAPIES, ADDRESS: 700 SOUTH LA POSADA CIRCLE, CITY: GREEN VALLEY, STATE: AZ, ZIP: 85614, PHONE: (520) 648-8388, FAX: (520) 648-8389, CAPACITY: 0, COUNTY: PIMA TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED0685, LICENSE: OTC0811, NAME: RENAL CARE GROUP-CASA GRANDE, LEGALLY: RENAL CARE GROUP - CASA GRANDE, ADDRESS: 695 EAST COTTONWOOD LANE, CITY: CASA GRANDE, STATE: AZ, ZIP: 85222, PHONE: (520) 836-2566, FAX: (480) 632-3283, CAPACITY: 0, COUNTY: PINAL TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED1443, LICENSE: OTC1775, NAME: POSADA DEL SOL HEALTH CARE, LEGALLY: POSADA DEL SOL HEALTH CARE CENTER, ADDRESS: 2250 NORTH CRAYCROFT ROAD, CITY: TUCSON, STATE: AZ, ZIP: 85712, PHONE: (520) 886-5481, FAX: (520) 546-5712, CAPACITY: 0, COUNTY: PIMA TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED2207, LICENSE: NONE, NAME: MAYO CLINIC HOSPITAL ESRD, LEGALLY: MAYO CLINIC HOSPITAL ESRD, ADDRESS: 5777 EAST MAYO BOULEVARD, CITY: PHOENIX, STATE: AZ, ZIP: 85054, PHONE: (480) 515-6296, FAX: (480) 342-0068, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: AZ037129, LICENSE: HHA3393, NAME: DEPENDABLE HOME HEALTH - NOGALES, LEGALLY: DEPENDABLE HOME HEALTH, INC., ADDRESS: 857 WEST BELL ROAD, SUITE 7, CITY: NOGALES, STATE: AZ, ZIP: 85621, PHONE: (520) 761-3211, FAX: (520) 281-9213, CAPACITY: 0, COUNTY: SANTA CRUZ TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED1741, LICENSE: OTC2379, NAME: JCL DEER VALLEY FAMILY PRACTICE, LEGALLY: JOHN C LINCOLN, LLC, ADDRESS: 19636 NORTH 27TH AVENUE, SUITE 308, CITY: PHOENIX, STATE: AZ, ZIP: 85027, PHONE: (623) 780-1999, FAX: (623) 445-6420, CAPACITY: 0, COUNTY: MARICOPA TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED0495, LICENSE: OTC0576, NAME: WESTERN SKIES DIALYSIS, INC, LEGALLY: WESTERN SKIES DIALYSIS, INC., ADDRESS: 1041 NORTH ARIZOLA ROAD, CITY: CASA GRANDE, STATE: AZ, ZIP: 85222, PHONE: (520) 836-5883, FAX: (520) 836-2728, CAPACITY: 0, COUNTY: PINAL TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED0592, LICENSE: OTC0698, NAME: MAYO CLINIC-THUNDERBIRD, LEGALLY: MAYO CLINIC-THUNDERBIRD, ADDRESS: 13737 NORTH 92ND STREET, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85260, PHONE: (480) 860-4800, FAX: (480) 860-4820, CAPACITY: 0, COUNTY: MARICOPA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED1797, LICENSE: OSC2406, NAME: PHYSICIANS' SURGERY CENTER, LEGALLY: PHYSICIAN'S SURGERY CENTER, ADDRESS: 1800 HIGHWAY 95, SUITE 5, CITY: BULLHEAD CITY, STATE: AZ, ZIP: 86442, PHONE: (928) 763-1919, FAX: (928) 763-1099, CAPACITY: 0, COUNTY: MOHAVE TYPE: OUTPATIENT PHYSICAL THERAPY/SPEECH PATHOLOGY SERVICES, SUBTYPE: MEDICARE, ID: MED0772, LICENSE: OTC0656, NAME: HEALTHSOUTH REHAB CR SCOTTS II (EXT 036534), LEGALLY: HEALTHSOUTH REHAB CENTER SCOTTSDALE II, ADDRESS: 9522 EAST SAN SALVADORE, SUITE 200, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85258, PHONE: (480) 767-2121, FAX: (480) 767-2287, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: AZ HHA ONLY, ID: MED1394, LICENSE: HHA1269, NAME: ARCADIA HEALTH CARE, LEGALLY: ARCADIA HEALTH CARE, ADDRESS: 4615 NORTH FIRST AVENUE, CITY: TUCSON, STATE: AZ, ZIP: 85718, PHONE: (520) 888-7566, FAX: (520) 888-2340, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED0787, LICENSE: OTC0624, NAME: CIGNA PASEO HEALTHCARE CENTER (URGENT CARE CENTER), LEGALLY: CIGNA PASEO HEALTHCARE CENTER, ADDRESS: 5891 WEST EUGIE AVENUE, CITY: GLENDALE, STATE: AZ, ZIP: 85304, PHONE: (602) 588-6600, FAX: (602) 588-6699, CAPACITY: 0, COUNTY: MARICOPA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED1755, LICENSE: OSC2423, NAME: PLASTIC SURGERY CENTER AT KIERLAND, THE, LEGALLY: PLASTIC SURGERY CENTER AT KIERLAND, THE, ADDRESS: 7102 EAST ACOMA DRIVE, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85254, PHONE: (480) 483-6200, FAX: (480) 483-1702, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED0154, LICENSE: OTC0367, NAME: YAVAPAI COUNTY COMMUNITY HEALTH SERVICE-COTTONWOOD, LEGALLY: YAVAPAI COUNTY COMMUNITY HEALTH SERVICES-COTTONWOOD, ADDRESS: 10 SOUTH 6TH STREET, CITY: COTTONWOOD, STATE: AZ, ZIP: 86326, PHONE: (928) 639-8130, FAX: (928) 639-8179, CAPACITY: 0, COUNTY: YAVAPAI TYPE: FEDERALLY QUALIFIED HEALTH CENTER, SUBTYPE: FEDERALLY QUALIFIED HEALTH CENTER, ID: MED0075, LICENSE: OTC0006, NAME: EL RIO SANTA CRUZ NEIGHBORHOOD HEALTH CENTER, INC, LEGALLY: EL RIO SANTA CRUZ NEIGHBORGHOOD HEALTH CENTER, INC., ADDRESS: 839 WEST CONGRESS STREET, CITY: TUCSON, STATE: AZ, ZIP: 85745, PHONE: (520) 792-9890, FAX: (520) 205-4940, CAPACITY: 0, COUNTY: PIMA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED1870, LICENSE: , NAME: UNIVERSITY PHYSICIANS SURGERY, LEGALLY: UNIVERSITY PHYSICIANS SURGERY CENTER, ADDRESS: 750 NORTH ALVERNON WAY, CITY: TUCSON, STATE: AZ, ZIP: 85711, PHONE: (520) 321-1746, FAX: (520) 321-1756, CAPACITY: 0, COUNTY: PIMA TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED0074, LICENSE: OTC0307, NAME: D C I DESERT DIALYSIS CENTER, LEGALLY: DCI DESERT DIALYSIS CENTER, ADDRESS: 2022 EAST PRINCE ROAD, CITY: TUCSON, STATE: AZ, ZIP: 85719, PHONE: (520) 327-0007, FAX: (520) 327-6902, CAPACITY: 0, COUNTY: PIMA TYPE: FEDERALLY QUALIFIED HEALTH CENTER, SUBTYPE: FEDERALLY QUALIFIED HEALTH CENTER, ID: MED0727, LICENSE: OTC0357, NAME: SUN LIFE FAMILY HEALTH CENTER INC-SAN MANUAL, LEGALLY: SUN LIFE FAMILY HEALTH CENTER, INC. - SAN MANUEL SATELLITE, ADDRESS: 23 MCNAB PARKWAY, CITY: SAN MANUEL, STATE: AZ, ZIP: 85631, PHONE: (520) 385-3221, FAX: (520) 385-2113, CAPACITY: 0, COUNTY: PINAL TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED0549, LICENSE: OTC4039, NAME: RENAL CARE GROUP-SAFFORD, LEGALLY: RENAL CARE GROUP - SAFFORD, ADDRESS: 1250 SOUTH 20TH AVENUE, CITY: SAFFORD, STATE: AZ, ZIP: 85546, PHONE: (928) 348-1400, FAX: (928) 428-1478, CAPACITY: 0, COUNTY: GRAHAM TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED1902, LICENSE: NONE, NAME: SOUTHWESTERN EYE SURGICENTER, LEGALLY: SOUTHWESTERN EYE SURGICENTER - SAFFORD, ADDRESS: 2242 WEST 16TH STREET, CITY: SAFFORD, STATE: AZ, ZIP: 85546, PHONE: (928) 428-0068, FAX: (480) 833-6246, CAPACITY: 0, COUNTY: GRAHAM TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED0128, LICENSE: OTC0285, NAME: YUMA COUNTY DEPARTMENT OF PUBLIC HEALTH, LEGALLY: YUMA COUNTY DEPARTMENT OF PUBLIC HEALTH, ADDRESS: 2200 WEST 28TH STREET, SUITE 137, CITY: YUMA, STATE: AZ, ZIP: 85364, PHONE: (928) 317-4550, FAX: (928) 317-4501, CAPACITY: 0, COUNTY: YUMA TYPE: FEDERALLY QUALIFIED HEALTH CENTER, SUBTYPE: FEDERALLY QUALIFIED HEALTH CENTER, ID: MED1510, LICENSE: OTC1631, NAME: SAHUARITA WELLNESS CENTER, LEGALLY: UNITED COMMUNITY HEALTH CENTER, ADDRESS: 350 WEST SAHUARITA ROAD, CITY: SAHUARITA, STATE: AZ, ZIP: 85629, PHONE: (520) 625-3502, FAX: (520) 625-8504, CAPACITY: 0, COUNTY: PIMA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED1833, LICENSE: OSC2440, NAME: ARIZONA ENDOSCOPY CENTER, LEGALLY: ARIZONA ENDOSCOPY CENTER, ADDRESS: 1410 EAST MCDOWELL ROAD, CITY: PHOENIX, STATE: AZ, ZIP: 85006, PHONE: (602) 716-9655, FAX: (602) 716-9659, CAPACITY: 0, COUNTY: MARICOPA TYPE: OUTPATIENT PHYSICAL THERAPY/SPEECH PATHOLOGY SERVICES, SUBTYPE: MEDICARE, ID: MED1518, LICENSE: OTC3769, NAME: NOVACARE OUTPATIENT REHABILITATION-CASA GRANDE, LEGALLY: NOVACARE OUTPATIENT REHABILITATION WEST, INC, ADDRESS: 1355 EAST FLORENCE BOULEVARD #137, CITY: CASA GRANDE, STATE: AZ, ZIP: 85222, PHONE: (520) 836-7996, FAX: (520) 836-5299, CAPACITY: 0, COUNTY: PINAL TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED0573, LICENSE: OTC0677, NAME: FAMILY HEALTH CENTER, LEGALLY: FAMILY HEALTH CENTER, ADDRESS: 1500 EAST CEDAR AVENUE, SUITE 26-32, CITY: FLAGSTAFF, STATE: AZ, ZIP: 86004, PHONE: (928) 773-1245, FAX: (928) 773-9429, CAPACITY: 0, COUNTY: COCONINO TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: AZ037052, LICENSE: HHA0053, NAME: U M C HOME HEALTH, LEGALLY: UNIVERSITY MEDICAL CENTER HOME HEALTH, ADDRESS: 655 EAST RIVER ROAD, SUITE B209, CITY: TUCSON, STATE: AZ, ZIP: 85704, PHONE: (520) 694-4663, FAX: (520) 694-4085, CAPACITY: 0, COUNTY: PIMA TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED1820, LICENSE: NONE, NAME: NATIVE AMERICAN DIALYSIS CENTER, LEGALLY: NATIVE AMERICAN DIALYSIS CENTER, ADDRESS: SEED FARM & SKILL CENTER ROAD, CITY: SACATON, STATE: AZ, ZIP: 85247, PHONE: (520) 562-3345, FAX: (520) 562-4098, CAPACITY: 0, COUNTY: PINAL TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED0029, LICENSE: OTC0123, NAME: N A U-FRONSKE HEALTH CENTER, LEGALLY: NORTHERN ARIZONA UNIVERSITY-FRONSKE HEALTH CENTER, ADDRESS: BUILDING 41, SOUTH SAN FRANCISCO & DOME ACCESS, CITY: FLAGSTAFF, STATE: AZ, ZIP: 86011, PHONE: (928) 523-6343, FAX: (928) 523-4411, CAPACITY: 0, COUNTY: COCONINO TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED0023, LICENSE: OTC0605, NAME: SIERRA VISTA DIALYSIS, LEGALLY: SIERRA VISTA DIALYSIS, ADDRESS: 629 NORTH HIGHWAY 90, SUITE 06, CITY: SIERRA VISTA, STATE: AZ, ZIP: 85635, PHONE: (520) 459-7791, FAX: (520) 459-7129, CAPACITY: 0, COUNTY: COCHISE TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED0818, LICENSE: OTC0630, NAME: CIGNA SUN CITY HEALTHCARE CENTER, LEGALLY: CIGNA SUN CITY HEALTHCARE CENTER, ADDRESS: 13041 NORTH DEL WEBB BLVD, CITY: SUN CITY, STATE: AZ, ZIP: 85351, PHONE: (623) 977-7201, FAX: (623) 876-2106, CAPACITY: 0, COUNTY: MARICOPA TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED0526, LICENSE: OTC0609, NAME: SUN CITY WEST DIALYSIS, LEGALLY: SUN CITY WEST DIALYSIS, ADDRESS: 12213 WEST BELL ROAD, SUITE 110, CITY: SURPRISE, STATE: AZ, ZIP: 85374, PHONE: (623) 583-8865, FAX: (623) 643-9332, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED0035, LICENSE: OTC0141, NAME: ASU-CAMPUS HEALTH SERVICE, LEGALLY: ASU-CAMPUS HEALTH SERVICE, ADDRESS: 451 EAST UNIVERSITY DRIVE, CITY: TEMPE, STATE: AZ, ZIP: 85287, PHONE: (480) 965-1145, FAX: (480) 965-4605, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: AZ037192, LICENSE: HHA4347, NAME: YUMA HOME CARE, INC, LEGALLY: YUMA HOME CARE, INC, ADDRESS: 1841 WEST 25TH STREET, SUITE A, CITY: YUMA, STATE: AZ, ZIP: 85364, PHONE: (928) 341-1300, FAX: (928) 344-1454, CAPACITY: 0, COUNTY: YUMA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED1860, LICENSE: OSC2478, NAME: DESERT CLIFFS AMBULATORY SURGICAL FACILITY, LEGALLY: DESERT CLIFFS AMBULATORY SURGICAL FACILITY, ADDRESS: 2250 WEST SOUTHERN AVE #101, CITY: MESA, STATE: AZ, ZIP: 85202, PHONE: (480) 835-5532, FAX: (480) 962-0106, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED0512, LICENSE: HSPC0030, NAME: HOSPICE FAMILY CARE, INC., LEGALLY: HOSPICE FAMILY CARE, INC, ADDRESS: 6300 EAST EL DORADO PLAZA, A-100, CITY: TUCSON, STATE: AZ, ZIP: 85715, PHONE: (520) 790-9299, FAX: (520) 790-9211, CAPACITY: 0, COUNTY: PIMA TYPE: MED-OUTPATIENT SURGERY CENTER, SUBTYPE: OUTPATIENT SURGERY CENTER, ID: MED1600, LICENSE: OSC1924, NAME: PARADISE VALLEY COSMETIC SURGERY CENTER, LEGALLY: PARADISE VALLEY COSMETIC SURGERY CENTER, ADDRESS: 5410 NORTH SCOTTSDALE ROAD, SUITE E-100, CITY: PARADISE VALLEY, STATE: AZ, ZIP: 85253, PHONE: (480) 994-4080, FAX: (480) 994-7325, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED0459, LICENSE: HSPC0020, NAME: T M C HOSPICE AKA PEPPI'S HOUSE (HOME HOSPICE), LEGALLY: T M C HOSPICE AKA PEPPI'S HOUSE, ADDRESS: 2715 NORTH WYATT, CITY: TUCSON, STATE: AZ, ZIP: 85712, PHONE: (520) 324-2438, FAX: (520) 324-1999, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED1648, LICENSE: OTC2481, NAME: JCL DEER VALLEY MEDICAL, LEGALLY: JCL DEER VALLEY MEDICAL, ADDRESS: 4330 WEST UNION HILLS DRIVE, SUITE B 1-3, CITY: GLENDALE, STATE: AZ, ZIP: 85308, PHONE: (623) 869-6811, FAX: (623) 869-6878, CAPACITY: 0, COUNTY: MARICOPA TYPE: OUTPATIENT PHYSICAL THERAPY/SPEECH PATHOLOGY SERVICES, SUBTYPE: MEDICARE, ID: MED0438, LICENSE: OTC3766, NAME: VIBRANTCARE OUTPATIENT REHAB-THUNDERBIRD (036541), LEGALLY: VIBRANTCARE OUTPATIENT REHAB-THUNDERBIRD, ADDRESS: 5601 WEST EUGIE, SUITE 202, CITY: GLENDALE, STATE: AZ, ZIP: 85304, PHONE: (602) 843-8436, FAX: (602) 843-8947, CAPACITY: 0, COUNTY: MARICOPA TYPE: OUTPATIENT PHYSICAL THERAPY/SPEECH PATHOLOGY SERVICES, SUBTYPE: MEDICARE, ID: MED0148, LICENSE: OTC0419, NAME: SELECT PHYSICAL THERAPY-BULLHEAD CITY, LEGALLY: SELECT PHYSICAL THERAPY-BULLHEAD CITY, ADDRESS: 2000 HIGHWAY 95, SUITE 110, CITY: BULLHEAD CITY, STATE: AZ, ZIP: 86442, PHONE: (928) 763-1515, FAX: (928) 763-6376, CAPACITY: 0, COUNTY: MOHAVE TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED0560, LICENSE: HSPC0038, NAME: RTA HOSPICE & PALLIATIVE CARE, LEGALLY: RTA HOSPICE AND PALLIATIVE CARE, ADDRESS: 1675 EAST MONUMENT PLAZA DRIVE, SUITE A, CITY: CASA GRANDE, STATE: AZ, ZIP: 85222, PHONE: (520) 421-7143, FAX: (520) 421-7315, CAPACITY: 0, COUNTY: PINAL TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED1565, LICENSE: HSPC2047, NAME: RTA HOSPICE, INC., LEGALLY: RTA HOSPICE, INC, ADDRESS: 1789 WEST COMMERCE DRIVE, SUITE A, CITY: LAKESIDE, STATE: AZ, ZIP: 85929, PHONE: (928) 368-4400, FAX: (928) 368-4424, CAPACITY: 0, COUNTY: NAVAJO TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED0481, LICENSE: HSPC0025, NAME: HEARTLAND HOME HEALTH CARE AND, LEGALLY: HEARTLAND HOME HEALTH CARE AND HOSPICE-PHOENIX, ADDRESS: 1661 EAST CAMELBACK ROAD, SUITE 200, CITY: PHOENIX, STATE: AZ, ZIP: 85016, PHONE: (602) 265-5954, FAX: (602) 265-5966, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED0482, LICENSE: HSPC0026, NAME: SCOTTSDALE HOSPICE OF VALLEY, LEGALLY: SCOTTSDALE HOSPICE OF THE VALLEY, ADDRESS: 5111 NORTH SCOTTSDALE ROAD, STE 108, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85250, PHONE: (480) 663-6500, FAX: (480) 654-6736, CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED1586, LICENSE: , NAME: CARONDELET IMAGING CENTER, LEGALLY: CARONDELET IMAGING CENTER, ADDRESS: 630 NORTH ALVERNON WAY, CITY: TUCSON, STATE: AZ, ZIP: 85711, PHONE: (520) 322-8273, FAX: (520) 873-3921, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED0076, LICENSE: OTC3984, NAME: EL PUEBLO HEALTH CENTER, LEGALLY: EL PUEBLO HEALTH CENTER, ADDRESS: 101 WEST IRVINGTON BUILDING 3-C, CITY: TUCSON, STATE: AZ, ZIP: 85714, PHONE: (520) 573-0096, FAX: (520) 741-8818, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED0599, LICENSE: OTC0710, NAME: HEART INSTITUTE OF NORTHERN AZ, LEGALLY: HEART INSTITUTE OF NORTHERN ARIZONA, ADDRESS: 1753 AIRWAY AVE, SUITE B, CITY: KINGMAN, STATE: AZ, ZIP: 86401, PHONE: (928) 692-6200, FAX: (928) 692-9474, CAPACITY: 0, COUNTY: MOHAVE TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED0725, LICENSE: OTC0819, NAME: MARANA TEEN WELLNESS CENTER (SCHOOL BASED), LEGALLY: MARANA TEEN WELLNESS CENTER, ADDRESS: 12000 WEST EMIGH ROAD, CITY: MARANA, STATE: AZ, ZIP: 85653, PHONE: (520) 616-6400, FAX: (520) 682-2333, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED0726, LICENSE: OTC0820, NAME: MARANA TEEN WELLNESS CENTER, LEGALLY: MARANA TEEN WELLNESS CENTER, ADDRESS: 11279 WEST GRIER ROAD, CITY: MARANA, STATE: AZ, ZIP: 85653, PHONE: (520) 682-4730, FAX: (520) 682-2333, CAPACITY: 0, COUNTY: PIMA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: AZ037070, LICENSE: HHA3118, NAME: DEPENDABLE HOME HEALTH, INC, LEGALLY: DEPENDABLE HOME HEALTH, INC, ADDRESS: 1120 SOUTH SWAN ROAD, CITY: TUCSON, STATE: AZ, ZIP: 85711, PHONE: (520) 721-3822, FAX: (520) 512-0439, CAPACITY: 0, COUNTY: PIMA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: AZ037050, LICENSE: HHA0059, NAME: KINGMAN REGIONAL MEDICAL CENTER HOME HEALTH, LEGALLY: KINGMAN HOSPITAL, INC., ADDRESS: 1790 SYCAMORE AVENUE, CITY: KINGMAN, STATE: AZ, ZIP: 86401, PHONE: (928) 757-0630, FAX: (928) 757-0604, CAPACITY: 0, COUNTY: MOHAVE TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED0577, LICENSE: OTC0682, NAME: SCOTTSDALE HEALTHCARE-REHAB SERVICES OSBORN, LEGALLY: SCOTTSDALE HEALTHCARE REHABILITATION SERVICES OSBORN, ADDRESS: 3134 NORTH CIVIC CENTER PLAZA, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85251, PHONE: (480) 882-6820, FAX: (480) 947-3159, CAPACITY: 0, COUNTY: MARICOPA TYPE: FEDERALLY QUALIFIED HEALTH CENTER, SUBTYPE: FEDERALLY QUALIFIED HEALTH CENTER, ID: MED0429, LICENSE: OTC0670, NAME: WICKENBURG FAMILY CARE CENTER, LEGALLY: WICKENBURG FAMILY CARE CENTER, ADDRESS: 811 NORTH TEGENER STREET, CITY: WICKENBURG, STATE: AZ, ZIP: 85390, PHONE: (928) 684-9555, FAX: (623) 583-8330, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED0104, LICENSE: OTC0744, NAME: LA PAZ COUNTY HEALTH DEPARTMENT, LEGALLY: LA PAZ COUNTY HEALTH DEPARTMENT, ADDRESS: 1112 JOSHUA AVENUE, SUITE 206, CITY: PARKER, STATE: AZ, ZIP: 85344, PHONE: (928) 669-1100, FAX: (928) 669-6703, CAPACITY: 0, COUNTY: LA PAZ TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED1254, LICENSE: OTC1175, NAME: PRIMECARE CENTRAL CLINIC (URGENT CARE), LEGALLY: PRIMECARE CENTRAL CLINIC, ADDRESS: 284 WEST 32ND STREET, SUITE 436, CITY: YUMA, STATE: AZ, ZIP: 85364, PHONE: (928) 343-0488, FAX: (928) 782-0401, CAPACITY: 0, COUNTY: YUMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED1904, LICENSE: OTC2541, NAME: HEALTHSOUTH REHAB INSTITUTE-COUNTRY CLUB, LEGALLY: HEALTHSOUTH REHABILITATION INSTITUTE OF TUCSON - COUNTRY CLUB, ADDRESS: 2102 NORTH COUNTRY CLUB BLDG B, CITY: TUCSON, STATE: AZ, ZIP: 85716, PHONE: (520) 323-7773, FAX: (520) 323-2262, CAPACITY: 0, COUNTY: PIMA TYPE: OUTPATIENT PHYSICAL THERAPY/SPEECH PATHOLOGY SERVICES, SUBTYPE: MEDICARE, ID: MED0767, LICENSE: OTC4164, NAME: SELECT PHYSICAL THERAPY-BAYWOOD (036574), LEGALLY: SELECT PHYSICAL THERAPY-BAYWOOD, ADDRESS: 6553 EAST BAYWOOD AVENUE, SUITE 205, CITY: MESA, STATE: AZ, ZIP: 85206, PHONE: (480) 396-9922, FAX: (480) 396-2429, CAPACITY: 0, COUNTY: MARICOPA TYPE: OUTPATIENT PHYSICAL THERAPY/SPEECH PATHOLOGY SERVICES, SUBTYPE: MEDICARE, ID: MED0552, LICENSE: OTC4293, NAME: SELECT PHYSICAL THERAPY-GILBERT (036534), LEGALLY: SELECT PHYSICAL THERAPY-GILBERT, ADDRESS: 660 NORTH GILBERT ROAD, CITY: GILBERT, STATE: AZ, ZIP: 85234, PHONE: (480) 926-0404, FAX: (480) 820-1932, CAPACITY: 0, COUNTY: MARICOPA TYPE: OUTPATIENT PHYSICAL THERAPY/SPEECH PATHOLOGY SERVICES, SUBTYPE: MEDICARE, ID: MED0600, LICENSE: OTC0709, NAME: SELECT PHYSICAL THERAPY-TEMPE EAST (036534), LEGALLY: SELECT PHYSICAL THERAPY-TEMPE, ADDRESS: 1910 EAST SOUTHERN, SUITE 101, CITY: TEMPE, STATE: AZ, ZIP: 85282, PHONE: (480) 730-8033, FAX: (480) 730-1102, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED1867, LICENSE: OTC2554, NAME: BANNER OCCUPA HEALTH & MOBILE SERVICES (URGENT), LEGALLY: BANNER OCCUPATIONAL HEALTH & MOBILE SERVICES, ADDRESS: 1441 NORTH 12TH STREET, CITY: PHOENIX, STATE: AZ, ZIP: 85006, PHONE: (602) 747-8069, FAX: (623) 327-4170, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED1885, LICENSE: OTC2555, NAME: MOBILE HEALTH CENTER (SCHOOL BASED CLINIC), LEGALLY: MOBILE HEALTH CENTER, ADDRESS: 2000 WEST BETHANY HOME ROAD, CITY: PHOENIX, STATE: AZ, ZIP: 85015, PHONE: (602) 246-5853, FAX: (602) 246-5825, CAPACITY: 0, COUNTY: MARICOPA TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED0752, LICENSE: OTC0762, NAME: SOUTH YUMA DIALYSIS, LEGALLY: SOUTH YUMA DIALYSIS, ADDRESS: 3010 SOUTH 4TH AVENUE, CITY: YUMA, STATE: AZ, ZIP: 85364, PHONE: (928) 317-0517, FAX: (928) 317-0953, CAPACITY: 0, COUNTY: YUMA TYPE: FEDERALLY QUALIFIED HEALTH CENTER, SUBTYPE: FEDERALLY QUALIFIED HEALTH CENTER, ID: MED0079, LICENSE: OTC0274, NAME: DESERT SENITA COMMUNITY HEALTH CENTER, LEGALLY: DESERT SENITA COMMUNITY HEALTH CENTER, ADDRESS: 410 MALACATE STREET, CITY: AJO, STATE: AZ, ZIP: 85321, PHONE: (520) 387-5651, FAX: (520) 387-3547, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED1893, LICENSE: OTC2566, NAME: SAN MARCOS SCHOOL BASED CLINIC (SCHOOL BASED), LEGALLY: SAN MARCOS SCHOOL BASED CLINIC, ADDRESS: 451 WEST FRYE ROAD, CITY: CHANDLER, STATE: AZ, ZIP: 85225, PHONE: (480) 921-3638, FAX: , CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED1895, LICENSE: OTC2565, NAME: HOLDEMAN ELEMENTARY SCHOOL-BASED CLINIC, LEGALLY: HOLDEMAN ELEMENTARY SCHOOL BASED CLINIC, ADDRESS: 1326 WEST 18TH STREET, ROOM P37, CITY: TEMPE, STATE: AZ, ZIP: 85281, PHONE: (480) 966-9934, FAX: (480) 968-3165, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: AZ037139, LICENSE: HHA0186, NAME: GRANITE MOUNTAIN HOME CARE, LEGALLY: GRANITE MOUNTAIN HOME CARE, ADDRESS: 3107 CLEARWATER DRIVE SUITE A, CITY: PRESCOTT, STATE: AZ, ZIP: 86305, PHONE: (928) 445-2522, FAX: (928) 445-1910, CAPACITY: 0, COUNTY: YAVAPAI TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: AZ037213, LICENSE: HHA1562, NAME: BAYADA NURSES, LEGALLY: BAYADA NURSES, ADDRESS: 6367 EAST TANQUE VERDE ROAD, SUITE 20, CITY: TUCSON, STATE: AZ, ZIP: 85715, PHONE: (520) 721-8800, FAX: (520) 721-9111, CAPACITY: 0, COUNTY: PIMA TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED1350, LICENSE: HSPC3821, NAME: MOHAVE HOSPICE, LEGALLY: WESTERN ARIZONA REGIONAL HOME HEALTH AND HOSPICE INC., ADDRESS: 2755 SILVER CREEK ROAD, SUITE 207-B, CITY: BULLHEAD CITY, STATE: AZ, ZIP: 86442, PHONE: (928) 763-6979, FAX: (928) 704-8815, CAPACITY: 0, COUNTY: MOHAVE TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED0536, LICENSE: OTC0643, NAME: CIGNA DEER VALLEY HEALTHCARE CENTER, LEGALLY: CIGNA DEER VALLEY HEALTHCARE CENTER, ADDRESS: 16635 NORTH 43RD AVENUE, CITY: PHOENIX, STATE: AZ, ZIP: 85053, PHONE: (602) 843-8988, FAX: (602) 843-7956, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED1894, LICENSE: OTC2588, NAME: GILBERT ELEMENTARY SCHOOL-BASED CLINIC, LEGALLY: GILBERT ELEMENTARY SCHOOL BASED CLINIC, ADDRESS: 175 WEST ELLIOT ROAD, CITY: GILBERT, STATE: AZ, ZIP: 85234, PHONE: (480) 921-3638, FAX: (480) 892-8624, CAPACITY: 0, COUNTY: MARICOPA TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED0038, LICENSE: OTC0332, NAME: CENTRAL PHOENIX DIALYSIS, LEGALLY: CENTRAL PHOENIX DIALYSIS, ADDRESS: 3421 NORTH 7TH AVENUE, CITY: PHOENIX, STATE: AZ, ZIP: 85013, PHONE: (602) 274-2293, FAX: (602) 274-0127, CAPACITY: 0, COUNTY: MARICOPA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED1230, LICENSE: OSC0083, NAME: NORTHERN ARIZONA SURGICENTER, LEGALLY: NORTHERN ARIZONA SURGICENTER, ADDRESS: 1020 NORTH SAN FRANCISCO #100, CITY: FLAGSTAFF, STATE: AZ, ZIP: 86001, PHONE: (928) 214-2122, FAX: (928) 214-2136, CAPACITY: 0, COUNTY: COCONINO TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED0618, LICENSE: OTC0725, NAME: PAPAGO DIALYSIS CENTER, LEGALLY: PAPAGO DIALYSIS CENTER, ADDRESS: 1401 NORTH 24TH STREET, SUITE 2, CITY: PHOENIX, STATE: AZ, ZIP: 85008, PHONE: (602) 392-0668, FAX: (602) 392-0669, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: AZ037112, LICENSE: HHA3447, NAME: INTREPID USA HEALTHCARE SERVICES, LEGALLY: INTREPID USA HEALTHCARE SERVICES, ADDRESS: 310 SOUTH WILLIAMS BOULEVARD, SUITE 340, CITY: TUCSON, STATE: AZ, ZIP: 85711, PHONE: (520) 722-0555, FAX: (520) 512-0883, CAPACITY: 0, COUNTY: PIMA TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED0134, LICENSE: OTC0637, NAME: BMA FLAGSTAFF DIALYSIS CENTER, LEGALLY: FLAGSTAFF DIALYSIS CENTER, ADDRESS: 5200 E. CORTLAND BLVD., #A-1, CITY: FLAGSTAFF, STATE: AZ, ZIP: 86004, PHONE: (928) 527-4990, FAX: (928) 527-4986, CAPACITY: 0, COUNTY: COCONINO TYPE: FEDERALLY QUALIFIED HEALTH CENTER, SUBTYPE: FEDERALLY QUALIFIED HEALTH CENTER, ID: MED0736, LICENSE: OTC0802, NAME: BUCKEYE FAMILY CARE CENTER (URGENT CARE CENTER), LEGALLY: BUCKEYE FAMILY CARE CENTER, ADDRESS: 306 EAST MONROE, CITY: BUCKEYE, STATE: AZ, ZIP: 85326, PHONE: (623) 544-3214, FAX: (623) 386-4593, CAPACITY: 0, COUNTY: MARICOPA TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED0676, LICENSE: OTC0779, NAME: TUCSON SOUTH DIALYSIS, LEGALLY: TUCSON SOUTH DIALYSIS, ADDRESS: 3662 SOUTH 16TH AVEUE, CITY: TUCSON, STATE: AZ, ZIP: 85713, PHONE: (520) 882-9665, FAX: (520) 882-9206, CAPACITY: 0, COUNTY: PIMA TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED0002, LICENSE: HSPC0002, NAME: CARONDELET HOSPICE AND PALLIATIVE CARE, LEGALLY: CARONDELET HOSPICE AND PALLIATIVE CARE, ADDRESS: 1802 WEST ST. MARY'S ROAD, CITY: TUCSON, STATE: AZ, ZIP: 85745, PHONE: (520) 620-5742, FAX: (520) 887-3392, CAPACITY: 0, COUNTY: PIMA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: AZ037118, LICENSE: HHA0166, NAME: NURSECORE OF TUCSON, LEGALLY: NURSECORE OF TUCSON, ADDRESS: 2980 NORTH CAMPBELL, SUITE 160, CITY: TUCSON, STATE: AZ, ZIP: 85719, PHONE: (520) 791-2300, FAX: (520) 326-7030, CAPACITY: 0, COUNTY: PIMA TYPE: OUTPATIENT PHYSICAL THERAPY/SPEECH PATHOLOGY SERVICES, SUBTYPE: MEDICARE, ID: MED1632, LICENSE: OTC2076, NAME: PALO VERDE PHYSICAL THERAPY, LEGALLY: PALO VERDE PHYSICAL THERAPY, ADDRESS: 3003 HIGHWAY 95, SUITE 61, CITY: BULLHEAD CITY, STATE: AZ, ZIP: 86442, PHONE: (928) 758-0029, FAX: (928) 758-0055, CAPACITY: 0, COUNTY: MOHAVE TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED0324, LICENSE: OTC0439, NAME: DESERT VALLEY DIALYSIS, LEGALLY: DESERT VALLEY DIALYSIS, ADDRESS: 15846 NORTH CAVE CREEK ROAD, SUITE 2, CITY: PHOENIX, STATE: AZ, ZIP: 85032, PHONE: (602) 971-4555, FAX: (602) 971-4160, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED0441, LICENSE: OTC3656, NAME: GENTIVA REHAB WITHOUT WALLS, LEGALLY: GENTIVA REHAB WITHOUT WALLS, LLC, ADDRESS: 7227 NORTH 16TH STREET, SUITE 107, CITY: PHOENIX, STATE: AZ, ZIP: 85020, PHONE: (602) 943-1012, FAX: (602) 943-2075, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: AZ037028, LICENSE: HHA0033, NAME: HORIZON HOME CARE, LEGALLY: HORIZON HOME CARE, ADDRESS: 971 NORTH JASON LOPEZ CIRCLE , BLDG E, CITY: FLORENCE, STATE: AZ, ZIP: 85232, PHONE: (520) 866-4500, FAX: (520) 723-7792, CAPACITY: 0, COUNTY: PINAL TYPE: OUTPATIENT PHYSICAL THERAPY/SPEECH PATHOLOGY SERVICES, SUBTYPE: MEDICARE, ID: MED2016, LICENSE: OTC3756, NAME: VIBRANTCARE OUTPATIENT REHAB-EAST MESA (036541), LEGALLY: VIBRANTCARE OUTPATIENT REHAB-EAST MESA, ADDRESS: 5440 EAST SOUTHERN AVENUE, SUITE 101, CITY: MESA, STATE: AZ, ZIP: 85206, PHONE: (480) 641-3533, FAX: (480) 641-3935, CAPACITY: 0, COUNTY: MARICOPA TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED0147, LICENSE: OTC3850, NAME: NRI-SOUTHWEST MESA, LEGALLY: NRI-SOUTHWEST MESA, ADDRESS: 1457 WEST SOUTHERN AVENUE, SUITE 19, CITY: MESA, STATE: AZ, ZIP: 85202, PHONE: (480) 894-5411, FAX: (480) 894-2607, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: AZ037204, LICENSE: HHA1126, NAME: GENTIVA HEALTH SERVICES, LEGALLY: GENTIVA HEALTH SERVICES MESA, ADDRESS: 2222 S DOBSON ROAD, SUITE 305, CITY: MESA, STATE: AZ, ZIP: 85202, PHONE: (480) 838-5553, FAX: (480) 838-3347, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED0527, LICENSE: OTC0636, NAME: CIGNA C J HARRIS HEALTHCARE CENTER, LEGALLY: CIGNA C J HARRIS HEALTHCARE CENTER, ADDRESS: 1920 EAST BASELINE ROAD, CITY: TEMPE, STATE: AZ, ZIP: 85283, PHONE: (480) 345-5000, FAX: (480) 345-5111, CAPACITY: 0, COUNTY: MARICOPA TYPE: OUTPATIENT PHYSICAL THERAPY/SPEECH PATHOLOGY SERVICES, SUBTYPE: MEDICARE, ID: MED0700, LICENSE: OTC3789, NAME: VIBRANTCARE OUTPATIENT REHAB-GREENWAY (036541), LEGALLY: VIBRANTCARE OUTPATIENT REHAB-GREENWAY, ADDRESS: 402 EAST GREENWAY PARKWAY, SUITE 12, CITY: PHOENIX, STATE: AZ, ZIP: 85022, PHONE: (602) 789-6878, FAX: (602) 789-6708, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: AZ HHA ONLY, ID: MED1753, LICENSE: HHA2347, NAME: LA POSADA HOME CARE, LEGALLY: LA POSADA HOME CARE, ADDRESS: 501 SOUTH LA POSADA CIRCLE, CITY: GREEN VALLEY, STATE: AZ, ZIP: 85614, PHONE: (520) 648-8106, FAX: (520) 648-7888, CAPACITY: 0, COUNTY: PIMA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: AZ037125, LICENSE: HHA0140, NAME: N S I NURSING SERVICE INC, LEGALLY: NSI NURSING SERVICE, INC., ADDRESS: 3071 NORTH SWAN ROAD, CITY: TUCSON, STATE: AZ, ZIP: 85712, PHONE: (520) 731-1117, FAX: (520) 731-1118, CAPACITY: 0, COUNTY: PIMA TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED0037, LICENSE: OTC4097, NAME: RENAL CARE GROUP-CHANDLER, LEGALLY: RENAL CARE GROUP - CHANDLER, ADDRESS: 912 WEST CHANDLER BLVD, BLDG A, CITY: CHANDLER, STATE: AZ, ZIP: 85225, PHONE: (480) 821-9801, FAX: (480) 821-7879, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: AZ037312, LICENSE: HHA0210, NAME: MT GRAHAM HOME HEALTH, LEGALLY: MT GRAHAM REGIONAL MEDICAL CENTER - HOME HEALTH SERVICES, ADDRESS: 1600 20TH AVENUE, BUILDING E, CITY: SAFFORD, STATE: AZ, ZIP: 85546, PHONE: (928) 428-5668, FAX: (928) 348-3868, CAPACITY: 0, COUNTY: GRAHAM TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED0043, LICENSE: OTC0718, NAME: MAYO CLINIC FAMILY MEDICINE-FOUNTAIN HILLS, LEGALLY: MAYO CLINIC FAMILY MEDICINE-FOUNTAIN HILLS, ADDRESS: 16848 EAST PALISADES BOULEVARD, CITY: FOUNTAIN HILLS, STATE: AZ, ZIP: 85268, PHONE: (480) 837-1600, FAX: (480) 837-5576, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED0053, LICENSE: OTC0118, NAME: PLANNED PARENTHOOD - GLENDALE, LEGALLY: PLANNED PARENTHOOD-GLENDALE, ADDRESS: 8822 NORTH 43RD AVENUE, CITY: GLENDALE, STATE: AZ, ZIP: 85302, PHONE: (623) 934-7006, FAX: (602) 277-5243, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED0730, LICENSE: OTC0813, NAME: AMERICAN GRADUATE SCHOOL OF INTERNATIONAL MANAGEME, LEGALLY: AMERICAN GRADUATE SCHOOL OF INTERNATIONAL MANAGEMENT, ADDRESS: 15249 NORTH 59TH AVENUE, CITY: GLENDALE, STATE: AZ, ZIP: 85306, PHONE: (602) 978-7230, FAX: (602) 978-7830, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED1952, LICENSE: OTC2627, NAME: INDEPENDENCE HIGH SCHOOL CLINIC, LEGALLY: INDEPENDENCE HIGH SSCHOOL, ADDRESS: 6602 NORTH 75TH AVENUE, NURSES OFFICE, CITY: GLENDALE, STATE: AZ, ZIP: 85303, PHONE: (623) 435-6103, FAX: (623) 435-6078, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED1953, LICENSE: OTC4016, NAME: SUNNYSLOPE HIGH SCHOOL BASED CLINIC, LEGALLY: SUNNYSLOPE HIGHSCHOOL BASED CLINIC, ADDRESS: 35 WEST DUNLAP, ADMIN BLDG, NURSES OFFICE, CITY: PHOENIX, STATE: AZ, ZIP: 85020, PHONE: (623) 915-8763, FAX: (623) 435-6078, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED0690, LICENSE: HSPC0044, NAME: HOSPICE FAMILY CARE, LEGALLY: HOSPICE FAMILY CARE, INC., ADDRESS: 1550 S. ALMA SCHOOL RD #102, CITY: MESA, STATE: AZ, ZIP: 85210, PHONE: (480) 461-3144, FAX: (480) 844-9711, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED0812, LICENSE: OTC0648, NAME: CIGNA SOUTH MOUNTAIN HEALTHCARE CENTER (URGENT), LEGALLY: CIGNA SOUTH MOUNTAIN HEALTHCARE CENTER, ADDRESS: 7236 SOUTH CENTRAL AVENUE, CITY: PHOENIX, STATE: AZ, ZIP: 85040, PHONE: (602) 276-5565, FAX: (623) 849-7587, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED1960, LICENSE: OTC3956, NAME: FLAGSTAFF WALK-IN CLINIC (URGENT CARE CENTER), LEGALLY: FLAGSTAFF WALK-IN CLINIC, LLC, ADDRESS: 1110 EAST ROUTE 66, SUITE 100, CITY: FLAGSTAFF, STATE: AZ, ZIP: 86001, PHONE: (928) 527-1920, FAX: (928) 527-1551, CAPACITY: 0, COUNTY: COCONINO TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED1733, LICENSE: OTC2134, NAME: LAKE VALLEY ELEMENTARY SCHOOL (SCHOOL BASED CLINIC, LEGALLY: LAKE VALLEY ELEMENTARY SCHOOL, ADDRESS: 3900 STARLIGHT, CITY: PRESCOTT VALLEY, STATE: AZ, ZIP: 86314, PHONE: (928) 771-5662, FAX: (928) 771-5249, CAPACITY: 0, COUNTY: YAVAPAI TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED1886, LICENSE: OTC2638, NAME: TERRITORIAL ELEMENTARY SCHOOL (SCHOOL BASED), LEGALLY: TERRITORIAL ELEMENTARY SCHOOL, ADDRESS: 1088 MAHAN LANE, ROOM C 25, CITY: CHINO VALLEY, STATE: AZ, ZIP: 86323, PHONE: (928) 771-5662, FAX: (928) 771-5249, CAPACITY: 0, COUNTY: YAVAPAI TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED0061, LICENSE: OTC0324, NAME: PLANNED PARENTHOOD - CENTRAL, LEGALLY: PLANNED PARENTHOOD - CENTRAL PHOENIX, ADDRESS: 5651 NORTH 7TH STREET, SUITE 105, CITY: PHOENIX, STATE: AZ, ZIP: 85014, PHONE: (602) 263-2237, FAX: (602) 263-2220, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED0020, LICENSE: OTC4308, NAME: PLANNED PARENTHOOD - MARYVALE, LEGALLY: PLANNED PARENTHOOD - MARYVALE CLINIC, ADDRESS: 4616 NORTH 51ST AVENUE, SUITE210, CITY: PHOENIX, STATE: AZ, ZIP: 85031, PHONE: (602) 269-9569, FAX: (602) 604-0159, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED0821, LICENSE: OTC0841, NAME: WEST OLIVE FAMILY MEDICINE CENTER, LEGALLY: WEST OLIVE FAMILY MEDICINE CENTER, ADDRESS: 6151 WEST OLIVE, SUITE 5, CITY: GLENDALE, STATE: AZ, ZIP: 85302, PHONE: (623) 939-8618, FAX: (602) 674-1455, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED0320, LICENSE: OTC0272, NAME: PLANNED PARENTHOOD - BELL ROAD, LEGALLY: PLANNED PARENTHOOD - BELL ROAD, ADDRESS: 3346 WEST BELL ROAD, CITY: PHOENIX, STATE: AZ, ZIP: 85023, PHONE: (602) 993-2580, FAX: (602) 277-5243, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED0439, LICENSE: OTC0511, NAME: SUN CITY CARDIAC CENTER, LEGALLY: SUN CITY CARDIAC CENTER, ADDRESS: 10415 WEST THUNDERBIRD, CITY: SUN CITY, STATE: AZ, ZIP: 85351, PHONE: (623) 977-0398, FAX: (623) 977-6899, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED0057, LICENSE: OTC0319, NAME: PLANNED PARENTHOOD - SOUTH CENTRAL, LEGALLY: PLANNED PARENTHOOD OF CENTRAL AND NORTHERN ARIZONA, ADDRESS: 4615 SOUTH CENTRAL AVENUE, SUITE A, CITY: PHOENIX, STATE: AZ, ZIP: 85040, PHONE: (602) 268-1580, FAX: (602) 932-4558, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED0452, LICENSE: OTC0538, NAME: ROYAL OAKS LIFECARE CENTER-CLINIC, LEGALLY: ROYAL OAKS LIFE CARE CENTER - CLINIC, ADDRESS: 10015 WEST ROYAL OAK ROAD, CITY: SUN CITY, STATE: AZ, ZIP: 85351, PHONE: (623) 815-4136, FAX: (623) 815-4118, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED1493, LICENSE: OTC1829, NAME: SUN VALLEY FAMILY MEDICINE, LEGALLY: SUN VALLEY FAMILY MEDICINE, ADDRESS: 3201 WEST PEORIA, SUITE C-500, CITY: PHOENIX, STATE: AZ, ZIP: 85029, PHONE: (602) 439-1200, FAX: (602) 439-1234, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED0059, LICENSE: OTC0669, NAME: ST. VINCENT DE PAUL VIRGINIA G PIPER MED & DENTAL, LEGALLY: ST. VINCENT DE PAUL VIRGINIA G PIPER MEDICAL & DENTAL CLINIC, ADDRESS: 420 WEST WATKINS ROAD, CITY: PHOENIX, STATE: AZ, ZIP: 85003, PHONE: (602) 261-6868, FAX: (602) 261-6816, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED0638, LICENSE: OTC0738, NAME: COBRE VALLEY COMMUNITY HOSPITAL-PHYSICAL THERAPY, LEGALLY: COBRE VALLEY COMMUNITY HOSPITAL-PHYSICAL THERAPY, ADDRESS: 5880 SOUTH HOSPITAL DRIVE, CITY: GLOBE, STATE: AZ, ZIP: 85501, PHONE: (928) 425-3261, FAX: (928) 402-1284, CAPACITY: 0, COUNTY: GILA TYPE: FEDERALLY QUALIFIED HEALTH CENTER, SUBTYPE: FEDERALLY QUALIFIED HEALTH CENTER, ID: MED0050, LICENSE: OTC0106, NAME: JESSE OWENS URGENT CARE, LEGALLY: JESSIE OWENS URGENT CARE, ADDRESS: 325 EAST BASELINE ROAD, CITY: PHOENIX, STATE: AZ, ZIP: 85042, PHONE: (602) 824-4352, FAX: (602) 824-4259, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED1283, LICENSE: HSPC1113, NAME: VISTACARE, LEGALLY: VISTACARE, ADDRESS: 6420 EAST BROADWAY BOULEVARD, SUITE B-200, CITY: TUCSON, STATE: AZ, ZIP: 85710, PHONE: (520) 318-0700, FAX: (520) 318-0771, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED0731, LICENSE: OTC0662, NAME: ASU AT THE WEST CAMPUS STUDENT HEALTH SERVICES, LEGALLY: ASU AT THE WEST CAMPUS STUDENT HEALTH SERVICES, ADDRESS: 4701 WEST THUNDERBIRD ROAD, UCB 170, CITY: GLENDALE, STATE: AZ, ZIP: 85306, PHONE: (602) 543-8019, FAX: (602) 543-8079, CAPACITY: 0, COUNTY: MARICOPA TYPE: FEDERALLY QUALIFIED HEALTH CENTER, SUBTYPE: FEDERALLY QUALIFIED HEALTH CENTER, ID: MED1511, LICENSE: OTC1625, NAME: SAHUARITA WELLNESS CENTER - SOPORI ELEMENTARY, LEGALLY: UNITED COMMUNITY HEALTH CENTER, ADDRESS: 5000 WEST ARIVACA ROAD, CITY: AMADO, STATE: AZ, ZIP: 85645, PHONE: (520) 625-3502, FAX: (520) 398-2024, CAPACITY: 0, COUNTY: SANTA CRUZ TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED0177, LICENSE: OSC0035, NAME: PRESCOTT OUTPATIENT SURGICAL CENTER, LEGALLY: PRESCOTT OUTPATIENT SURGICAL CENTER, ADDRESS: 815 AINSWORTH DRIVE, CITY: PRESCOTT, STATE: AZ, ZIP: 86301, PHONE: (928) 778-9770, FAX: (928) 778-9028, CAPACITY: 0, COUNTY: YAVAPAI TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED0014, LICENSE: HSPC0023, NAME: SIERRA VISTA REG HEALTH CENTR HSPC, CASA DE LA PAZ, LEGALLY: SIERRA VISTA REGIONAL HEALTH CENTER HOSPICE, CASA DE LA PAZ, ADDRESS: 2151 HIGHWAY 92, SUITE 114, CITY: SIERRA VISTA, STATE: AZ, ZIP: 85635, PHONE: (520) 417-3080, FAX: (520) 417-3297, CAPACITY: 0, COUNTY: COCHISE TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED0603, LICENSE: OTC0715, NAME: CIGNA SUN CITY WEST HEALTHCARE CENTER, LEGALLY: SUN CITY WEST HEALTHCARE CENTER, ADDRESS: 14300 W GRANITE VALLEY DR, SUITE 12-C, CITY: SUN CITY WEST, STATE: AZ, ZIP: 85375, PHONE: (623) 546-8777, FAX: (623) 876-2106, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED1578, LICENSE: OTC2061, NAME: SUN GROVE REHABILITATION CENTER, LEGALLY: SUN GROVE REHABILITATION CENTER, ADDRESS: 20625 NORTH LAKE PLEASANT DRIVE, CITY: PEORIA, STATE: AZ, ZIP: 85382, PHONE: (623) 566-0642, FAX: (623) 566-1512, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED1626, LICENSE: OTC2001, NAME: PASSPORT HEALTH-PHOENIX, LEGALLY: PASSPORT HEALTH-PHOENIX, ADDRESS: 2601 NORTH 3RD STREET, SUITE 102, CITY: PHOENIX, STATE: AZ, ZIP: 85004, PHONE: (480) 345-6800, FAX: (480) 345-6805, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED0814, LICENSE: OTC4338, NAME: CIGNA STAPLEY HEALTHCARE CENTER (URGENT CARE), LEGALLY: CIGNA STAPLEY HEALTHCARE CENTER, ADDRESS: 1840 SOUTH STAPLEY DRIVE, SUITE 101, CITY: MESA, STATE: AZ, ZIP: 85204, PHONE: (480) 464-8500, FAX: (480) 464-6984, CAPACITY: 0, COUNTY: MARICOPA TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED1994, LICENSE: OTC3998, NAME: NRI-TEMPE, LEGALLY: NRI-TEMPE, ADDRESS: 8820 SOUTH KYRENE ROAD, CITY: TEMPE, STATE: AZ, ZIP: 85281, PHONE: (480) 893-2299, FAX: (480) 893-2910, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: MED1974, LICENSE: HHA2812, NAME: MAXIM HEALTHCARE SERVICES, INC, LEGALLY: MAXIM HEALTHCARE SERVICES, INC, ADDRESS: 11000 NORTH SCOTTSDALE ROAD, SUITE 215, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85254, PHONE: (480) 951-4044, FAX: (480) 970-6002, CAPACITY: 0, COUNTY: MARICOPA TYPE: FEDERALLY QUALIFIED HEALTH CENTER, SUBTYPE: FEDERALLY QUALIFIED HEALTH CENTER, ID: MED0410, LICENSE: OTC0485, NAME: FAMILY HEALTH CENTER, LEGALLY: FAMILY HEALTH CENTER, ADDRESS: 101 TAYLOR STREET, CITY: PATAGONIA, STATE: AZ, ZIP: 85624, PHONE: (520) 394-2262, FAX: (520) 281-1112, CAPACITY: 0, COUNTY: SANTA CRUZ TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED2760, LICENSE: , NAME: RANCHO VISTOSO CENTER, LEGALLY: RANCHO VISTOSO CENTER, ADDRESS: 13101 NORTH ORACLE ROAD, CITY: TUCSON, STATE: AZ, ZIP: 85737, PHONE: (520) 469-8100, FAX: (520) 901-3525, CAPACITY: 0, COUNTY: PIMA TYPE: OUTPATIENT PHYSICAL THERAPY/SPEECH PATHOLOGY SERVICES, SUBTYPE: MEDICARE, ID: MED0631, LICENSE: OTC0694, NAME: LIFE CARE CENTER OF SIERRA VISTA, LEGALLY: LIFE CARE CENTER OF SIERRA VISTA, ADDRESS: 2305 EAST WILCOX DRIVE, CITY: SIERRA VISTA, STATE: AZ, ZIP: 85635, PHONE: (520) 458-1050, FAX: (520) 458-6944, CAPACITY: 0, COUNTY: COCHISE TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED1786, LICENSE: , NAME: SIERRA VISTA REGIONAL HEALTH CENTER REHAB SVS, LEGALLY: SIERRA VISTA REGIONAL HEALTH CENTER REHABILITATION SERVICES, ADDRESS: 2151 SOUTH HIGHWAY 92, SUITE 105, CITY: SIERRA VISTA, STATE: AZ, ZIP: 85635, PHONE: (520) 417-3112, FAX: (520) 417-3297, CAPACITY: 0, COUNTY: COCHISE TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED0516, LICENSE: FED ONLY, NAME: BANNER GOOD SAMARITAN TRANSPLANT SERVICES, LEGALLY: BANNER GOOD SAMARITAN TRANSPLANT SERVICES, ADDRESS: 1410 N 3RD ST, CITY: PHOENIX, STATE: AZ, ZIP: 85004, PHONE: (602) 251-2700, FAX: (602) 239-2590, CAPACITY: 0, COUNTY: MARICOPA TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED0015, LICENSE: OTC0382, NAME: FMC DIALYSIS SERVICES GLENDALE, LEGALLY: FMC DIALYSIS SERVICES GLENDALE, ADDRESS: 5957 WEST NORTHERN AVENUE, SUITE 108, CITY: GLENDALE, STATE: AZ, ZIP: 85301, PHONE: (623) 435-1155, FAX: (623) 435-1883, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED1914, LICENSE: OTC2736, NAME: SEDONA URGENT CARE, LEGALLY: SEDONA URGENT CARE LTD, ADDRESS: 2530 WEST HIGHWAY 89A, SUITE A, CITY: SEDONA, STATE: AZ, ZIP: 86336, PHONE: (928) 203-4813, FAX: (928) 203-0201, CAPACITY: 0, COUNTY: COCONINO TYPE: FEDERALLY QUALIFIED HEALTH CENTER, SUBTYPE: FEDERALLY QUALIFIED HEALTH CENTER, ID: MED2001, LICENSE: OTC2732, NAME: FREDONIA COMMUNITY HEALTH CENTER (URGENT CARE), LEGALLY: FREDONIA COMMUNITY HEALTH CENTER, ADDRESS: 100 EAST WOOD HILL ROAD, CITY: FREDONIA, STATE: AZ, ZIP: 86022, PHONE: (928) 643-6215, FAX: (928) 643-6218, CAPACITY: 0, COUNTY: COCONINO TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED1993, LICENSE: OTC2765, NAME: NORTHWEST ARIZONA REGIONAL HEALTH (URGENT CARE), LEGALLY: NORTHWEST ARIZONA REGIONAL HEALTH CENTER, ADDRESS: I 15 EXIT 9 AT FIRE STATION, CITY: LITTLEFIELD, STATE: AZ, ZIP: 86432, PHONE: (928) 347-5971, FAX: (928) 347-5793, CAPACITY: 0, COUNTY: MOHAVE TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED1172, LICENSE: OTC1205, NAME: PRESCOTT SAMARITAN VILLAGE OUTPT THERAPY CLINIC, LEGALLY: PRESCOTT SAMARITAN VILLAGE OUTPATIENT THERAPY CLINIC, ADDRESS: 1030 SCOTT DRIVE, SUITE B, CITY: PRESCOTT, STATE: AZ, ZIP: 86301, PHONE: (928) 778-2450, FAX: (928) 778-5251, CAPACITY: 0, COUNTY: YAVAPAI TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED1930, LICENSE: OSC2726, NAME: SPECTRA EYE INSTITUTE, LEGALLY: SPECTRA EYE INSTITUTE, ADDRESS: 9849 WEST THUNDERBIRD, CITY: SUN CITY, STATE: AZ, ZIP: 85351, PHONE: (623) 583-2020, FAX: (623) 583-2075, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED1189, LICENSE: OTC0918, NAME: UNIVERSITY MEDICAL CTR TRANSPLANT MEDICAL OFFICE, LEGALLY: UNIVERSITY MEDICAL CENTERS TRANSPLANT MEDICAL OFFICE, ADDRESS: 926 EAST MCDOWELL ROAD, SUITE 134, CITY: PHOENIX, STATE: AZ, ZIP: 85006, PHONE: (602) 257-4267, FAX: (602) 257-4305, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED1989, LICENSE: OTC2700, NAME: ADVANCED URGENT CARE-ELLIOT, LEGALLY: ADVANCED URGENT CARE-ELLIOT, ADDRESS: 1804 WEST ELLIOT ROAD, CITY: TEMPE, STATE: AZ, ZIP: 85284, PHONE: (480) 456-0444, FAX: (480) 456-0449, CAPACITY: 0, COUNTY: MARICOPA TYPE: OUTPATIENT PHYSICAL THERAPY/SPEECH PATHOLOGY SERVICES, SUBTYPE: MEDICARE, ID: MED0815, LICENSE: OTC4157, NAME: HEALTHSOUTH PHYSICAL THERAPY OF MOON VALLEY, LEGALLY: HEALTHSOUTH PHYSICAL THERAPY OF MOON VALLEY, ADDRESS: 14001 NORTH 7TH STREET, BLDG A-102, CITY: PHOENIX, STATE: AZ, ZIP: 85022, PHONE: (602) 548-5445, FAX: (602) 548-6033, CAPACITY: 0, COUNTY: MARICOPA TYPE: OUTPATIENT PHYSICAL THERAPY/SPEECH PATHOLOGY SERVICES, SUBTYPE: MEDICARE, ID: MED0816, LICENSE: OTC4158, NAME: HEALTHSOUTH SPORTS MED & REHAB CTR-E BELL (036573), LEGALLY: HEALTHSOUTH SPORTS MEDICINE & REHAB CENTER-EAST BELL, ADDRESS: 4045 EAST BELL ROAD, SUITE 150, CITY: PHOENIX, STATE: AZ, ZIP: 85032, PHONE: (602) 992-8352, FAX: (602) 992-5557, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED1977, LICENSE: OTC2733, NAME: CHINO VALLEY MEDICAL CENTER (URGENT CARE), LEGALLY: CHINO VALLEY MEDICAL CENTER, ADDRESS: 474 NORTH HIGHWAY 89, CITY: CHINO VALLEY, STATE: AZ, ZIP: 86323, PHONE: (928) 636-4355, FAX: (928) 636-0754, CAPACITY: 0, COUNTY: YAVAPAI TYPE: FEDERALLY QUALIFIED HEALTH CENTER, SUBTYPE: FEDERALLY QUALIFIED HEALTH CENTER, ID: MED1906, LICENSE: OTC2749, NAME: NORTH COUNTRY HEALTHCARE-ST JOHNS(URGENT CARE), LEGALLY: NORTH COUNTRY HEALTHCARE-ST JOHNS, ADDRESS: 625 NORTH 13TH WEST, CITY: SAINT JOHNS, STATE: AZ, ZIP: 85936, PHONE: (928) 337-3705, FAX: (928) 337-3780, CAPACITY: 0, COUNTY: APACHE TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED0420, LICENSE: OTC0496, NAME: BMA WINSLOW DIALYSIS CENTER, LEGALLY: BMA WINSLOW DIALYSIS CENTER, ADDRESS: 1313 EAST THIRD STREET, CITY: WINSLOW, STATE: AZ, ZIP: 86047, PHONE: (928) 289-3318, FAX: (928) 289-3420, CAPACITY: 0, COUNTY: NAVAJO TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED0022, LICENSE: OTC0354, NAME: PLANNED PARENTHOOD - SOUTHEAST, LEGALLY: PLANNED PARENTHOOD - SOUTHEAST CLINIC, ADDRESS: 1235 SOUTH GILBERT ROAD, SUITE 20, CITY: MESA, STATE: AZ, ZIP: 85204, PHONE: (480) 926-2741, FAX: (602) 604-0159, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED1434, LICENSE: OTC3716, NAME: ESCALANTE HEALTH CENTER, LEGALLY: ESCALANTE HEALTH CENTER, ADDRESS: 2150 EAST ORANGE STREET, CITY: TEMPE, STATE: AZ, ZIP: 85281, PHONE: (480) 350-5879, FAX: (480) 350-5865, CAPACITY: 0, COUNTY: MARICOPA TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED1526, LICENSE: OTC4045, NAME: RENAL CARE GROUP-SHOW LOW, LEGALLY: RENAL CARE GROUP - SHOW LOW, ADDRESS: 1500 SOUTH WHITE MOUNTAIN ROAD, SUITE 204, CITY: SHOW LOW, STATE: AZ, ZIP: 85901, PHONE: (928) 532-8430, FAX: (480) 532-8240, CAPACITY: 0, COUNTY: NAVAJO TYPE: OUTPATIENT PHYSICAL THERAPY/SPEECH PATHOLOGY SERVICES, SUBTYPE: MEDICARE, ID: MED0794, LICENSE: OTC0877, NAME: PHYSIOTHERAPY ASSOCIATES-TEMPE (036551), LEGALLY: PHYSIOTHERAPY ASSOCIATES - TEMPE, ADDRESS: 1025 EAST BROADWY ROAD, SUITE 101, CITY: TEMPE, STATE: AZ, ZIP: 85282, PHONE: (480) 829-0217, FAX: (480) 829-1410, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED1577, LICENSE: OTC2063, NAME: GOOD SHEPHERD OUTPATIENT CENTER, LEGALLY: GOOD SHEPHERD OUTPATIENT CENTER, ADDRESS: 10323 WEST OLIVE AVENUE, THERAPY ROOM, CITY: PEORIA, STATE: AZ, ZIP: 85345, PHONE: (623) 875-0100, FAX: (623) 875-0110, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPITAL, SUBTYPE: SHORT TERM, ID: MED0206, LICENSE: H0140, NAME: MT GRAHAM REGIONAL MEDICAL CENTER, LEGALLY: MOUNT GRAHAM REGIONAL MEDICAL CENTER, ADDRESS: 1600 20TH AVE, CITY: SAFFORD, STATE: AZ, ZIP: 85546, PHONE: (928) 348-4000, FAX: (928) 348-5701, CAPACITY: 59, COUNTY: GRAHAM TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED0630, LICENSE: HSPC0043, NAME: MT GRAHAM HOSPICE, LEGALLY: MOUNT GRAHAM REGIONAL MEDICAL CENTER - HOSPICE SERVICES, ADDRESS: 1600 SOUTH 20TH AVENUE, BUILDING E, CITY: SAFFORD, STATE: AZ, ZIP: 85546, PHONE: (928) 428-5668, FAX: (928) 348-3868, CAPACITY: 0, COUNTY: GRAHAM TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED1517, LICENSE: OTC0920, NAME: D C I DESERT DIALYSIS CENTER SOUTH, LEGALLY: DCI DESERT DIALYSIS CENTER SOUTH, ADDRESS: 1011 EAST PENNSYLVANIA STREET, CITY: TUCSON, STATE: AZ, ZIP: 85714, PHONE: (520) 806-0007, FAX: (520) 806-0986, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED0550, LICENSE: OTC0650, NAME: CIGNA TEMPE HEALTHCARE CENTER (URGENT CARE CENTER), LEGALLY: CIGNA TEMPE HEALTHCARE CENTER, ADDRESS: 433 WEST BROADWAY ROAD, CITY: TEMPE, STATE: AZ, ZIP: 85282, PHONE: (480) 731-7000, FAX: (480) 345-5111, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED0612, LICENSE: OTC0702, NAME: CIGNA SUPERSTITION SPRINGS HEALTHCARE CENTER, LEGALLY: CIGNA SUPERSTITION SPRINGS HEALTHCARE CENTER, ADDRESS: 6811 EAST SUPERSTITION SPRINGS BLVD, CITY: MESA, STATE: AZ, ZIP: 85209, PHONE: (480) 641-4000, FAX: (480) 641-4048, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED1259, LICENSE: OTC1186, NAME: MI CASA NURSING CENTER THERAPY, LEGALLY: MI CASA NURSING CENTER THERAPY, ADDRESS: 330 SOUTH PINNULE CIRCLE, CITY: MESA, STATE: AZ, ZIP: 85206, PHONE: (480) 981-0687, FAX: (480) 396-5011, CAPACITY: 0, COUNTY: MARICOPA TYPE: OUTPATIENT PHYSICAL THERAPY/SPEECH PATHOLOGY SERVICES, SUBTYPE: MEDICARE, ID: MED0766, LICENSE: OTC4162, NAME: SELECT PHYSICAL THERAPY-BASELINE, LEGALLY: SELECT PHYSICAL THERAPY-BASELINE, ADDRESS: 1255 WEST BASELINE ROAD, SUITE 140, CITY: MESA, STATE: AZ, ZIP: 85202, PHONE: (480) 820-7675, FAX: (480) 820-1932, CAPACITY: 0, COUNTY: MARICOPA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED1923, LICENSE: , NAME: THUNDERBIRD ENDOSCOPY CENTER, LEGALLY: THUNDERBIRD ENDOSCOPY CENTER, ADDRESS: 5823 WEST EUGIE AVENUE, SUITE B, CITY: GLENDALE, STATE: AZ, ZIP: 85304, PHONE: (602) 439-1717, FAX: (602) 938-0292, CAPACITY: 0, COUNTY: MARICOPA TYPE: OUTPATIENT PHYSICAL THERAPY/SPEECH PATHOLOGY SERVICES, SUBTYPE: MEDICARE, ID: MED0538, LICENSE: OTC3795, NAME: VIBRANTCARE OUTPATIENT REHAB-BETHANY OFFICE 036541, LEGALLY: VIBRANTCARE OUTPATIENT REHAB-BETHANY OFFICE, ADDRESS: 5830 NORTH 19TH AVENUE, WEST WING, CITY: PHOENIX, STATE: AZ, ZIP: 85015, PHONE: (602) 249-0202, FAX: (602) 249-0004, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED0566, LICENSE: OTC0665, NAME: ARIZONA TRAINING PROGRAM AT COOLIDGE, LEGALLY: ARIZONA TRAINING PROGRAM AT COOLIDGE, ADDRESS: 2800 NORTH HIGHWAY 87, CITY: COOLIDGE, STATE: AZ, ZIP: 85228, PHONE: (520) 723-4151, FAX: (520) 723-7618, CAPACITY: 0, COUNTY: PINAL TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED0795, LICENSE: OTC0628, NAME: CIGNA POINT HEALTHCARE CENTER, LEGALLY: CIGNA HEALTHCARE, ADDRESS: 7600 NORTH 15TH STREET, SUITE 185, CITY: PHOENIX, STATE: AZ, ZIP: 85020, PHONE: (602) 678-3065, FAX: (602) 588-6699, CAPACITY: 0, COUNTY: MARICOPA TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED0534, LICENSE: OTC4049, NAME: RENAL CARE GROUP-SUN CITY, LEGALLY: RENAL CARE GROUP - SUN CITY, ADDRESS: 10050 WEST BELL ROAD, SUITE 29-31, CITY: SUN CITY, STATE: AZ, ZIP: 85351, PHONE: (623) 815-1770, FAX: (623) 815-1775, CAPACITY: 0, COUNTY: MARICOPA TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED1871, LICENSE: OTC2761, NAME: FMC DIALYSIS SERVICES-DEER VALLEY, LEGALLY: FMC DIALYSIS SERVICES DEER VALLEY, ADDRESS: 21241 NORTH 23RD AVENUE SUITE 11, CITY: PHOENIX, STATE: AZ, ZIP: 85027, PHONE: (623) 869-6089, FAX: (623) 869-6717, CAPACITY: 0, COUNTY: MARICOPA TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED1181, LICENSE: OTC4199, NAME: RENAL CARE GROUP-MARYVALE, LEGALLY: RENAL CARE GROUP - MARYVALE, ADDRESS: 4522 WEST INDIAN SCHOOL ROAD, SUITE B 1-3, CITY: PHOENIX, STATE: AZ, ZIP: 85031, PHONE: (623) 247-0695, FAX: (623) 247-2041, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED1464, LICENSE: OTC1496, NAME: MAYO CLINIC FAMILY MEDICINE-ARROWHEAD, LEGALLY: MAYO CLINIC FAMILY MEDICINE-ARROWHEAD, ADDRESS: 20199 NORTH 75TH AVENUE, CITY: GLENDALE, STATE: AZ, ZIP: 85308, PHONE: (623) 561-5252, FAX: (623) 561-8868, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED1999, LICENSE: OTC3672, NAME: PHOENIX CHILDRENS HOSP MEDICAL CREWS VAN (URGENT), LEGALLY: PHOENIX CHILDRENS HOSPITAL MEDICAL CREWS VAN, ADDRESS: 1919 EAST THOMAS ROAD, CITY: PHOENIX, STATE: AZ, ZIP: 85016, PHONE: (602) 546-1000, FAX: (602) 546-1965, CAPACITY: 0, COUNTY: MARICOPA TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED0518, LICENSE: OTC0592, NAME: BMA ARCADIA DIALYSIS, LEGALLY: ARCADIA DIALYSIS, ADDRESS: 2702 NORTH 44TH STREET, SUITE 107 B, CITY: PHOENIX, STATE: AZ, ZIP: 85008, PHONE: (602) 955-7475, FAX: (602) 957-8232, CAPACITY: 0, COUNTY: MARICOPA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED1950, LICENSE: OSC2781, NAME: TUCSON GASTROENTEROLOGY INSTIT, LEGALLY: TUCSON GASTROENTEROLOGY INSTITUTE, LLC, ADDRESS: 3040 NORTH SWAN ROAD, CITY: TUCSON, STATE: AZ, ZIP: 85712, PHONE: (520) 327-3454, FAX: (520) 327-3431, CAPACITY: 0, COUNTY: PIMA TYPE: OUTPATIENT PHYSICAL THERAPY/SPEECH PATHOLOGY SERVICES, SUBTYPE: MEDICARE, ID: MED1199, LICENSE: OTC3909, NAME: OASIS REHABILITATION CENTER, LEGALLY: OASIS REHABILITATION CENTER, ADDRESS: 1016 NORTH 32ND STREET, BLDG B, CITY: PHOENIX, STATE: AZ, ZIP: 85016, PHONE: (602) 914-1332, FAX: (602) 914-1335, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2017, LICENSE: OTC2783, NAME: ADVANCED URGENT CARE-DUNLAP, LEGALLY: ADVANCED URGENT CARE-DUNLAP, ADDRESS: 2423 WEST DUNLAP AVENUE, SUITE 150, CITY: PHOENIX, STATE: AZ, ZIP: 85021, PHONE: (602) 216-6862, FAX: (602) 216-9745, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED1152, LICENSE: OTC3853, NAME: MOHAVE COUNTY DEPT OF PUBLIC HEALTH-KINGMAN, LEGALLY: MOHAVE COUNTY DEPARTMENT OF PUBLIC HEALTH-KINGMAN, ADDRESS: 700 WEST BEALE, CITY: KINGMAN, STATE: AZ, ZIP: 86401, PHONE: (928) 753-0743, FAX: (928) 718-5547, CAPACITY: 0, COUNTY: MOHAVE TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED0504, LICENSE: OTC0597, NAME: NOGALES DIALYSIS, LEGALLY: NOGALES DIALYSIS, ADDRESS: 1231 WEST TARGET RANGE ROAD, CITY: NOGALES, STATE: AZ, ZIP: 85621, PHONE: (520) 287-6597, FAX: (520) 287-7237, CAPACITY: 0, COUNTY: SANTA CRUZ TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED0595, LICENSE: OTC0705, NAME: BMA ARROWHEAD DIALYSIS, LEGALLY: BMA ARROWHEAD DIALYSIS, ADDRESS: 16844 NORTH 59TH AVE, CITY: GLENDALE, STATE: AZ, ZIP: 85306, PHONE: (602) 439-8200, FAX: (602) 439-8600, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED0042, LICENSE: OTC0181, NAME: HEUSER FAMILY PRACTICE CENTER, LEGALLY: HEUSER FAMILY PRACTICE CENTER, ADDRESS: 7301 EAST SECOND STREET, SUITE 210, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85251, PHONE: (480) 882-4545, FAX: (480) 946-6997, CAPACITY: 0, COUNTY: MARICOPA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED1836, LICENSE: OSC3888, NAME: WETMORE SURGERY CENTER, LEGALLY: WETMORE SURGERY CENTER, ADDRESS: 698 EAST WETMORE, SUITE 100, CITY: TUCSON, STATE: AZ, ZIP: 85704, PHONE: (520) 888-6800, FAX: (602) 508-4744, CAPACITY: 0, COUNTY: PIMA TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED0422, LICENSE: OTC0501, NAME: BMA ESTRELLA DIALYSIS, LEGALLY: BMA ESTRELLA DIALYSIS, ADDRESS: 5546 WEST ROOSEVELT ROAD, SUITE 1, CITY: PHOENIX, STATE: AZ, ZIP: 85043, PHONE: (602) 352-0724, FAX: (602) 352-1014, CAPACITY: 0, COUNTY: MARICOPA TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED0072, LICENSE: OTC0564, NAME: TUCSON EAST DIALYSIS, LEGALLY: TUCSON EAST DIALYSIS, ADDRESS: 6420 E BROADWAY SUITE C300, CITY: TUCSON, STATE: AZ, ZIP: 85710, PHONE: (520) 790-2775, FAX: (520) 790-3174, CAPACITY: 0, COUNTY: PIMA TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED2003, LICENSE: OTC2770, NAME: FMC DIALYSIS SERVICES OF SAGUARO, LEGALLY: FMC DIALYSIS SERVICES OF SAGUARO, ADDRESS: 5130 WEST THUNDERBIRD SUITE 2, CITY: GLENDALE, STATE: AZ, ZIP: 85306, PHONE: (602) 467-9500, FAX: (602) 467-9673, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2010, LICENSE: OTC2772, NAME: ADVANCED IMAGING DIAGNOSTICS, LEGALLY: ADVANCED IMAGING DIAGNOSTICS, ADDRESS: 115 CANDY LANE, BUILDING A, CITY: COTTONWOOD, STATE: AZ, ZIP: 86326, PHONE: (928) 649-9999, FAX: (928) 649-0058, CAPACITY: 0, COUNTY: YAVAPAI TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED0069, LICENSE: OTC0407, NAME: COMMUNITY HEALTH SERVICES CLINIC, LEGALLY: COMMUNITY HEALTH SERVICES CLINIC, ADDRESS: 8117 EAST ROOSEVELT, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85257, PHONE: (480) 941-9283, FAX: (480) 941-9286, CAPACITY: 0, COUNTY: MARICOPA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED0170, LICENSE: OSC0018, NAME: EYE INSTITUTE OF SOUTHERN ARIZONA P C, LEGALLY: EYE INSTITUTE OF SOUTHERN ARIZONA P C, ADDRESS: 5632 EAST 5TH STREET, CITY: TUCSON, STATE: AZ, ZIP: 85711, PHONE: (520) 790-8888, FAX: (520) 790-1427, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED0032, LICENSE: OTC0073, NAME: PLANNED PARENTHOOD - GLOBE, LEGALLY: PLANNED PARENTHOOD - GLOBE, ADDRESS: 703 EAST ASH STREET, CITY: GLOBE, STATE: AZ, ZIP: 85501, PHONE: (928) 425-4504, FAX: (602) 604-0159, CAPACITY: 0, COUNTY: GILA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED0539, LICENSE: OTC0638, NAME: CIGNA PARADISE VALLEY HEALTHCARE, LEGALLY: CIGNA PARADISE VALLEY HEALTHCARE CENTER, ADDRESS: 12635 NORTH 42ND STREET, CITY: PHOENIX, STATE: AZ, ZIP: 85032, PHONE: (602) 494-5511, FAX: (602) 494-5539, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED0009, LICENSE: OTC0369, NAME: MAYO CLINIC BUILDING, LEGALLY: MAYO CLINIC SCOTTSDALE, ADDRESS: 13400 EAST SHEA BOULEVARD, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85259, PHONE: (480) 301-8000, FAX: (480) 301-8367, CAPACITY: 0, COUNTY: MARICOPA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED1842, LICENSE: OSC2487, NAME: ARIZONA KIDNEY DISEASE & HYPERTENSION CENTER, LEGALLY: ARIZONA KIDNEY DISEASE & HYPERTENSTION CENTER LIFELINE, ADDRESS: 3320 NORTH 2ND STREET, CITY: PHOENIX, STATE: AZ, ZIP: 85012, PHONE: (602) 200-8288, FAX: (602) 944-6882, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED1118, LICENSE: OTC1088, NAME: GRANADA EAST SCHOOL BASED HEALTH CLINIC, LEGALLY: GRANADA EAST SCHOOL BASED HEALTH CLINIC, ADDRESS: 3022 WEST CAMPBELL AVENUE, CITY: PHOENIX, STATE: AZ, ZIP: 85017, PHONE: (602) 589-0110, FAX: (602) 246-5825, CAPACITY: 0, COUNTY: MARICOPA TYPE: OUTPATIENT PHYSICAL THERAPY/SPEECH PATHOLOGY SERVICES, SUBTYPE: MEDICARE, ID: MED1800, LICENSE: OTC3963, NAME: OASIS REHABILITATION CENTER (036570), LEGALLY: OASIS REHABILITATION CENTER, ADDRESS: 12600 NORTH 113TH AVENUE, SUITE A-1 & 2, CITY: YOUNGTOWN, STATE: AZ, ZIP: 85363, PHONE: (602) 914-1332, FAX: (602) 914-1335, CAPACITY: 0, COUNTY: MARICOPA TYPE: OUTPATIENT PHYSICAL THERAPY/SPEECH PATHOLOGY SERVICES, SUBTYPE: MEDICARE, ID: MED1809, LICENSE: OTC2269, NAME: ARIZONA REHAB ASSOCIATES-GLENDALE (EXT OF 036555), LEGALLY: ARIZONA REHABILITATION ASSOCIATES-GLENDALE, ADDRESS: 5620 WEST THUNDERBIRD, SUITE G-3, CITY: GLENDALE, STATE: AZ, ZIP: 85306, PHONE: (602) 938-2422, FAX: (602) 938-2565, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED1582, LICENSE: OTC1862, NAME: PRESCOTT VALLEY SAMARITAN CENTER, LEGALLY: PRESCOTT VALLEY SAMARITAN CENTER, ADDRESS: 3380 WINDSONG DR, CITY: PRESCOTT VALLEY, STATE: AZ, ZIP: 86314, PHONE: (928) 775-0045, FAX: (928) 775-2777, CAPACITY: 0, COUNTY: YAVAPAI TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED2013, LICENSE: OSC2831, NAME: TUCSON SURGERY CENTER, LEGALLY: TUCSON SURGERY CENTER, ADDRESS: 1398 NORTH WILMOT ROAD, CITY: TUCSON, STATE: AZ, ZIP: 85712, PHONE: (520) 731-5500, FAX: (520) 731-5555, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED1119, LICENSE: OTC1087, NAME: GRANADA PRIMARY SCHOOL BASED CLINIC (SCHOOL BASED), LEGALLY: GRANADA PRIMARY SCHOOL BASED HEALTH CLINIC, ADDRESS: 3232 WEST CAMPBELL AVENUE, CITY: PHOENIX, STATE: AZ, ZIP: 85017, PHONE: (602) 246-5053, FAX: (602) 246-5825, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED1158, LICENSE: OTC1040, NAME: WESTWOOD PRIMARY SCHOOL CLINIC, LEGALLY: WESTWOOD PRIMARY SCHOOL CLINIC, ADDRESS: 4711 NORTH 23RD AVENUE, CITY: PHOENIX, STATE: AZ, ZIP: 85015, PHONE: (602) 246-5853, FAX: (602) 246-5852, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED1475, LICENSE: OTC3578, NAME: SHADOW MOUNTAIN OUTPATIENT REHABILITATION, LEGALLY: AVALON CARE CENTER SHADOW MOUNTAIN, ADDRESS: 11150 NORTH 92ND STREET, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85260, PHONE: (480) 860-1766, FAX: (480) 451-1539, CAPACITY: 0, COUNTY: MARICOPA TYPE: OUTPATIENT PHYSICAL THERAPY/SPEECH PATHOLOGY SERVICES, SUBTYPE: MEDICARE, ID: MED0537, LICENSE: OTC3946, NAME: VIBRANTCARE OUTPATIENT REHAB-SCOTTSDALE-036541, LEGALLY: VIBRANTCARE OUTPATIENT REHAB-SCOTTSDALE, ADDRESS: 15425 NORTH GREENWAY- HAYDEN LOOP, SUITE A-300, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85260, PHONE: (480) 951-0310, FAX: (480) 951-0442, CAPACITY: 0, COUNTY: MARICOPA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED0187, LICENSE: OSC3778, NAME: OSBORN AMBULATORY SURGICAL CENTER, LEGALLY: OSBORN AMBULATORY SURGICAL CENTER, ADDRESS: 3330 NORTH 2ND ST, SUITE 300, CITY: PHOENIX, STATE: AZ, ZIP: 85012, PHONE: (602) 265-0113, FAX: (602) 277-8580, CAPACITY: 0, COUNTY: MARICOPA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED0191, LICENSE: OSC0054, NAME: ARIZONA SURGICAL ARTS, LEGALLY: ARIZONA SURGICAL ARTS, ADDRESS: 1245 NORTH WILMOT ROAD, CITY: TUCSON, STATE: AZ, ZIP: 85712, PHONE: (520) 296-7550, FAX: (520) 298-5415, CAPACITY: 0, COUNTY: PIMA TYPE: OUTPATIENT PHYSICAL THERAPY/SPEECH PATHOLOGY SERVICES, SUBTYPE: MEDICARE, ID: MED1555, LICENSE: OTC3784, NAME: VIBRANTCARE OUTPATIENT REHAB-AHWATUKEE (036541), LEGALLY: VIBRANTCARE OUTPATIENT REHAB-AHWATUKEE, ADDRESS: 3233 EAST CHANDLER BLVD, SUITE 23, CITY: PHOENIX, STATE: AZ, ZIP: 85048, PHONE: (480) 704-0002, FAX: (480) 704-0848, CAPACITY: 0, COUNTY: MARICOPA TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED0368, LICENSE: OTC4046, NAME: RENAL CARE GROUP-LAKE HAVASU, LEGALLY: RENAL CARE GROUP - LAKE HAVASU, ADDRESS: 1761 MCCULLOCH BLVD., CITY: LAKE HAVASU CITY, STATE: AZ, ZIP: 86403, PHONE: (928) 680-4748, FAX: (480) 632-3283, CAPACITY: 0, COUNTY: MOHAVE TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED0021, LICENSE: OTC0599, NAME: MOUNTAIN PARK HEALTH CENTER-BASELINE, LEGALLY: MOUNTAIN PARK HEALTH CENTER, ADDRESS: 635 EAST BASELINE ROAD, CITY: PHOENIX, STATE: AZ, ZIP: 85042, PHONE: (602) 323-3400, FAX: (602) 323-3496, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED1607, LICENSE: OTC2167, NAME: MONTEBELLO SCHOOL HEALTH CENTER (SCHOOL BASED), LEGALLY: MONTEBELLO SCHOOL HEALTH CENTER, ADDRESS: 5725 NORTH 27TH AVENUE, HEALTH OFFICE, CITY: PHOENIX, STATE: AZ, ZIP: 85017, PHONE: (602) 336-2000, FAX: (602) 246-5825, CAPACITY: 0, COUNTY: MARICOPA TYPE: OUTPATIENT PHYSICAL THERAPY/SPEECH PATHOLOGY SERVICES, SUBTYPE: MEDICARE, ID: MED1808, LICENSE: OTC2266, NAME: ARIZONA REHAB ASSOC-51ST AVENUE (EXT OF 036555), LEGALLY: ARIZONA REHABILITATION ASSOCIATES-51ST AVENUE, ADDRESS: 4550 NORTH 51ST AVENUE, SUITE 5, CITY: PHOENIX, STATE: AZ, ZIP: 85031, PHONE: (623) 848-8777, FAX: (623) 848-8030, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPITAL, SUBTYPE: LONG TERM, ID: MED0340, LICENSE: H0189, NAME: KINDRED HOSPITAL ARIZONA PHOENIX, LEGALLY: KINDRED HOSPITAL-ARIZONA-PHOENIX, ADDRESS: 40 EAST INDIANOLA AVENUE, CITY: PHOENIX, STATE: AZ, ZIP: 85012, PHONE: (602) 280-7000, FAX: (602) 280-7299, CAPACITY: 58, COUNTY: MARICOPA TYPE: HOSPITAL, SUBTYPE: CRITICAL ACCESS HOSPITALS, ID: MED0196, LICENSE: RGH0128, NAME: NORTHERN COCHISE COMMUNITY HOSPITAL, LEGALLY: NORTHERN COCHISE COMMUNITY HOSPITAL, ADDRESS: 901 REX ALLEN DRIVE, CITY: WILLCOX, STATE: AZ, ZIP: 85643, PHONE: (520) 384-3541, FAX: (520) 384-9212, CAPACITY: 24, COUNTY: COCHISE TYPE: HOSPITAL, SUBTYPE: CHILDRENS, ID: MED0483, LICENSE: SH0188, NAME: LOS NINOS HOSPITAL, LEGALLY: LOS NINOS HOSPITAL, INC, ADDRESS: 2303 EAST THOMAS, CITY: PHOENIX, STATE: AZ, ZIP: 85016, PHONE: (602) 954-7311, FAX: (602) 954-7355, CAPACITY: 15, COUNTY: MARICOPA TYPE: HOSPITAL, SUBTYPE: LONG TERM, ID: MED0532, LICENSE: SH0190, NAME: SELECT SPECIALTY HOSPITAL PHOENIX, LEGALLY: SELECT SPECIALTY HOSPITAL - PHOENIX, ADDRESS: 350 WEST THOMAS ROAD, CITY: PHOENIX, STATE: AZ, ZIP: 85013, PHONE: (602) 406-6800, FAX: (602) 406-6891, CAPACITY: 48, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED1946, LICENSE: OTC3684, NAME: WEST VALLEY URGENT CARE 1, LEGALLY: WEST VALLEY URGENT CARE 1, ADDRESS: 17218 NORTH 72ND DRIVE, SUITE 101, CITY: GLENDALE, STATE: AZ, ZIP: 85308, PHONE: (623) 334-8670, FAX: (623) 334-8675, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPITAL, SUBTYPE: CRITICAL ACCESS HOSPITALS, ID: MED0194, LICENSE: H0096, NAME: BENSON HOSPITAL, LEGALLY: BENSON HOSPITAL, ADDRESS: 450 SOUTH OCOTILLO STREET, CITY: BENSON, STATE: AZ, ZIP: 85602, PHONE: (520) 586-2261, FAX: (520) 586-2265, CAPACITY: 22, COUNTY: COCHISE TYPE: HOSPITAL, SUBTYPE: SHORT TERM, ID: MED0207, LICENSE: H0138, NAME: LA PAZ REGIONAL HOSPITAL, LEGALLY: LA PAZ REGIONAL HOSPITAL, ADDRESS: 1200 MOHAVE ROAD, CITY: PARKER, STATE: AZ, ZIP: 85344, PHONE: (928) 669-7300, FAX: (928) 669-7417, CAPACITY: 39, COUNTY: LA PAZ TYPE: HOSPITAL, SUBTYPE: LONG TERM, ID: MED0565, LICENSE: SH0192, NAME: KINDRED HOSPITAL - TUCSON, LEGALLY: KINDRED HOSPITAL - TUCSON, ADDRESS: 355 NORTH WILMOT ROAD, CITY: TUCSON, STATE: AZ, ZIP: 85711, PHONE: (520) 584-4500, FAX: (520) 790-8133, CAPACITY: 51, COUNTY: PIMA TYPE: HOSPITAL, SUBTYPE: SHORT TERM, ID: MED1129, LICENSE: H1554, NAME: TUCSON HEART HOSPITAL, LEGALLY: TUCSON HEART HOSPITAL, ADDRESS: 4888 N STONE AVE, CITY: TUCSON, STATE: AZ, ZIP: 85704, PHONE: (520) 696-2328, FAX: (520) 690-0449, CAPACITY: 60, COUNTY: PIMA TYPE: HOSPITAL, SUBTYPE: SHORT TERM, ID: MED1442, LICENSE: H1832, NAME: ARIZONA HEART HOSPITAL, LEGALLY: ARIZONA HEART HOSPITAL, ADDRESS: 1930 EAST THOMAS ROAD, CITY: PHOENIX, STATE: AZ, ZIP: 85016, PHONE: (602) 532-1028, FAX: (602) 532-2000, CAPACITY: 59, COUNTY: MARICOPA TYPE: HOSPITAL, SUBTYPE: REHABILITATION, ID: MED1828, LICENSE: SH4026, NAME: HAVASU REGIONAL MED CENTER REHABILITATION PROGRAM, LEGALLY: HAVASU REGIONAL MEDICAL CENTER REHABILITATION PROGRAM, ADDRESS: 101 CIVIC CENTER LANE, CITY: LAKE HAVASU CITY, STATE: AZ, ZIP: 86403, PHONE: (928) 855-8185, FAX: (928) 505-5768, CAPACITY: 19, COUNTY: MOHAVE TYPE: HOSPITAL, SUBTYPE: REHABILITATION, ID: MED0342, LICENSE: SH0181, NAME: HEALTHSOUTH REHABILITATION INSTITUTE OF TUCSON, LEGALLY: HEALTHSOUTH REHABILITATION INSTITUTE OF TUCSON, ADDRESS: 2650 NORTH WYATT DRIVE, CITY: TUCSON, STATE: AZ, ZIP: 85712, PHONE: (520) 325-1300, FAX: (520) 322-4400, CAPACITY: 80, COUNTY: PIMA TYPE: HOSPITAL, SUBTYPE: SHORT TERM, ID: MED0204, LICENSE: H0089, NAME: PAYSON REGIONAL MEDICAL CENTER, LEGALLY: PAYSON REGIONAL MEDICAL CENTER, ADDRESS: 807 S PONDEROSA DR, CITY: PAYSON, STATE: AZ, ZIP: 85541, PHONE: (928) 474-3222, FAX: (928) 472-1295, CAPACITY: 44, COUNTY: GILA TYPE: HOSPITAL, SUBTYPE: PSYCHIATRIC, ID: MED0249, LICENSE: SH0148, NAME: CARONDELET ST JOSEPHS O'RIELLY CARE CENTER, LEGALLY: CARONDELET ST JOSEPHS HOSPITAL O'REILLY CARE CENTER, ADDRESS: 350 NORTH WILMOT ROAD, CITY: TUCSON, STATE: AZ, ZIP: 85711, PHONE: (520) 873-3000, FAX: (520) 873-3921, CAPACITY: 15, COUNTY: PIMA TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED0449, LICENSE: HSPC0017, NAME: RTA HOSPICE AND PALLIATIVE CARE, LEGALLY: RTA HOSPICE AND PALLIATIVE CARE, ADDRESS: 511 SOUTH MUDSPRING ROAD, SUITE #1, CITY: PAYSON, STATE: AZ, ZIP: 85541, PHONE: (928) 472-6340, FAX: (928) 468-2120, CAPACITY: 0, COUNTY: GILA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED0019, LICENSE: OTC0335, NAME: BANNER HEALTH CENTER AT PAYSON, LEGALLY: BANNER HEALTH CENTER AT PAYSON, ADDRESS: 708 COEUR D' ALENE LANE, SUITE A, CITY: PAYSON, STATE: AZ, ZIP: 85541, PHONE: (928) 474-1714, FAX: (928) 472-8070, CAPACITY: 0, COUNTY: GILA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED1653, LICENSE: OTC2220, NAME: GILA CO DIV OF HEALTH & COMM SVCS OFFICE OF PAYSON, LEGALLY: GILA COUNTY DIVISION OF HEALTH & COMMUNITY SERVICS OFFICE OF HEALTH-PAYSON, ADDRESS: 107 WEST FRONTIER STREET, SUITE A, CITY: PAYSON, STATE: AZ, ZIP: 85541, PHONE: (928) 474-1210, FAX: (928) 474-7069, CAPACITY: 0, COUNTY: GILA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED1669, LICENSE: OTC1976, NAME: CANYON RANCH, LEGALLY: CANYON RANCH, ADDRESS: 8600 EAST ROCKCLIFF ROAD, CITY: TUCSON, STATE: AZ, ZIP: 85750, PHONE: (520) 749-9655, FAX: (520) 239-8563, CAPACITY: 0, COUNTY: PIMA TYPE: OUTPATIENT PHYSICAL THERAPY/SPEECH PATHOLOGY SERVICES, SUBTYPE: MEDICARE, ID: MED1608, LICENSE: OTC4156, NAME: SELECT PHYSICAL THERAPY-SURPRISE (036573), LEGALLY: SELECT PHYSICAL THERAPY-SURPRISE, ADDRESS: 13951 WEST GRAND AVENUE, SUITE 201, CITY: SURPRISE, STATE: AZ, ZIP: 85374, PHONE: (623) 537-9730, FAX: (623) 537-9871, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPICE, SUBTYPE: HOSPICE - OUTOFSTATE, ID: MED2041, LICENSE: HSPC2833, NAME: SOUTHERN UTAH HOME CARE & HSPC, LEGALLY: SOUTHERN UTAH HOME CARE AND HOSPICE, ADDRESS: 640 EAST 700 SOUTH, SUITE 101B, CITY: SAINT GEORGE, STATE: UT, ZIP: 84770, PHONE: (435) 634-9300, FAX: (435) 652-1677, CAPACITY: 0, COUNTY: WASHINGTON TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED1448, LICENSE: , NAME: CHW URGENT CARE- GILBERT, LEGALLY: CHW URGENT CARE- GILBERT, ADDRESS: 1501 NORTH GILBERT ROAD, CITY: GILBERT, STATE: AZ, ZIP: 85234, PHONE: (480) 728-4100, FAX: (480) 728-4106, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: MED2021, LICENSE: HHA4166, NAME: HERITAGE HOME HEALTHCARE PHOENIX, LEGALLY: HERITAGE HOME HEALTHCARE OF ARIZONA, INC, ADDRESS: 5150 NORTH 16TH STREET, SUITE A224, CITY: PHOENIX, STATE: AZ, ZIP: 85016, PHONE: (602) 745-2900, FAX: (602) 745-2901, CAPACITY: 0, COUNTY: MARICOPA TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED0362, LICENSE: OTC0566, NAME: MESA DIALYSIS CENTER, LEGALLY: MESA DIALYSIS CENTER, ADDRESS: 1525 NORTH GILBERT ROAD, SUITE 121, CITY: GILBERT, STATE: AZ, ZIP: 85234, PHONE: (480) 497-1127, FAX: (480) 487-4559, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED1556, LICENSE: OTC1842, NAME: ARCADIA FAMILY CLINIC, LEGALLY: ARCADIA FAMILY CLINIC, ADDRESS: 4131 NORTH 24TH STREET, SUITE B-102, CITY: PHOENIX, STATE: AZ, ZIP: 85016, PHONE: (602) 955-6632, FAX: (602) 381-1342, CAPACITY: 0, COUNTY: MARICOPA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED0174, LICENSE: OSC0045, NAME: NORTHWEST EYE SPECIALISTS THE CTR FOR EYE SURGERY, LEGALLY: NORTHWEST EYE SPECIALISTS THE CENTER FOR EYE SURGERY, ADDRESS: 5599 NORTH ORACLE ROAD, CITY: TUCSON, STATE: AZ, ZIP: 85704, PHONE: (520) 293-6740, FAX: (520) 293-6771, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED1987, LICENSE: OTC2892, NAME: NEXTCARE URGENT AND FAMILY CARE- PIMA, LEGALLY: NEXTCARE URGENT AND FAMILY CARE - PIMA, ADDRESS: 6238 EAST PIMA STREET, CITY: TUCSON, STATE: AZ, ZIP: 85712, PHONE: (520) 290-0022, FAX: (520) 924-2900, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED0098, LICENSE: OTC0314, NAME: COCHISE COUNTY HEALTH DEPARTMENT- BISBEE, LEGALLY: COCHISE COUNTY HEALTH DEPARTMENT/BISBEE, ADDRESS: 1415 WEST MELODY LANE, BUILDING A, CITY: BISBEE, STATE: AZ, ZIP: 85603, PHONE: (520) 432-9472, FAX: (520) 432-9497, CAPACITY: 0, COUNTY: COCHISE TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED0553, LICENSE: OTC0654, NAME: NORTH PHOENIX DIALYSIS CENTER, LEGALLY: NORTH PHOENIX DIALYSIS CENTER, ADDRESS: 1957 WEST DUNLAP AVE, SUITE 6 C, CITY: PHOENIX, STATE: AZ, ZIP: 85021, PHONE: (602) 943-1763, FAX: (602) 943-7088, CAPACITY: 0, COUNTY: MARICOPA TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED0152, LICENSE: OTC4203, NAME: RENAL CARE GROUP-GLOBE, LEGALLY: RENAL CARE GROUP - GLOBE, ADDRESS: 2250 US HIGHWAY 60, SUITE O-2, CITY: MIAMI, STATE: AZ, ZIP: 85539, PHONE: (928) 425-2624, FAX: (928) 425-8318, CAPACITY: 0, COUNTY: GILA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: AZ037099, LICENSE: HHA0112, NAME: CATHOLIC COMM SERVICES IN SOUTHEASTERN ARIZONA,INC, LEGALLY: CATHOLIC COMMUNITY SERVICES IN SOUTHEASTERN ARIZONA, ADDRESS: 19 HOWELL AVENUE, CITY: BISBEE, STATE: AZ, ZIP: 85603, PHONE: (520) 432-4193, FAX: (520) 432-2009, CAPACITY: 0, COUNTY: COCHISE TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: AZ037206, LICENSE: HHA0263, NAME: HEALTH CORE HOME CARE, LEGALLY: HEALTH CORE HOME CARE, ADDRESS: 6601 EAST GRANT ROAD, SUITE 212, CITY: TUCSON, STATE: AZ, ZIP: 85715, PHONE: (520) 886-6620, FAX: (520) 751-9242, CAPACITY: 0, COUNTY: PIMA TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED1173, LICENSE: HSPC1059, NAME: ODYSSEY HEALTHCARE OF TUCSON, LEGALLY: ODYSSEY HEALTHCARE OF TUCSON, ADDRESS: 1730 EAST RIVER ROAD SUITE 107, CITY: TUCSON, STATE: AZ, ZIP: 85718, PHONE: (520) 577-0270, FAX: (520) 577-0450, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2053, LICENSE: OTC2861, NAME: BETHUNE ELEMENTARY SCHOOL BASED HEALTH CENTER, LEGALLY: BETHUNE ELEMENTARY SCHOOL-BASED HEALTH CENTER, ADDRESS: 1310 SOUTH 15TH AVENUE, NURSE'S OFFICE, CITY: PHOENIX, STATE: AZ, ZIP: 85007, PHONE: (602) 257-3837, FAX: (602) 246-5825, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2056, LICENSE: OTC2864, NAME: CESAR CHAVEZ ELEMENTARY SCHOOL HEALTH CENTER, LEGALLY: CESAR CHAVEZ SCHOOL BASED HEALTH CENTER, ADDRESS: 4001 SOUTH 3RD STREET, NURSE'S OFFICE, CITY: PHOENIX, STATE: AZ, ZIP: 85040, PHONE: (602) 232-4940, FAX: (602) 246-5825, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2058, LICENSE: OTC2866, NAME: CAPITAL ELEMENTARY SCHOOL BASED HEALTH CTR, LEGALLY: CAPITAL ELEMENTARY SCHOOL-BASED HEALTH CENTER, ADDRESS: 330 NORTH 16TH AVENUE, NURSE'S OFFICE, CITY: PHOENIX, STATE: AZ, ZIP: 85007, PHONE: (602) 257-3835, FAX: (602) 246-5825, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED1862, LICENSE: OTC2463, NAME: PASSPORT HEALTH, LEGALLY: PASSPORT HEALTH, ADDRESS: 2435 EAST SOUTHERN AVENUE, SUITE. 5, CITY: TEMPE, STATE: AZ, ZIP: 85282, PHONE: (480) 345-6800, FAX: (480) 345-6805, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED0745, LICENSE: OTC0679, NAME: ADVANCED MEDICAL SPECIALISTS, LEGALLY: ADVANCED MEDICAL SPECIALISTS, ADDRESS: 901 EAST JEFFERSON STREET, CITY: PHOENIX, STATE: AZ, ZIP: 85034, PHONE: (602) 256-2281, FAX: (602) 256-6199, CAPACITY: 0, COUNTY: MARICOPA TYPE: FEDERALLY QUALIFIED HEALTH CENTER, SUBTYPE: FEDERALLY QUALIFIED HEALTH CENTER, ID: MED1352, LICENSE: OTC0277, NAME: GILA BEND PRIMARY CARE CENTER (URGENT CARE CENTER), LEGALLY: GILA BEND PRIMARY CARE CENTER, ADDRESS: 100 NORTH GILA BOULEVARD, CITY: GILA BEND, STATE: AZ, ZIP: 85337, PHONE: (928) 683-2269, FAX: (623) 932-5725, CAPACITY: 0, COUNTY: MARICOPA TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED0132, LICENSE: OTC4125, NAME: RENAL CARE GROUP-GLENDALE, LEGALLY: RENAL CARE GROUP - GLENDALE, ADDRESS: 5750 WEST THUNDERBIRD, SUITE G-750, CITY: GLENDALE, STATE: AZ, ZIP: 85306, PHONE: (602) 439-9502, FAX: (602) 439-8648, CAPACITY: 0, COUNTY: MARICOPA TYPE: FEDERALLY QUALIFIED HEALTH CENTER, SUBTYPE: FEDERALLY QUALIFIED HEALTH CENTER, ID: MED0085, LICENSE: OTC0320, NAME: ARIVACA CLINIC, LEGALLY: ARIVACA CLINIC, ADDRESS: 17388 WEST 3RD STREET, CITY: ARIVACA, STATE: AZ, ZIP: 85601, PHONE: (520) 398-2621, FAX: (520) 398-2613, CAPACITY: 0, COUNTY: PIMA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED2114, LICENSE: , NAME: CHW URGENT CARE- AHWATUKEE, LEGALLY: CHW URGENT CARE- AHWATUKEE, ADDRESS: 4545 EAST CHANDLER BOULEVARD, CITY: PHOENIX, STATE: AZ, ZIP: 85044, PHONE: (480) 728-4020, FAX: (480) 728-4002, CAPACITY: 0, COUNTY: MARICOPA TYPE: OUTPATIENT PHYSICAL THERAPY/SPEECH PATHOLOGY SERVICES, SUBTYPE: MEDICARE, ID: MED1807, LICENSE: OTC2265, NAME: ARIZONA REHAB ASSOC-INDIAN SCHOOL (EXT 036555), LEGALLY: ARIZONA REHABILITATION ASSOCIATES-INDIAN SCHOOL, ADDRESS: 3104 EAST INDIAN SCHOOL ROAD, SUITE 200, CITY: PHOENIX, STATE: AZ, ZIP: 85016, PHONE: (602) 381-1170, FAX: (602) 381-1190, CAPACITY: 0, COUNTY: MARICOPA TYPE: FEDERALLY QUALIFIED HEALTH CENTER, SUBTYPE: FEDERALLY QUALIFIED HEALTH CENTER, ID: MED0078, LICENSE: OTC0032, NAME: MARANA HEALTH CENTER, INC, LEGALLY: MARANA HEALTH CENTER, INC., ADDRESS: 13644 NORTH SANDARIO ROAD, CITY: MARANA, STATE: AZ, ZIP: 85653, PHONE: (520) 682-4111, FAX: (520) 682-4111, CAPACITY: 0, COUNTY: PIMA TYPE: OUTPATIENT PHYSICAL THERAPY/SPEECH PATHOLOGY SERVICES, SUBTYPE: MEDICARE, ID: MED0435, LICENSE: OTC3790, NAME: VIBRANTCARE OUTPATIENT REHAB-CENTRAL PHX (036541), LEGALLY: VIBRANTCARE OUTPATIENT REHAB-CENTRAL PHOENIX, ADDRESS: 1010 EAST MCDOWELL ROAD, SUITE 102, CITY: PHOENIX, STATE: AZ, ZIP: 85006, PHONE: (602) 256-7232, FAX: (602) 256-7292, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED1312, LICENSE: OTC1482, NAME: NORTHWEST MEDICAL CENTER, LEGALLY: NORTHWEST MEDICAL CENTER, ADDRESS: 11045 NORTH 19TH AVENUE, CITY: PHOENIX, STATE: AZ, ZIP: 85029, PHONE: (602) 944-1040, FAX: (602) 944-0194, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2303, LICENSE: OTC3135, NAME: CHILD ABUSE ASSESSMENT CENTER, THE, LEGALLY: CHILD ABUSE ASSESSMENT CENTER, THE, ADDRESS: 2346 NORTH CENTRAL AVENUE, CITY: PHOENIX, STATE: AZ, ZIP: 85004, PHONE: (602) 271-4500, FAX: (602) 406-7141, CAPACITY: 0, COUNTY: MARICOPA TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED1614, LICENSE: OTC2030, NAME: FMC DIALYSIS SERVICES PRESCOTT VALLEY, LEGALLY: FMC DIALYSIS SERVICES - PRESCOTT VALLEY, ADDRESS: 7763 EAST FLORENTINE, SUITE 101, CITY: PRESCOTT VALLEY, STATE: AZ, ZIP: 86314, PHONE: (928) 899-5451, FAX: (928) 759-2562, CAPACITY: 0, COUNTY: YAVAPAI TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED2032, LICENSE: HSPC2902, NAME: CHARLES W LEIGHTON, JR HOSPICE, LEGALLY: CHARLES W LEIGHTON, JR HOSPICE, ADDRESS: 524 WEST MALEY PLACE, CITY: WILLCOX, STATE: AZ, ZIP: 85643, PHONE: (520) 384-5878, FAX: (520) 384-4127, CAPACITY: 0, COUNTY: COCHISE TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED2138, LICENSE: HSPC3014, NAME: HOV THUNDERBIRD PALLIATIVE CARE INPATIENT(031515), LEGALLY: HOSPICE OF THE VALLEY'S THUNDERBIRD PALLIATIVE CARE, ADDRESS: 13620 NORTH 55TH AVENUE, CITY: GLENDALE, STATE: AZ, ZIP: 85304, PHONE: (602) 978-1343, FAX: (602) 993-0012, CAPACITY: 10, COUNTY: MARICOPA TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED2197, LICENSE: HSPC3066, NAME: ODYSSEY - PEORIA INPATIENT HOUSE (031544), LEGALLY: ODYSSEY HEALTHCARE OF PHOENIX, PEORIA INPATIENT HOUSE, ADDRESS: 8977 WEST ATHENS, CITY: PEORIA, STATE: AZ, ZIP: 85382, PHONE: (623) 583-3100, FAX: (623) 583-5410, CAPACITY: 11, COUNTY: MARICOPA TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED2198, LICENSE: HSPC3067, NAME: ODYSSEY - MESA INPATIENT HOUSE (031544), LEGALLY: ODYSSEY HEALTHCARE OF PHOENIX, MESA INPATIENT HOUSE, ADDRESS: 6215 EAST ARBOR AVENUE, CITY: MESA, STATE: AZ, ZIP: 85206, PHONE: (480) 218-9000, FAX: (480) 218-9014, CAPACITY: 11, COUNTY: MARICOPA TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED2133, LICENSE: HSPC3009, NAME: NORTHERN ARIZONA HOSPICE/COTTO, LEGALLY: NORTHERN ARIZONA HOSPICE/COTTONWOOD, ADDRESS: 203 SOUTH CANDY LANE, SUITE 10A, CITY: COTTONWOOD, STATE: AZ, ZIP: 86326, PHONE: (928) 639-6674, FAX: (928) 773-2078, CAPACITY: 0, COUNTY: YAVAPAI TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED0541, LICENSE: OTC0646, NAME: CIGNA WESTRIDGE HEALTHCARE CENTER, LEGALLY: CIGNA WESTRIDGE HEALTHCARE CENTER, ADDRESS: 2302 NORTH 75TH AVENUE, CITY: PHOENIX, STATE: AZ, ZIP: 85035, PHONE: (623) 849-7500, FAX: (623) 849-7587, CAPACITY: 0, COUNTY: MARICOPA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED0165, LICENSE: OSC4304, NAME: 32ND STREET OUTPATIENT SURGERY CENTER, LEGALLY: 32ND STREET OUTPATIENT SURGERY CENTER, ADDRESS: 2501 NORTH 32ND STREET, CITY: PHOENIX, STATE: AZ, ZIP: 85008, PHONE: (602) 957-6799, FAX: (602) 957-0172, CAPACITY: 0, COUNTY: MARICOPA TYPE: PORTABLE X-RAY SUPPLIERS, SUBTYPE: MEDICARE, ID: MED1465, LICENSE: NONE, NAME: ALLIANCE MOBILE X-RAY, LEGALLY: ALLIANCE MOBILE X-RAY, ADDRESS: 214 WHITE SPAR ROAD, CITY: PRESCOTT, STATE: AZ, ZIP: 86305, PHONE: (928) 717-1560, FAX: (928) 717-2105, CAPACITY: 0, COUNTY: YAVAPAI TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED0734, LICENSE: OTC0790, NAME: BMA BULLHEAD CITY DIALYSIS, LEGALLY: BMA BULLHEAD CITY DIALYSIS, ADDRESS: 967 HANCOCK ROAD, SUITE 25, CITY: BULLHEAD CITY, STATE: AZ, ZIP: 86442, PHONE: (928) 758-7401, FAX: (928) 758-7470, CAPACITY: 0, COUNTY: MOHAVE TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED1090, LICENSE: NONE, NAME: BARNET DULANEY EYE CENTER, LEGALLY: BARNET DULANEY EYE CENTER, ADDRESS: 1375 WEST 16TH STREET SUITE B, CITY: YUMA, STATE: AZ, ZIP: 85364, PHONE: (928) 782-7557, FAX: (602) 508-4744, CAPACITY: 0, COUNTY: YUMA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED1106, LICENSE: NONE, NAME: 59TH AVENUE SURGICAL FACILITY, LEGALLY: 59TH AVENUE SURGICAL FACILITY, ADDRESS: 8608 NORTH 59TH AVE, CITY: GLENDALE, STATE: AZ, ZIP: 85302, PHONE: (623) 934-0272, FAX: (623) 930-1891, CAPACITY: 0, COUNTY: MARICOPA TYPE: OUTPATIENT PHYSICAL THERAPY/SPEECH PATHOLOGY SERVICES, SUBTYPE: MEDICARE, ID: MED2071, LICENSE: OTC2915, NAME: ARIZONA REHABILITATION ASSOCIATES-CASA GRANDE, LEGALLY: ARIZONA REHABILITATION ASSOCIATES-CASA GRANDE, ADDRESS: 1760 EAST FLORENCE BOULEVARD #150, CITY: CASA GRANDE, STATE: AZ, ZIP: 85222, PHONE: (520) 876-9064, FAX: (602) 482-0969, CAPACITY: 0, COUNTY: PINAL TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED0091, LICENSE: , NAME: ARIZONA CANCER CENTER CLINIC, LEGALLY: ARIZONA CANCER CENTER CLINIC, ADDRESS: 3838 NORTH CAMPBELL AVENUE, CITY: TUCSON, STATE: AZ, ZIP: 85719, PHONE: (520) 694-2873, FAX: (520) 694-0212, CAPACITY: 0, COUNTY: PIMA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED0964, LICENSE: NONE, NAME: BARNET DULANEY EYE CENTER SAFFORD, LEGALLY: BARNET DULANEY EYE CENTER SAFFORD, ADDRESS: 825 20TH AVENUE, CITY: SAFFORD, STATE: AZ, ZIP: 85546, PHONE: (928) 428-6930, FAX: (602) 508-4744, CAPACITY: 0, COUNTY: GRAHAM TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: AZ037144, LICENSE: HHA3812, NAME: SUNRISE HOME CARE, LEGALLY: SUNRISE HOME CARE, ADDRESS: 5830 NORTH FOUNTAINS AVENUE, CITY: TUCSON, STATE: AZ, ZIP: 85704, PHONE: (520) 886-4400, FAX: (520) 290-1900, CAPACITY: 0, COUNTY: PIMA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: AZ037179, LICENSE: HHA0212, NAME: COPPER VALLEY HOME HEALTH, LEGALLY: COPPER VALLEY HOME HEALTH, ADDRESS: 101 COLE AVENUE, CITY: BISBEE, STATE: AZ, ZIP: 85603, PHONE: (520) 432-7450, FAX: (520) 432-1724, CAPACITY: 0, COUNTY: COCHISE TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: AZ037020, LICENSE: HHA0157, NAME: HOSPICE OF