Medical Facilities 11/03/2009 TYPE: HOSPITAL, SUBTYPE: TRANSPLANT HOSPITAL, ID: AZTH00002, LICENSE: NONE, NAME: BANNER GOOD SAMARITAN MEDICAL CENTER, LEGALLY: BANNER GOOD SAMARITAN MEDICAL CENTER, ADDRESS: 1111 EAST MCDOWELL ROAD, CITY: PHOENIX, STATE: AZ, ZIP: 85006, PHONE: (602) 239-2716, FAX: (602) 239-3749, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPITAL, SUBTYPE: TRANSPLANT HOSPITAL, ID: AZTH00003, LICENSE: NONE, NAME: UNIVERSITY MEDICAL CENTER AT THE ARIZONA HEALTH SC, LEGALLY: UNIVERSITY MEDICAL CENTER AT THE ARIZONA HEALTH SC, ADDRESS: 1501 NORTH CAMPBELL AVENUE, CITY: TUCSON, STATE: AZ, ZIP: 85724, PHONE: (520) 694-7367, FAX: (520) 694-7368, CAPACITY: 0, COUNTY: PIMA 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 SURGERY CENTER- SHOW LOW, LEGALLY: BARNET DULANEY SURGERY CENTER- SHOW LOW, ADDRESS: 1500 SOUTH WHITE MOUNTAIN ROAD, SUITE 300, 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) 972-5083, FAX: (623) 972-0521, CAPACITY: 0, COUNTY: MARICOPA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED0160, LICENSE: OSC4189, NAME: BARNET DULANEY SURGERY CENTER-SUN CITY, LEGALLY: BARNET DULANEY SURGERY CENTER-SUN CITY, ADDRESS: 9425 WEST BELL ROAD, CITY: SUN CITY, STATE: AZ, ZIP: 85351, PHONE: (602) 508-4910, FAX: (602) 508-4749, CAPACITY: 0, 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: (435) 628-5277, FAX: (435) 673-0432, 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: OSC4528, NAME: TEMPE NEW DAY SURGERY CENTER, LEGALLY: TEMPE NEW DAY SURGERY 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: HOSPICE, SUBTYPE: MEDICARE, ID: MED0551, LICENSE: HSPC0037, NAME: BANNER HOSPICE, LEGALLY: BANNER HOSPICE, ADDRESS: 1325 NORTH FIESTA BOULEVARD, 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: 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 WEST THUNDERBIRD BOULEVARD, 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: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED0171, LICENSE: OSC3901, NAME: SCOTTSDALE EYE INSTITUTE, PLLC, LEGALLY: SCOTTSDALE EYE INSTITUTE, PLLC, ADDRESS: 215 SOUTH POWER ROAD, SUITE 112, CITY: MESA, STATE: AZ, ZIP: 85206, PHONE: (480) 981-1345, FAX: (480) 981-3721, CAPACITY: 0, COUNTY: MARICOPA 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 WEST GLENDALE AVENUE, 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 ROAD, 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 SURGERY CENTER- MESA, LEGALLY: BARNET DULANEY SURGERY CENTER- MESA, ADDRESS: 6335 EAST MAIN STREET, 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: , 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, ADDRESS: 32 NORTH 10TH AVENUE, SUITE 6, 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: ARIZONA OUTPATIENT SURGERY CENTER, LEGALLY: ARIZONA OUTPATIENT SURGERY CENTER, ADDRESS: 6245 NORTH 16TH ST, CITY: PHOENIX, STATE: AZ, ZIP: 85016, PHONE: (602) 274-1705, FAX: (602) 230-0404, 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 SUITE#100, 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 HOME HEALTH, LEGALLY: PHC LAKE HAVASU INC, ADDRESS: 1851 MESQUITE BOULEVARD, 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: 7500 NORTH DREAMY DRAW DRIVE, SUITE 105, CITY: PHOENIX, STATE: AZ, ZIP: 85020, 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: ARIZONA OPHTHALMIC OUTPATIENT SURGERY, LEGALLY: ARIZONA OPTHALMIC OUTPATIENT SURGERY, 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) 836-8807, CAPACITY: 0, COUNTY: PINAL TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: AZ037011, LICENSE: HHA4087, NAME: AMEDISYS HOME HEALTH OF SURPRISE, LEGALLY: AMEDISYS ARIZONA, LLC, ADDRESS: 14239 WEST BELL ROAD, SUITE 219, CITY: SURPRISE, STATE: AZ, ZIP: 85374, 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 NORTH 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 EAST MCDOWELL ROAD, 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: OUTPATIENT PHYSICAL THERAPY/SPEECH PATHOLOGY SERVICES, SUBTYPE: MEDICARE, ID: MED1377, LICENSE: OTC4598, NAME: CONCENTRA MEDICAL CENTER-NORTHWEST (URGENT CARE), LEGALLY: CONCENTRA MEDICAL CENTERS NORTHWEST, ADDRESS: 14155 NORTH 83RD AVENUE, 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 127, 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: OSC4258, NAME: PRESCOTT VISION & EYE SURGERY CENTER, LEGALLY: PRESCOTT VISION & EYE SURGERY CENTER, 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) 882-4000, 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 EAST 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 8, 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 NORTH 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 NORTH 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 EAST 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) 728-3353, 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 SURGERY CENTER- PHOENIX, LEGALLY: BARNET DULANEY SURGERY CENTER- PHOENIX, 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: HOSPICE, SUBTYPE: MEDICARE, ID: MED0654, LICENSE: HSPC0050, NAME: HOSPICE OF ARIZONA, LEGALLY: HOSPICE OF ARIZONA, ADDRESS: 19820 NORTH SEVENTH AVENUE, SUITE 130, CITY: PHOENIX, STATE: AZ, ZIP: 85027, 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 EAST THOMAS ROAD, SUITE 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) 497-8250, 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 LIVING HOME HEALTH, LEGALLY: FOUNDATION FOR SENIOR LIVING HOME HEALTH, ADDRESS: 1201 EAST THOMAS ROAD, 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: HHA4580, NAME: PAYSON REGIONAL HOME HEALTH, LEGALLY: PAYSON REGIONAL HOME HEALTH, ADDRESS: 215 NORTH BEELINE HIGHWAY, 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: OTC4619, NAME: PLEASANT VALLEY COMM MEDICAL CENTER (URGENT CARE), LEGALLY: PLEASANT VALLEY COMMUNITY MEDICAL CENTER, ADDRESS: 124 NORTH TEWKSBURY BOULEVARD, CITY: YOUNG, STATE: AZ, ZIP: 85554, PHONE: (928) 462-3465, 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 NORTH 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) 364-5453, 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: 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) 407-5700, 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, LEGALLY: CITADEL CARE CENTER, ADDRESS: 5121 EAST 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 NORTH VALLEY HEALTHCARE CENTER, 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: 9051 WEST KELTON LANE, SUITE 8, CITY: PEORIA, STATE: AZ, ZIP: 85382, 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: 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) 459-8195, 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: SGL, 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: VIBRANTCARE OUTPATIENT REHAB-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) 417-0542, FAX: (520) 417-0581, 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) 458-5890, FAX: (520) 458-4439, 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 STREET, 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-SHEA, 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) 387-7393, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED0121, LICENSE: PENDING, NAME: PIMA COUNTY HEALTH DEPARTMENT-TB CLINIC, LEGALLY: PIMA COUNTY HEALTH DEPARTMENT-TB CLINIC, ADDRESS: 2980 EAST AJO WAY, CITY: TUCSON, STATE: AZ, ZIP: 85714, PHONE: (520) 243-7911, FAX: (520) 740-8819, 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) 721-8235, 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: 85614, PHONE: (520) 698-1626, FAX: (520) 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) 243-2850, FAX: (520) 243-2888, 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) 298-3888, 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: (615) 341-5894, FAX: (615) 341-5894, 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: 7310 NORTH 16TH STREET, SUITE 165, CITY: PHOENIX, STATE: AZ, ZIP: 85020, 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 # 301, 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: 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: DVA RENAL HEALTHCARE, INC, 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: (520) 836-2808, 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) 733-8754, FAX: (520) 733-8986, CAPACITY: 0, COUNTY: PIMA 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) 879-1822, 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: 85122, 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: 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) 861-6330, FAX: (602) 861-6331, 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 MANUEL, LEGALLY: SUN LIFE FAMILY HEALTH CENTER, INC. - SAN MANUEL SATELLITE, ADDRESS: 23 MCNAB PARKWAY, CITY: SAN MANUEL, STATE: AZ, ZIP: 85631, PHONE: (520) 385-2234, 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) 428-1400, 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 PUBLIC HEALTH SERVICES DISTRICT, LEGALLY: YUMA COUNTY PUBLIC HEALTH SERVICES DISTRICT, 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: SAHUARITA WELLNESS 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: VIBRANTCARE OUTPATIENT REHABILITATION, WEST, INC, LEGALLY: VIBRANTCARE 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) 694-2560, 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: (602) 861-6330, FAX: (602) 861-6331, 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) 583-8970, 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: HHA4586, NAME: YUMA HOME CARE, AN AMEDISYS COMPANY, LEGALLY: YUMA HOME CARE, AN AMEDISYS COMPANY, ADDRESS: 1841 WEST 25TH STREET, SUITE A-2, 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 AVENUE, SUITE #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: 16, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED1648, LICENSE: OTC4656, NAME: JCL DEER VALLEY MEDICAL, LEGALLY: JCL DEER VALLEY MEDICAL, ADDRESS: 6206 WEST BELL ROAD, SUITE 5, 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: HOSPICE COMPASSUS-WHITE MOUNTAIN, LEGALLY: HOSPICE COMPASSUS-WHITE MOUNTAIN, 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: 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) 792-9890, FAX: (520) 741-8816, 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 AVENUE, SUITE B, CITY: KINGMAN, STATE: AZ, ZIP: 86409, 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) 682-4111, FAX: (520) 682-3217, 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, CITY: MARANA, STATE: AZ, ZIP: 85653, PHONE: (520) 682-4111, FAX: (520) 682-3817, 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) 882-4934, FAX: (480) 947-3159, CAPACITY: 0, COUNTY: MARICOPA TYPE: FEDERALLY QUALIFIED HEALTH CENTER, SUBTYPE: FEDERALLY QUALIFIED HEALTH CENTER, ID: MED0429, LICENSE: OTC4510, 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: OUTPATIENT PHYSICAL THERAPY/SPEECH PATHOLOGY SERVICES, SUBTYPE: MEDICARE, ID: MED0767, LICENSE: OTC4562, 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: OTC4557, NAME: SELECT PHYSICAL THERAPY-GILBERT (036534), LEGALLY: SELECT PHYSICAL THERAPY-GILBERT, ADDRESS: 3507 SOUTH MERCY ROAD, BUILDING 8, #105, CITY: GILBERT, STATE: AZ, ZIP: 85233, PHONE: (480) 926-0404, FAX: (480) 892-8564, 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) 246-5852, CAPACITY: 0, COUNTY: MARICOPA TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED0752, LICENSE: OTC4721, NAME: SOUTH YUMA DIALYSIS, LEGALLY: DVA RENAL HEALTHCARE, INC., ADDRESS: 7179 EAST 31ST PLACE, CITY: YUMA, STATE: AZ, ZIP: 85365, PHONE: (928) 726-2291, FAX: (928) 726-9036, 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: OTC4480, NAME: HOLDEMAN ELEMENTARY SCHOOL-BASED CLINIC, LEGALLY: HOLDEMAN ELEMENTARY SCHOOL BASED CLINIC, ADDRESS: 1326 WEST 18TH STREET, ROOM A13, 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 127, 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) 861-6330, FAX: (602) 861-6331, 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: BMA CENTRAL PHOENIX, LEGALLY: BMA CENTRAL PHOENIX, 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: (615) 341-5894, FAX: (615) 341-5894, 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 EAST CORTLAND BOULEVARD, SUITE #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 AVENUE, CITY: TUCSON, STATE: AZ, ZIP: 85713, PHONE: (520) 882-9665, FAX: (520) 882-9206, 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: FMC DIALYSIS OF DESERT VALLEY, LEGALLY: FMC DIALYSIS OF DESERT VALLEY, 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) 866-4529, 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: HHA4589, NAME: LOVING CARE AGENCY, LEGALLY: LOVING CARE AGENCY, ADDRESS: 711 EAST MISSOURI AVENUE, SUITE 110, CITY: PHOENIX, STATE: AZ, ZIP: 85014, PHONE: (602) 433-1200, 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: (602) 861-6330, FAX: (602) 861-6331, 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 WEST INC 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: NSI NURSING SERVICE INC, LEGALLY: NSI NURSING SERVICE, INC., ADDRESS: 3075 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 BOULEVARD, BUILDING 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: 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: 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, ADDRESS: 1550 SOUTH ALMA SCHOOL ROAD, SUITE #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) 861-6330, FAX: (602) 861-6331, 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 31, 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) 263-4262, 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: (623) 209-9838, FAX: (623) 209-9843, 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: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED0439, LICENSE: , NAME: BANNER BOSWELL MEDICAL CENTER-CARDIAC CENTER, LEGALLY: BANNER BOSWELL MEDICAL CENTER-CARDIAC CENTER, ADDRESS: 10415 WEST THUNDERBIRD BOULEVARD, 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-SOUTH CENTRAL, 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) 402-1280, 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: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED0731, LICENSE: OTC4628, NAME: ASU AT THE WEST CAMPUS STUDENT HEALTH SERVICES, LEGALLY: ASU AT THE WEST CAMPUS STUDENT HEALTH SERVICES, ADDRESS: 4701 WEST THUNDERBIRD ROAD, UCB 190, 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) 625-8504, 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) 417-3085, FAX: (520) 417-3219, CAPACITY: 0, COUNTY: COCHISE TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED0603, LICENSE: OTC4547, NAME: CIGNA SUN CITY WEST HEALTHCARE CENTER, LEGALLY: SUN CITY WEST HEALTHCARE CENTER, ADDRESS: 13991 WEST GRAND AVENUE, CITY: SUN CITY, STATE: AZ, ZIP: 85374, PHONE: (602) 861-6330, FAX: (602) 861-6331, 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: OTC4438, 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: (602) 861-6330, FAX: (602) 861-6331, 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: HHA4711, 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) 394-2753, 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: NONE, NAME: BANNER GOOD SAMARITAN TRANSPLANT SERVICES, LEGALLY: BANNER GOOD SAMARITAN TRANSPLANT SERVICES, ADDRESS: 1410 NORTH 3RD STREET, 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: GOOD SAMARITAN SOCIETY-PRESCOTT VILLAGE OUTPATIENT, LEGALLY: GOOD SAMARITAN SOCIETY-PRESCOTT 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: OTC4571, NAME: SELECT PHYSICAL THERAPY NORTH 7TH STREET, LEGALLY: SELECT PHYSICAL THERAPY NORTH 7TH STREET, 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: OTC4569, NAME: SELECT PHYSICAL THERAPY-PHOENIX (036573), LEGALLY: SELECT PHYSICAL THERAPY-PHOENIX, 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: (480) 892-0403, 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, LEGALLY: PHYSIOTHERAPY ASSOCIATES - TEMPE, ADDRESS: 1025 EAST BROADWAY 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 S 20TH AVENUE, 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) 806-0071, FAX: (520) 806-0978, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED0550, LICENSE: OTC0650, NAME: CIGNA TEMPE HEALTHCARE CENTER, LEGALLY: CIGNA TEMPE HEALTHCARE CENTER, ADDRESS: 433 WEST BROADWAY ROAD, CITY: TEMPE, STATE: AZ, ZIP: 85282, PHONE: (602) 861-6330, FAX: (602) 861-6331, 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: OTC4568, 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 OFF (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: 85128, PHONE: (520) 723-4151, FAX: (520) 723-7555, CAPACITY: 0, COUNTY: PINAL TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED0795, LICENSE: OTC0628, NAME: CIGNA POINTE HEALTH CARE CENTER, LEGALLY: CIGNA POINTE HEALTH CARE CENTER, 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: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED0518, LICENSE: OTC0592, NAME: BMA ARCADIA DIALYSIS, LEGALLY: BMA ARCADIA DIALSIS, 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: , 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 STREET, 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 120, CITY: TUCSON, STATE: AZ, ZIP: 85705, 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 EAST 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: 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: OTC4527, NAME: CIGNA PARADISE VALLEY HEALTHCARE, LEGALLY: CIGNA PARADISE VALLEY HEALTHCARE CENTER, ADDRESS: 3805 EAST BELL ROAD, SUITE 2100, CITY: PHOENIX, STATE: AZ, ZIP: 85032, PHONE: (602) 861-6330, FAX: (602) 861-6331, 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, 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: MED1582, LICENSE: OTC1862, NAME: GOOD SAMARITAN SOCIETY - PRESCOTT VALLEY, LEGALLY: GOOD SAMARITAN SOICIETY - PRESCOTT VALLEY, ADDRESS: 3380 NORTH WINDSONG DRIVE, 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) 246-5853, FAX: (602) 246-5852, 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 WEST, INC.-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: 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) 722-6937, CAPACITY: 0, COUNTY: PIMA 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 BOULEVARD, CITY: LAKE HAVASU CITY, STATE: AZ, ZIP: 86403, PHONE: (928) 680-4748, FAX: (928) 680-4150, 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) 243-1746, FAX: (602) 276-4427, 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 WEST 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 NORTH STONE AVENUE, 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) 532-1000, 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 SOUTH PONDEROSA DRIVE, 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: HOSPICE COMPASSUS-PAYSON, LEGALLY: RTA HOSPICE INC, 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: OTC4456, NAME: BANNER HEALTH CENTER AT PAYSON, LEGALLY: BANNER HEALTH CENTER AT PAYSON, ADDRESS: 117 EAST MAIN STREET, 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: OTC4566, 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 HOSPICE, LEGALLY: SOUTHERN UTAH 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) 432-9480, 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 AVENUE, 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 SOUTHERN ARIZONA,, LEGALLY: CATHOLIC COMMUNITY SERVICES IN SOUTHERN ARIZONA, ADDRESS: 19 HOWELL AVENUE, CITY: BISBEE, STATE: AZ, ZIP: 85603, PHONE: (520) 432-2283, 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: 5210 EAST WILLIAMS CIRCLE, SUITE 300, CITY: TUCSON, STATE: AZ, ZIP: 85711, PHONE: (520) 577-0270, FAX: (520) 577-0450, CAPACITY: 0, COUNTY: PIMA 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: FRESENENIUS MEDICAL CARE-THUNDERBIRD, LEGALLY: RENAL CARE GROUP ARIZONA, LLC, 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) 407-5500, 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: 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) 798-0309, 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) 759-2200, 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 (031531), 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 (031531), 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: 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 SURGERY CENTER- YUMA, LEGALLY: BARNET DULANEY SURGERY CENTER- YUMA, 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 AVENUE, CITY: GLENDALE, STATE: AZ, ZIP: 85302, PHONE: (623) 934-0272, FAX: (623) 930-1891, CAPACITY: 0, COUNTY: MARICOPA 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 SURGERY CENTER- SAFFORD, LEGALLY: BARNET DULANEY SURGERY 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) 432-6432, FAX: (520) 432-8092, CAPACITY: 0, COUNTY: COCHISE TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: AZ037020, LICENSE: HHA0157, NAME: HOSPICE OF THE VALLEY HOME HEALTH AGENCY, LEGALLY: HOSPICE OF THE VALLEY HOME HEALTH AGENCY, ADDRESS: 1510 EAST FLOWER, CITY: PHOENIX, STATE: AZ, ZIP: 85014, PHONE: (602) 530-6900, FAX: (602) 530-6904, CAPACITY: 0, COUNTY: MARICOPA TYPE: OUTPATIENT PHYSICAL THERAPY/SPEECH PATHOLOGY SERVICES, SUBTYPE: MEDICARE, ID: MED0133, LICENSE: OTC4607, NAME: SELECT PHYSICAL THERAPY-TEMPE, LEGALLY: SELECT PHYSICAL THERAPY TEMPE, ADDRESS: 1492 SOUTH MILL AVENUE, SUITE 211, CITY: TEMPE, STATE: AZ, ZIP: 85281, PHONE: (480) 730-8033, FAX: (480) 730-1102, CAPACITY: 0, COUNTY: MARICOPA TYPE: OUTPATIENT PHYSICAL THERAPY/SPEECH PATHOLOGY SERVICES, SUBTYPE: MEDICARE, ID: MED0769, LICENSE: OTC4564, NAME: SELECT PHYSICAL THERAPY-PHOENIX III 036560, LEGALLY: SELECT PHYSICAL THERAPY-PHOENIX III, ADDRESS: 2620 NORTH 3RD STREET, SUITE 101, CITY: PHOENIX, STATE: AZ, ZIP: 85004, PHONE: (602) 277-0084, FAX: (602) 277-0885, CAPACITY: 0, COUNTY: MARICOPA TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED1711, LICENSE: NONE, NAME: CHINLE DIALYSIS FACILITY, LEGALLY: CHINLE DIALYSIS FACILITY, ADDRESS: HIGHWAY 191, CITY: CHINLE, STATE: AZ, ZIP: 86503, PHONE: (928) 674-3674, FAX: (928) 674-3674, CAPACITY: 0, COUNTY: APACHE TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED1712, LICENSE: NONE, NAME: SELLS DIALYSIS, LEGALLY: SELLS DIALYSIS, ADDRESS: INDIAN HEALTH SERVICES HOSPITAL HIGHWAY 86, CITY: SELLS, STATE: AZ, ZIP: 85634, PHONE: (520) 383-7615, FAX: (520) 383-3667, CAPACITY: 0, COUNTY: PIMA TYPE: RURAL HEALTH CLINICS, SUBTYPE: MEDICARE, ID: MED1715, LICENSE: NONE, NAME: GREASEWOOD CLINIC, LEGALLY: GREASEWOOD CLINIC, ADDRESS: PO BOX 457, HIGHWAY 264, CITY: GANADO, STATE: AZ, ZIP: 86505, PHONE: (928) 654-3208, FAX: (928) 755-4831, CAPACITY: 0, COUNTY: APACHE TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED0837, LICENSE: NONE, NAME: FOOTCARE SURGICENTER, LEGALLY: FOOTCARE SURGICENTER, ADDRESS: 10249 WEST THUNDERBIRD BLVD STE 100, CITY: SUN CITY, STATE: AZ, ZIP: 85351, PHONE: (680) 979-4466, FAX: , CAPACITY: 0, COUNTY: MARICOPA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED0838, LICENSE: NONE, NAME: HAVASU FOOT & ANKLE SURGI-CTR, LEGALLY: HAVASU FOOT & ANKLE SURGI-CENTER, ADDRESS: 90 RIVIERA DRIVE, CITY: LAKE HAVASU CITY, STATE: AZ, ZIP: 86403, PHONE: (928) 855-7800, FAX: (928) 855-5392, CAPACITY: 0, COUNTY: MOHAVE TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED1532, LICENSE: NONE, NAME: COCHISE EYE AND LASER, LEGALLY: COCHISE EYE AND LASER, ADDRESS: 2445 EAST WILLCOX DRIVE, CITY: SIERRA VISTA, STATE: AZ, ZIP: 85635, PHONE: (520) 458-8131, FAX: (520) 458-0422, CAPACITY: 0, COUNTY: COCHISE TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED0024, LICENSE: OTC0361, NAME: COCONINO COUNTY HEALTH DEPARTMENT, LEGALLY: COCONINO COUNTY HEALTH DEPARTMENT, ADDRESS: 2625 NORTH KING STREET, CITY: FLAGSTAFF, STATE: AZ, ZIP: 86004, PHONE: (928) 679-7222, FAX: (928) 679-7351, CAPACITY: 0, COUNTY: COCONINO TYPE: OUTPATIENT PHYSICAL THERAPY/SPEECH PATHOLOGY SERVICES, SUBTYPE: MEDICARE, ID: MED0049, LICENSE: OTC0268, NAME: CONCENTRA MEDICAL CENTER-WEST (URGENT CARE), LEGALLY: CONCENTRA MEDICAL CENTER-WEST, ADDRESS: 3532 WEST THOMAS ROAD, SUITE 5, CITY: PHOENIX, STATE: AZ, ZIP: 85019, PHONE: (602) 272-7662, FAX: (602) 269-2417, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2000, LICENSE: OTC2699, NAME: FOOTHILLS WALK-IN MEDICAL CARE (URGENT CARE CTR), LEGALLY: FOOTHILLS WALK-IN MEDICAL P.C., ADDRESS: 11274 SOUTH FORTUNA ROAD, SUITE I-4, CITY: YUMA, STATE: AZ, ZIP: 85367, PHONE: (928) 345-2150, FAX: (928) 345-2151, CAPACITY: 0, COUNTY: YUMA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED1913, LICENSE: , NAME: VALLEY VIEW MEDICAL COMPLEX, LEGALLY: VALLEY VIEW MEDICAL COMPLEX, ADDRESS: 5300 SOUTH HIGHWAY 95, SUITE J, CITY: FORT MOHAVE, STATE: AZ, ZIP: 86426, PHONE: (928) 788-7252, FAX: (760) 788-7828, CAPACITY: 0, COUNTY: MOHAVE TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED1961, LICENSE: NONE, NAME: HOPI DIALYSIS CENTER, LEGALLY: HOPI DIALYSIS CENTER, ADDRESS: HIGHWAY 264, MILE POST 388, CITY: POLACCA, STATE: AZ, ZIP: 86042, PHONE: (928) 737-5490, FAX: (928) 737-5497, CAPACITY: 0, COUNTY: NAVAJO TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED2043, LICENSE: OSC2913, NAME: DOCTORS SURGERY CENTER OF KINGMAN, LEGALLY: DOCTORS SURGERY CENTER OF KINGMAN, LLC, ADDRESS: 1740 SYCAMORE AVENUE, CITY: KINGMAN, STATE: AZ, ZIP: 86401, PHONE: (928) 681-4214, FAX: (928) 681-4226, CAPACITY: 0, COUNTY: MOHAVE TYPE: FEDERALLY QUALIFIED HEALTH CENTER, SUBTYPE: FEDERALLY QUALIFIED HEALTH CENTER, ID: MED2063, LICENSE: OTC4095, NAME: SAFFORD COMMUNITY HEALTH CENTER, LEGALLY: CANYONLANDS COMMUNITY HEALTH CARE, ADDRESS: 618 SOUTH CENTRAL AVENUE, CITY: SAFFORD, STATE: AZ, ZIP: 85546, PHONE: (928) 428-1500, FAX: (928) 428-1555, CAPACITY: 0, COUNTY: GRAHAM TYPE: OUTPATIENT PHYSICAL THERAPY/SPEECH PATHOLOGY SERVICES, SUBTYPE: MEDICARE, ID: MED2076, LICENSE: OTC3001, NAME: PHYSIOTHERAPY ASSOCIATES, INC-CHANDLER, LEGALLY: PHYSIOTHERAPY ASSOCIATES, INC.-CHANDLER, ADDRESS: 655 SOUTH DOBSON ROAD, SUITE B-111, CITY: CHANDLER, STATE: AZ, ZIP: 85224, PHONE: (480) 314-1553, FAX: (480) 314-5795, CAPACITY: 0, COUNTY: MARICOPA TYPE: FEDERALLY QUALIFIED HEALTH CENTER, SUBTYPE: FEDERALLY QUALIFIED HEALTH CENTER, ID: MED0036, LICENSE: OTC0618, NAME: TIDWELL FAMILY CARE CENTER (URGENT CARE CENTER), LEGALLY: TIDWELL FAMILY CARE CENTER, ADDRESS: 16560 NORTH DYSART ROAD, CITY: SURPRISE, STATE: AZ, ZIP: 85374, PHONE: (623) 546-2294, FAX: (623) 546-3514, CAPACITY: 0, COUNTY: MARICOPA TYPE: OUTPATIENT PHYSICAL THERAPY/SPEECH PATHOLOGY SERVICES, SUBTYPE: MEDICARE, ID: MED0048, LICENSE: OTC0202, NAME: CONCENTRA MEDICAL CENTER-TEMPE (URGENT CARE), LEGALLY: CONCENTRA MEDICAL CENTER-TEMPE, ADDRESS: 950 WEST SOUTHERN AVENUE, CITY: TEMPE, STATE: AZ, ZIP: 85282, PHONE: (480) 968-7200, FAX: (480) 968-5100, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED0080, LICENSE: OTC0295, NAME: CONCENTRA MEDICAL CENTERS-SOUTH (URGENT CARE), LEGALLY: CONCENTRA MEDICAL CENTERS-SOUTH, ADDRESS: 4600 SOUTH PARK AVENUE, SUITE 5 & 6, CITY: TUCSON, STATE: AZ, ZIP: 85714, PHONE: (520) 889-9574, FAX: (520) 889-5072, CAPACITY: 0, COUNTY: PIMA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED0106, LICENSE: , NAME: CHANDLER FAMILY HEALTH CENTER, LEGALLY: CHANDLER FAMILY HEALTH CENTER, ADDRESS: 811 SOUTH HAMILTON, CITY: CHANDLER, STATE: AZ, ZIP: 85225, PHONE: (480) 344-6100, FAX: (480) 344-6101, CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED0107, LICENSE: , NAME: EL MIRAGE FAMILY HEALTH CENTER, LEGALLY: EL MIRAGE FAMILY HEALTH CENTER, ADDRESS: 12428 WEST THUNDERBIRD ROAD, CITY: EL MIRAGE, STATE: AZ, ZIP: 85335, PHONE: (623) 344-6500, FAX: (623) 344-6850, CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED0109, LICENSE: , NAME: GUADALUPE FAMILY HEALTH CENTER, LEGALLY: GUADALUPE FAMILY HEALTH CENTER, ADDRESS: 5825 EAST CALLE GUADALUPE ROAD, CITY: GUADALUPE, STATE: AZ, ZIP: 85283, PHONE: (480) 344-6000, FAX: (602) 344-0937, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED0321, LICENSE: OTC0498, NAME: CHILDREN'S CLINIC FOR REHABILITATIVE SERVICES, LEGALLY: CHILDREN'S CLINIC FOR REHABILITATIVE SERVICES, ADDRESS: 2600 NORTH WYATT DRIVE, CITY: TUCSON, STATE: AZ, ZIP: 85712, PHONE: (520) 324-5437, FAX: (520) 324-3129, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED0329, LICENSE: OTC0442, NAME: GREENLEE COUNTY HEALTH DEPARTMENT-DUNCAN ANNEX, LEGALLY: GREENLEE COUNTY HEALTH DEPARTMENT/DUNCAN ANNEX, ADDRESS: 1684 FAIRGOUNDS ROAD, CITY: DUNCAN, STATE: AZ, ZIP: 85534, PHONE: (928) 359-2866, FAX: (928) 359-9068, CAPACITY: 0, COUNTY: GREENLEE TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED0333, LICENSE: OTC3925, NAME: CONCENTRA MED CTR-AIRPORT SKY HARBOR (URGENT CARE), LEGALLY: CONCENTRA MEDICAL CENTERS AIRPORT, ADDRESS: 1818 EAST SKY HARBOR CIRCLE N, BLDG 2, SUITE 150, CITY: PHOENIX, STATE: AZ, ZIP: 85034, PHONE: (602) 244-9500, FAX: (602) 244-9543, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED0401, LICENSE: OTC0472, NAME: CONCENTRA MEDICAL CENTER-METRO (URGENT CARE), LEGALLY: CONCENTRA MEDICAL CENTER - METRO, ADDRESS: 12808 NORTH BLACK CANYON HIGHWAY, CITY: PHOENIX, STATE: AZ, ZIP: 85029, PHONE: (602) 375-1155, FAX: (602) 866-9169, CAPACITY: 0, COUNTY: MARICOPA TYPE: OUTPATIENT PHYSICAL THERAPY/SPEECH PATHOLOGY SERVICES, SUBTYPE: MEDICARE, ID: MED0493, LICENSE: OTC0557, NAME: CONCENTRA MEDICAL CENTER - SOUTHWEST (URGENT CARE), LEGALLY: CONCENTRA MEDICAL CENTER - SOUTHWEST, ADDRESS: 5340 WEST BUCKEYE ROAD, SUITE 3, CITY: PHOENIX, STATE: AZ, ZIP: 85043, PHONE: (602) 233-2117, FAX: (602) 484-7930, CAPACITY: 0, COUNTY: MARICOPA TYPE: OUTPATIENT PHYSICAL THERAPY/SPEECH PATHOLOGY SERVICES, SUBTYPE: MEDICARE, ID: MED0665, LICENSE: OTC4155, NAME: SELECT PHYSICAL THERAPY ORACLE, LEGALLY: SELECT PHYSICAL THERAPY ORACLE, ADDRESS: 7400 NORTH ORACLE ROAD, SUITE 142, CITY: TUCSON, STATE: AZ, ZIP: 85704, PHONE: (520) 742-4822, FAX: (520) 742-6711, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED0675, LICENSE: OTC0788, NAME: EL RIO SOUTHWEST HEALTH CENTER, LEGALLY: EL RIO SOUTHWEST HEALTH CENTER, ADDRESS: 1500 WEST COMMERCE COURT, CITY: TUCSON, STATE: AZ, ZIP: 85746, PHONE: (520) 746-8888, FAX: (520) 205-4940, CAPACITY: 0, COUNTY: PIMA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED0721, LICENSE: , NAME: CARONDELET ST MARY'S IMAGING CENTER, LEGALLY: CARONDELET ST. MARY'S IMAGING CENTER, ADDRESS: 1750 WEST ANKLAM ROAD, CITY: TUCSON, STATE: AZ, ZIP: 85745, PHONE: (520) 622-3320, FAX: (520) 873-3921, CAPACITY: 0, COUNTY: PIMA TYPE: OUTPATIENT PHYSICAL THERAPY/SPEECH PATHOLOGY SERVICES, SUBTYPE: MEDICARE, ID: MED0765, LICENSE: OTC4563, NAME: SELECT PHYSICAL THERAPY-GLENDALE (036560), LEGALLY: SELECT PHYSICAL THERAPY-GLENDALE, ADDRESS: 4344 WEST BELL ROAD, SUITE 100, CITY: GLENDALE, STATE: AZ, ZIP: 85308, PHONE: (602) 548-9882, FAX: (602) 548-0228, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED1275, LICENSE: OTC1290, NAME: EXPRESSCARE (URGENT CARE CENTER), LEGALLY: EXPRESSCARE, ADDRESS: 2034 SOUTH ALMA SCHOOL ROAD, CITY: MESA, STATE: AZ, ZIP: 85210, PHONE: (480) 831-0150, FAX: (480) 839-3492, CAPACITY: 0, COUNTY: MARICOPA TYPE: OUTPATIENT PHYSICAL THERAPY/SPEECH PATHOLOGY SERVICES, SUBTYPE: MEDICARE, ID: MED1330, LICENSE: OTC0919, NAME: CONCENTRA MEDICAL CENTER-MESA (URGENT CARE CENTER), LEGALLY: CONCENTRA MEDICAL CENTER-MESA, ADDRESS: 1710 WEST SOUTHERN, SUITE B1, B2 & B3, CITY: MESA, STATE: AZ, ZIP: 85202, PHONE: (480) 644-7900, FAX: (480) 644-7800, CAPACITY: 0, COUNTY: MARICOPA TYPE: OUTPATIENT PHYSICAL THERAPY/SPEECH PATHOLOGY SERVICES, SUBTYPE: MEDICARE, ID: MED1378, LICENSE: OTC3681, NAME: CONCENTRA MEDICAL CENTERS - MIDTOWN (URGENT CARE), LEGALLY: CONCENTRA MEDICAL CENTERS-MIDTOWN, ADDRESS: 901 EAST JEFFERSON STREET, SUITE 2, CITY: PHOENIX, STATE: AZ, ZIP: 85034, PHONE: (602) 261-7888, FAX: (602) 261-7889, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED1421, LICENSE: OTC1601, NAME: CORDOVA SCHOOL CLINIC (SCHOOL BASED CLINIC), LEGALLY: CORDOVA SCHOOL BASED HEALTH CLINIC, ADDRESS: 5631 NORTH 35TH AVENUE, HEALTH OFFICE, CITY: PHOENIX, STATE: AZ, ZIP: 85017, PHONE: (602) 246-5853, FAX: (602) 246-5825, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED1759, LICENSE: OTC2207, NAME: CONCENTRA MEDICAL CENTER - FLAGSTAFF (URGENT CARE), LEGALLY: CONCENTRA MEDICAL CENTER-FLAGSTAFF, ADDRESS: 120 WEST FINE STREET, CITY: FLAGSTAFF, STATE: AZ, ZIP: 86001, PHONE: (928) 773-9695, FAX: (928) 773-0208, CAPACITY: 0, COUNTY: COCONINO TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED1762, LICENSE: OTC2401, NAME: FMC DIALYSIS SERVICES PALM VALLEY, LEGALLY: FMC DIALYSIS SERVICES PALM VALLEY, ADDRESS: 13657 WEST MCDOWELL ROAD, SUITE 106, CITY: GOODYEAR, STATE: AZ, ZIP: 85338, PHONE: (623) 536-1096, FAX: (623) 536-1143, CAPACITY: 0, COUNTY: MARICOPA TYPE: COMPREHENSIVE OUTPATIENT REHABILITATION FACILITIES, SUBTYPE: MEDICARE, ID: MED1876, LICENSE: OTC4033, NAME: VITAL CARE REHABILITATION, LEGALLY: VITAL CARE REHABILITATION, ADDRESS: 19082 R H JOHNSON BOULEVARD, CITY: SUN CITY WEST, STATE: AZ, ZIP: 85375, PHONE: (623) 544-0300, FAX: (623) 544-0239, CAPACITY: 0, COUNTY: MARICOPA TYPE: OUTPATIENT PHYSICAL THERAPY/SPEECH PATHOLOGY SERVICES, SUBTYPE: MEDICARE, ID: MED1911, LICENSE: OTC4570, NAME: SELECT PHYSICAL THERAPY-PEORIA (036560), LEGALLY: SELECT PHYSICAL THERAPY-PEORIA, ADDRESS: 9401 WEST THUNDERBIRD, SUITE 190, CITY: PEORIA, STATE: AZ, ZIP: 85381, PHONE: (623) 977-5451, FAX: (623) 977-6457, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: AZ037016, LICENSE: HHA0018, NAME: INTERIM HEALTHCARE, LEGALLY: INTERIM HEALTHCARE, ADDRESS: 5055 EAST BROADWAY, SUITE D-104, CITY: TUCSON, STATE: AZ, ZIP: 85711, PHONE: (520) 747-1800, FAX: (520) 747-0138, CAPACITY: 0, COUNTY: PIMA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: AZ037130, LICENSE: HHA0193, NAME: NURSEFINDERS OF TUCSON, LEGALLY: NURSEFINDERS OF TUCSON, ADDRESS: 5700 EAST PIMA STREET, SUITE C, CITY: TUCSON, STATE: AZ, ZIP: 85712, PHONE: (520) 296-2311, FAX: (520) 323-1107, CAPACITY: 0, COUNTY: PIMA TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED1816, LICENSE: OTC2527, NAME: KINGMAN KIDNEY CLINIC, LEGALLY: KINGMAN KIDNEY CLINIC, INC, ADDRESS: 4055 STOCKTON HILL ROAD, CITY: KINGMAN, STATE: AZ, ZIP: 86401, PHONE: (928) 692-6500, FAX: (928) 692-6555, CAPACITY: 0, COUNTY: MOHAVE TYPE: PORTABLE X-RAY SUPPLIERS, SUBTYPE: MEDICARE, ID: MED0851, LICENSE: NONE, NAME: PACIFIC MOBILE DIAGNOSTICS, LEGALLY: PACIFIC MOBILE DIAGNOSTICS, ADDRESS: 4620 EAST ELWOOD, SUITE 12, CITY: PHOENIX, STATE: AZ, ZIP: 85040, PHONE: (602) 249-4790, FAX: (480) 829-3875, CAPACITY: 0, COUNTY: MARICOPA TYPE: PORTABLE X-RAY SUPPLIERS, SUBTYPE: MEDICARE, ID: MED1663, LICENSE: NONE, NAME: KACHINA MOBILE XRAY SERVICES, LEGALLY: KACHINA MOBILE X-RAY SERVICES, ADDRESS: 2451 AVE A, SUITE 9, CITY: YUMA, STATE: AZ, ZIP: 85364, PHONE: (520) 344-1200, FAX: (928) 755-4831, CAPACITY: 0, COUNTY: YUMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED0540, LICENSE: OTC3939, NAME: PAYSON CARE CENTER OUTPATIENT REHABILITATION, LEGALLY: PAYSON CARE CENTER OUTPATIENT REHABILITATION, ADDRESS: 107 EAST LONE PINE DRIVE, CITY: PAYSON, STATE: AZ, ZIP: 85541, PHONE: (928) 474-6896, FAX: (928) 474-6997, CAPACITY: 0, COUNTY: GILA TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED1720, LICENSE: NONE, NAME: KAYENTA DIALYSIS FACILITY, LEGALLY: KAYENTA DIALYSIS FACILITY, ADDRESS: HIGHWAY 163, CITY: KAYENTA, STATE: AZ, ZIP: 86033, PHONE: (928) 697-8193, FAX: (928) 697-8195, CAPACITY: 0, COUNTY: NAVAJO TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED1721, LICENSE: NONE, NAME: BMA PARKER DIALYSIS CENTER, LEGALLY: PARKER DIALYSIS CENTER, ADDRESS: ROUTE 1 AGENCY ROAD, CITY: PARKER, STATE: AZ, ZIP: 85344, PHONE: (928) 669-9838, FAX: (928) 758-7470, CAPACITY: 0, COUNTY: LA PAZ TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED0485, LICENSE: OSC0070, NAME: MAYO CLINIC AMBULATORY SURGERY CENTER, LEGALLY: MAYO CLINIC AMBULATORY SURGERY CENTER, 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: MED1262, LICENSE: NONE, NAME: MOHAVE GASTROENTEROLOGY, LEGALLY: MOHAVE GASTROENTEROLOGY, ADDRESS: 3003 HIGHWAY 95 SUITE 63, CITY: BULLHEAD CITY, STATE: AZ, ZIP: 86442, PHONE: (928) 763-2500, FAX: (928) 763-0027, CAPACITY: 0, COUNTY: MOHAVE TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED1293, LICENSE: NONE, NAME: NAES SURGERY CENTER, LEGALLY: NAES SURGERY CENTER, ADDRESS: 900 NORTH SAN FRANCISCO SUITE 5, CITY: FLAGSTAFF, STATE: AZ, ZIP: 86001, PHONE: (928) 779-7000, FAX: (928) 779-0130, CAPACITY: 0, COUNTY: COCONINO TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED1332, LICENSE: NONE, NAME: PRESCOTT EYE CARE AND SURGERY, LEGALLY: PRESCOTT EYE CARE & SURGERY, ADDRESS: 831 GAIL GERDNER WAY, CITY: PRESCOTT, STATE: AZ, ZIP: 86301, PHONE: (928) 445-9200, FAX: (928) 771-8107, CAPACITY: 0, COUNTY: YAVAPAI TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED0570, LICENSE: OTC0678, NAME: PLANNED PARENTHOOD - CHANDLER, LEGALLY: PLANNED PARENTHOOD - CHANDLER, ADDRESS: 610 NORTH ALMA SCHOOL ROAD, SUITE 48, CITY: CHANDLER, STATE: AZ, ZIP: 85224, PHONE: (480) 814-1479, FAX: (480) 814-1095, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED1790, LICENSE: OTC2828, NAME: MOUNTAIN VIEW REHAB CENTER, LEGALLY: MOUNTAIN VIEW REHABILITATION CENTER, ADDRESS: 1313 WEST MAGEE ROAD, CITY: TUCSON, STATE: AZ, ZIP: 85704, PHONE: (520) 797-2600, FAX: (520) 797-3100, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2054, LICENSE: OTC2862, NAME: LOWELL ELEMENTARY SCHOOL BASED HEALTH CENTER, LEGALLY: LOWELL ELEMENTARY SCHOOL BASED HEALTH CENTER, ADDRESS: 1121 SOUTH 3RD AVENUE, NURSE'S OFFICE, CITY: PHOENIX, STATE: AZ, ZIP: 85003, PHONE: (602) 257-3902, FAX: (602) 246-5825, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2039, LICENSE: OTC2880, NAME: DYNAMITE CREEK MEDICAL CENTER, LEGALLY: DYNAMITE CREEK MEDICAL CENTER, ADDRESS: 4712 EAST DYNAMITE BOULEVARD, CITY: CAVE CREEK, STATE: AZ, ZIP: 85331, PHONE: (480) 342-8711, FAX: (602) 342-7077, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED1882, LICENSE: OTC2909, NAME: INSIGHT IMAGING-THOMAS MRI, LEGALLY: INSIGHT IMAGING-THOMAS MRI, ADDRESS: 2921 NORTH 18TH PLACE, CITY: PHOENIX, STATE: AZ, ZIP: 85016, PHONE: (602) 285-1522, FAX: (602) 241-0009, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED1881, LICENSE: OTC2910, NAME: INSIGHT IMAGING-THOMAS ROAD, LEGALLY: INSIGHT IMAGING-THOMAS ROAD, ADDRESS: 1848 EAST THOMAS ROAD, CITY: PHOENIX, STATE: AZ, ZIP: 85016, PHONE: (602) 285-1522, FAX: (623) 412-3450, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED1883, LICENSE: OTC2890, NAME: INSIGHT IMAGING-COUNTRY CLUB, LEGALLY: INSIGHT IMAGING-COUNTRY CLUB, ADDRESS: 1940 SOUTH COUNTRY CLUB DRIVE- SUITE 101, CITY: MESA, STATE: AZ, ZIP: 85210, PHONE: (480) 730-5300, FAX: (480) 756-2440, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED1880, LICENSE: OTC4312, NAME: INSIGHT IMAGING-WEST THUNDERBIRD, LEGALLY: INSIGHT IMAGING-WEST THUNDERBIRD, ADDRESS: 9139 WEST THUNDERBIRD ROAD, SUITE 112, CITY: PEORIA, STATE: AZ, ZIP: 85381, PHONE: (623) 875-1637, FAX: (623) 875-1935, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED1879, LICENSE: OTC2976, NAME: INSIGHT IMAGING-CAMELBACK, LEGALLY: INSIGHT IMAGING-CAMELBACK, ADDRESS: 5040 NORTH 15TH AVENUE, SUITE 401, CITY: PHOENIX, STATE: AZ, ZIP: 85015, PHONE: (602) 274-9811, FAX: (602) 274-8148, CAPACITY: 0, COUNTY: MARICOPA TYPE: OUTPATIENT PHYSICAL THERAPY/SPEECH PATHOLOGY SERVICES, SUBTYPE: MEDICARE, ID: MED2025, LICENSE: OTC2985, NAME: PHYSIOTHERAPY ASSOCIATES-PARADISE VALLEY, LEGALLY: PHYSIOTHERAPY ASSOCIATES PARADISE VALLEY, ADDRESS: 4646 EAST GREENWAY ROAD, SUITE 110, CITY: PHOENIX, STATE: AZ, ZIP: 85032, PHONE: (602) 923-6750, FAX: (602) 923-6804, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: MED1751, LICENSE: HHA2914, NAME: NNI HOME CARE SERVICES (SUBUNIT), LEGALLY: NURSES NETWORK INCORPORATION HOME CARE SERVICE, ADDRESS: 624 NORTH HUMPHREYS, SUITE A, CITY: FLAGSTAFF, STATE: AZ, ZIP: 86001, PHONE: (928) 556-0755, FAX: (928) 556-0625, CAPACITY: 0, COUNTY: COCONINO TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED1853, LICENSE: , NAME: PHOENIX CHILDREN'S HOSP SCOTTSDALE SPECIALTY CARE, LEGALLY: PHOENIX CHILDREN'S HOSPITAL SCOTTSDALE SPECIALITY CARE CLINIC, ADDRESS: 10210 NORTH 92ND STREET SUITE 101, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85258, PHONE: (480) 314-1144, FAX: (602) 546-0392, CAPACITY: 0, COUNTY: MARICOPA TYPE: FEDERALLY QUALIFIED HEALTH CENTER, SUBTYPE: FEDERALLY QUALIFIED HEALTH CENTER, ID: MED0028, LICENSE: OTC0127, NAME: LAKE POWELL MEDICAL CENTER, LEGALLY: LAKE POWELL MEDICAL CENTER, ADDRESS: 467 VISTA AVENUE, CITY: PAGE, STATE: AZ, ZIP: 86040, PHONE: (928) 645-8123, FAX: (928) 645-3862, CAPACITY: 0, COUNTY: COCONINO TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED0055, LICENSE: OTC0195, NAME: PLANNED PARENTHOOD - NORTHEAST, LEGALLY: PLANNED PARENTHOOD - NORTHEAST CLINIC, ADDRESS: 3131 EAST THUNDERBIRD ROAD, SUITE 48, CITY: PHOENIX, STATE: AZ, ZIP: 85032, PHONE: (602) 996-1897, FAX: (602) 953-8052, CAPACITY: 0, COUNTY: MARICOPA TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED0066, LICENSE: OTC0110, NAME: PHOENIX ARTIFICIAL KIDNEY CENTER, LEGALLY: PHOENIX ARTIFICIAL KIDNEY CENTER, ADDRESS: 13090 NORTH 94TH DRIVE, SUITE 100, CITY: PEORIA, STATE: AZ, ZIP: 85381, PHONE: (623) 974-5851, FAX: (480) 897-6361, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED0094, LICENSE: OTC0230, NAME: PLANNED PARENTHOOD - PRESCOTT, LEGALLY: PLANNED PARENTHOOD - PRESCOTT, ADDRESS: 656 WEST GURLEY, CITY: PRESCOTT, STATE: AZ, ZIP: 86305, PHONE: (928) 776-0421, FAX: (928) 776-4145, CAPACITY: 0, COUNTY: YAVAPAI TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED0111, LICENSE: , NAME: MESA FAMILY HEALTH CENTER, LEGALLY: MESA FAMILY HEALTH CENTER, ADDRESS: 59 SOUTH HIBBERT, CITY: MESA, STATE: AZ, ZIP: 85210, PHONE: (480) 344-6200, FAX: (480) 344-6201, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED0138, LICENSE: OTC0397, NAME: PLANNED PARENTHOOD - SCOTTSDALE, LEGALLY: PLANNED PARENTHOOD - SCOTTSDALE, ADDRESS: 7901 EAST THOMAS ROAD, SUITE 106, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85251, PHONE: (480) 949-0049, FAX: (480) 429-2326, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED0319, LICENSE: OTC4144, NAME: PLANNED PARENTHOOD - TEMPE, LEGALLY: PLANNED PARENTHOOD - TEMPE, ADDRESS: 1250 EAST APACHE BOULEVARD, SUITE 108, CITY: TEMPE, STATE: AZ, ZIP: 85281, PHONE: (480) 966-4728, FAX: (480) 921-8712, CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED0376, LICENSE: , NAME: MCDOWELL HEALTH CARE CENTER, LEGALLY: MCDOWELL HEALTH CARE CENTER, ADDRESS: 1144 EAST MCDOWELL ROAD, SUITE 300, CITY: PHOENIX, STATE: AZ, ZIP: 85006, PHONE: (602) 344-6557, FAX: (602) 344-6551, CAPACITY: 0, COUNTY: MARICOPA TYPE: FEDERALLY QUALIFIED HEALTH CENTER, SUBTYPE: FEDERALLY QUALIFIED HEALTH CENTER, ID: MED0406, LICENSE: OTC4194, NAME: NATIVE AMERICAN COMMUNITY HEALTH CENTER, LEGALLY: NATIVE AMERICAN COMMUNITY HEALTH CENTER, ADDRESS: 4520 NORTH CENTRAL AVENUE, SUITE 350, CITY: PHOENIX, STATE: AZ, ZIP: 85012, PHONE: (602) 279-5262, FAX: (602) 270-5390, CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED0472, LICENSE: , NAME: MARYVALE FAMILY HEALTH CENTER, LEGALLY: MARYVALE FAMILY HEALTH CENTER, ADDRESS: 4011 NORTH 51ST AVENUE, CITY: PHOENIX, STATE: AZ, ZIP: 85031, PHONE: (623) 344-6900, FAX: (623) 344-6901, CAPACITY: 0, COUNTY: MARICOPA TYPE: OUTPATIENT PHYSICAL THERAPY/SPEECH PATHOLOGY SERVICES, SUBTYPE: MEDICARE, ID: MED0499, LICENSE: OTC3991, NAME: VIBRANTCARE OUTPATIENT REHABILITATION WEST INC, LEGALLY: VIBRANTCARE OUTPATIENT REHABILITATION WEST INC, ADDRESS: 6246 EAST PIMA STREET, SUITE 160, CITY: TUCSON, STATE: AZ, ZIP: 85712, PHONE: (520) 721-0319, FAX: (520) 733-5810, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED0602, LICENSE: OTC4106, NAME: NORTH PHOENIX FAMILY MEDICINE CENTER, LEGALLY: NORTH PHOENIX FAMILY MEDICINE CENTER, ADDRESS: 7725 NORTH 43RD AVENUE, SUITE 720, CITY: PHOENIX, STATE: AZ, ZIP: 85051, PHONE: (602) 995-4511, FAX: (602) 995-9040, CAPACITY: 0, COUNTY: MARICOPA TYPE: OUTPATIENT PHYSICAL THERAPY/SPEECH PATHOLOGY SERVICES, SUBTYPE: MEDICARE, ID: MED0639, LICENSE: OTC3772, NAME: VIBRANTCARE OUTPATIENT REHAB WEST (036548), LEGALLY: VIBRANTCARE OUTPATIENT REHABILITATION - TUCSON WEST, ADDRESS: 5669 NORTH ORACLE ROAD, SUITE 2202, CITY: TUCSON, STATE: AZ, ZIP: 85704, PHONE: (520) 888-1317, FAX: (520) 292-3158, CAPACITY: 0, COUNTY: PIMA TYPE: FEDERALLY QUALIFIED HEALTH CENTER, SUBTYPE: FEDERALLY QUALIFIED HEALTH CENTER, ID: MED0764, LICENSE: OTC4306, NAME: NORTH COUNTRY HEALTHCARE-FLAGSTAFF(URGENT CARE), LEGALLY: NORTH COUNTRY HEALTHCARE-FLAGSTAFF, ADDRESS: 2920 NORTH FOURTH STREET, CITY: FLAGSTAFF, STATE: AZ, ZIP: 86004, PHONE: (928) 213-6100, FAX: (928) 774-4808, CAPACITY: 0, COUNTY: COCONINO TYPE: RURAL HEALTH CLINICS, SUBTYPE: MEDICARE, ID: MED0774, LICENSE: OTC0810, NAME: LA PAZ MEDICAL SERVICES QUARTZSITE (URGENT CARE), LEGALLY: LA PAZ MEDICAL SERVICES QUARTZSITE, ADDRESS: 150 EAST TYSON ROAD, CITY: QUARTZSITE, STATE: AZ, ZIP: 85359, PHONE: (928) 927-8747, FAX: (928) 927-8748, CAPACITY: 0, COUNTY: LA PAZ TYPE: OUTPATIENT PHYSICAL THERAPY/SPEECH PATHOLOGY SERVICES, SUBTYPE: MEDICARE, ID: MED0792, LICENSE: OTC3869, NAME: PHYSIOTHERAPY ASSOCIATES-NORTH SCOTTSDALE, LEGALLY: PHYSIOTHERAPY ASSOCIATES-NORTH SCOTTSDALE, ADDRESS: 9917 NORTH 95TH STREET, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85258, PHONE: (480) 314-1553, FAX: (480) 314-5795, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED0796, LICENSE: OTC0815, NAME: POWELL WELLNESS CENTER (SCHOOL BASED CLINIC), LEGALLY: POWELL WELLNESS CENTER, ADDRESS: 855 WEST 8TH AVENUE, NURSE'S OFFICE, CITY: MESA, STATE: AZ, ZIP: 85210, PHONE: (480) 472-1070, FAX: (480) 461-2928, CAPACITY: 0, COUNTY: MARICOPA TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED0853, LICENSE: NONE, NAME: MARICOPA MEDICAL CENTER - ESRD, LEGALLY: MARICOPA MEDICAL CENTER - ESRD, ADDRESS: 2601 EAST ROOSEVELT, CITY: PHOENIX, STATE: AZ, ZIP: 85008, PHONE: (602) 344-1601, FAX: (602) 344-1604, CAPACITY: 0, COUNTY: MARICOPA TYPE: OUTPATIENT PHYSICAL THERAPY/SPEECH PATHOLOGY SERVICES, SUBTYPE: MEDICARE, ID: MED1107, LICENSE: OTC3914, NAME: PHYSIOTHERAPY ASSOCIATES-SCOTTSDALE, LEGALLY: PHYSIOTHERAPY ASSOCIATES - SCOTTSDALE, ADDRESS: 5111 NORTH SCOTTSDALE ROAD, SUITE 100, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85250, PHONE: (480) 990-1379, FAX: (480) 423-8458, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED1184, LICENSE: OTC4629, NAME: DESERT MISSION, INC DBA COMMUNITY HEALTH CENTER, LEGALLY: DESERT MISSION, INC DBA COMMUNITY HEALTH CENTER, ADDRESS: 9201 NORTH 5TH STREET, CITY: PHOENIX, STATE: AZ, ZIP: 85020, PHONE: (602) 870-6060, FAX: (602) 331-5819, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED1220, LICENSE: OTC1138, NAME: NOAH PALOMINO SCHOOL CLINIC (SCHOOL BASED CLINIC), LEGALLY: NOAH PALOMINO SCHOOL CLINIC, ADDRESS: 15833 NORTH 29TH STREET, ROOM 121, CITY: PHOENIX, STATE: AZ, ZIP: 85032, PHONE: (602) 449-2811, FAX: (602) 449-2812, CAPACITY: 0, COUNTY: MARICOPA TYPE: FEDERALLY QUALIFIED HEALTH CENTER, SUBTYPE: FEDERALLY QUALIFIED HEALTH CENTER, ID: MED1271, LICENSE: OTC1363, NAME: NORTH COUNTRY HEALTHCARE-ASHFORK, LEGALLY: NORTH COUNTRY HEALTHCARE-ASHFORK, ADDRESS: 112 PARK AVENUE, CITY: ASH FORK, STATE: AZ, ZIP: 86320, PHONE: (928) 637-2305, FAX: (928) 637-2343, CAPACITY: 0, COUNTY: YAVAPAI TYPE: FEDERALLY QUALIFIED HEALTH CENTER, SUBTYPE: FEDERALLY QUALIFIED HEALTH CENTER, ID: MED1279, LICENSE: OTC3797, NAME: NORTH COUNTRY HEALTHCARE-SELIGMAN, LEGALLY: NORTH COUNTRY HEALTHCARE-SELIGMAN, ADDRESS: 22585 WEST OAK STREET, CITY: SELIGMAN, STATE: AZ, ZIP: 86337, PHONE: (928) 422-4017, FAX: (928) 422-4018, CAPACITY: 0, COUNTY: YAVAPAI TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED1483, LICENSE: OTC1611, NAME: MELVIN E. SINE ELEMENTARY SCHOOL (SCHOOL BASED), LEGALLY: MELVIN E. SINE ELEMENTARY SCHOOL, ADDRESS: 4932 WEST MYRTLE AVENUE, NURSES OFFICE, CITY: GLENDALE, STATE: AZ, ZIP: 85301, PHONE: (623) 842-8240, FAX: (623) 237-4415, CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED1668, LICENSE: , NAME: NORTHWEST MEDICAL CENTER-URGENT, LEGALLY: NORTHWEST MEDICAL CENTER-URGENT CARE, INA/SHANNON CAMPUS, ADDRESS: 2945 WEST INA ROAD, CITY: TUCSON, STATE: AZ, ZIP: 85741, PHONE: (520) 742-9000, FAX: (520) 469-8101, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED1734, LICENSE: OTC2261, NAME: JCL PINNACLE RADIOLOGY-TATUM, LEGALLY: JOHN C LINCOLN, DBA PINNACLE RADIOLOGY TATUM, ADDRESS: 18404 NORTH TATUM BOULEVARD, SUITE103, CITY: PHOENIX, STATE: AZ, ZIP: 85032, PHONE: (602) 485-7482, FAX: (623) 485-7497, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED1803, LICENSE: OTC3624, NAME: NOAH PAIUTE NEIGHBORHOOD CENTER (SCHOOL BASED), LEGALLY: NOAH PAIUTE NEIGHBORHOOD CENTER, ADDRESS: 6535 EAST OSBORN ROAD, BUILDING 8, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85251, PHONE: (480) 312-0007, FAX: (480) 949-0570, CAPACITY: 0, COUNTY: MARICOPA TYPE: OUTPATIENT PHYSICAL THERAPY/SPEECH PATHOLOGY SERVICES, SUBTYPE: MEDICARE, ID: MED1806, LICENSE: OTC3787, NAME: VIBRANTCARE OUTPATIENT REHAB-DEER VALLEY (036541), LEGALLY: VIBRANTCARE OUTPATIENT REHAB-DEER VALLEY, ADDRESS: 2730 WEST AGUA FRIA FREEWAY, SUITE 202, CITY: PHOENIX, STATE: AZ, ZIP: 85027, PHONE: (623) 434-0778, FAX: (623) 434-0779, CAPACITY: 0, COUNTY: MARICOPA TYPE: OUTPATIENT PHYSICAL THERAPY/SPEECH PATHOLOGY SERVICES, SUBTYPE: MEDICARE, ID: MED1856, LICENSE: OTC4520, NAME: VIBRANTCARE OUTPATIENT REHAB-PEORIA (036541), LEGALLY: VIBRANTCARE OUTPATIENT REHAB-PEORIA, ADDRESS: 9139 WEST THUNDERBIRD ROAD, SUITE 225, CITY: PEORIA, STATE: AZ, ZIP: 85381, PHONE: (623) 972-1575, FAX: (623) 972-0914, CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED1966, LICENSE: , NAME: AVONDALE FAMILY HEALTH CENTER, LEGALLY: AVONDALE FAMILY HEALTH CENTER, ADDRESS: 950 EAST VAN BUREN, CITY: AVONDALE, STATE: AZ, ZIP: 85323, PHONE: (623) 344-6800, FAX: (623) 344-6801, CAPACITY: 0, COUNTY: MARICOPA TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED0040, LICENSE: OTC4192, NAME: RENAL CARE GROUP-EAST VALLEY DIALYSIS, LEGALLY: RENAL CARE GROUP - EAST VALLEY DIALYSIS, ADDRESS: 135 SOUTH POWER ROAD, SUITE 103, CITY: MESA, STATE: AZ, ZIP: 85206, PHONE: (480) 985-4911, FAX: (480) 832-1609, CAPACITY: 0, COUNTY: MARICOPA TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED0063, LICENSE: OTC0184, NAME: BMA SOUTH PHOENIX, LEGALLY: BMA SOUTH PHOENIX, ADDRESS: 1021 SOUTH 7TH AVENUE, SUITE 108, CITY: PHOENIX, STATE: AZ, ZIP: 85007, PHONE: (602) 253-1954, FAX: (602) 253-1958, CAPACITY: 0, COUNTY: MARICOPA TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED0139, LICENSE: OTC3997, NAME: NRI-PRESCOTT, LEGALLY: NRI-PRESCOTT, ADDRESS: 980 WILLOW CREEK ROAD, SUITE 101, CITY: PRESCOTT, STATE: AZ, ZIP: 86301, PHONE: (928) 776-9459, FAX: (928) 776-8061, CAPACITY: 0, COUNTY: YAVAPAI TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED0432, LICENSE: OTC3900, NAME: RENAL CARE GROUP-HOME DIALYSIS OF MESA, LEGALLY: RENAL CARE GROUP-HOME DIALYSIS OF MESA, ADDRESS: 1337 SOUTH GILBERT ROAD, SUITE 106, CITY: MESA, STATE: AZ, ZIP: 85204, PHONE: (480) 926-9222, FAX: (480) 926-9520, CAPACITY: 0, COUNTY: MARICOPA TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED0519, LICENSE: OTC0603, NAME: SOUTH MOUNTAIN DIALYSIS, LEGALLY: SOUTH MOUNTAIN DIALYSIS, ADDRESS: 26 EAST BASELINE ROAD, SUITE 142, CITY: PHOENIX, STATE: AZ, ZIP: 85040, PHONE: (602) 268-8158, FAX: (602) 268-8312, CAPACITY: 0, COUNTY: MARICOPA TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED0593, LICENSE: OTC3996, NAME: NRI-MESA, LEGALLY: NRI-MESA, ADDRESS: 1337 SOUTH GILBERT ROAD, SUITE 109, CITY: MESA, STATE: AZ, ZIP: 85204, PHONE: (480) 926-1906, FAX: (480) 926-1909, CAPACITY: 0, COUNTY: MARICOPA TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED0802, LICENSE: OTC4044, NAME: RENAL CARE GROUP-SCOTTSDALE, LEGALLY: RENAL CARE GROUP - SCOTTSDALE, ADDRESS: 1495 NORTH HAYDEN, SUITE D1-D4, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85257, PHONE: (480) 949-7844, FAX: (480) 949-8265, CAPACITY: 0, COUNTY: MARICOPA TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED1640, LICENSE: OTC4008, NAME: RENAL CARE GROUP-APACHE JUNCTION, LEGALLY: RENAL CARE GROUP APACHE JUNCTION, ADDRESS: 11540 EAST UNIVERSITY, SUITE 109, CITY: APACHE JUNCTION, STATE: AZ, ZIP: 85220, PHONE: (480) 357-5572, FAX: (480) 357-0677, CAPACITY: 0, COUNTY: PINAL TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED1652, LICENSE: OTC4043, NAME: RENAL CARE GROUP-SUN LAKES, LEGALLY: RENAL CARE GROUP-SUN LAKES, ADDRESS: 9666 EAST RIGGS ROAD, SUITE 143, CITY: SUN LAKES, STATE: AZ, ZIP: 85248, PHONE: (480) 883-1301, FAX: (480) 883-1308, CAPACITY: 0, COUNTY: MARICOPA TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED1723, LICENSE: NONE, NAME: TUBA CITY DIALYSIS FACILITY, LEGALLY: TUBA CITY DIALYSIS FACILITY, ADDRESS: 500 EDGEWATER DRIVE, CITY: TUBA CITY, STATE: AZ, ZIP: 86045, PHONE: (928) 283-4525, FAX: (928) 283-4801, CAPACITY: 0, COUNTY: COCONINO TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED1766, LICENSE: NONE, NAME: UNIVERSITY MEDICAL CENTER, LEGALLY: UNIVERSITY MEDICAL CENTER, ADDRESS: 1501 NORTH CAMPBELL AVENUE, CITY: TUCSON, STATE: AZ, ZIP: 85724, PHONE: (520) 626-6353, FAX: (520) 694-4085, CAPACITY: 0, COUNTY: PIMA TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED1821, LICENSE: NONE, NAME: RENAL CARE GROUP-WHITERIVER, LEGALLY: RENAL CARE GROUP ARIZONA, LLC, ADDRESS: 102 WEST HOSPITAL DRIVE, CITY: WHITERIVER, STATE: AZ, ZIP: 85941, PHONE: (928) 338-1498, FAX: (928) 338-4299, CAPACITY: 0, COUNTY: NAVAJO TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED0844, LICENSE: NONE, NAME: SURGI-TECH CENTERS INC, LEGALLY: SURGI-TECH CENTERS, ADDRESS: 7301 EAST 2ND STREET SUITE 202, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85251, PHONE: (480) 994-5977, FAX: (480) 990-9397, CAPACITY: 0, COUNTY: MARICOPA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED1105, LICENSE: NONE, NAME: UROLOGY CLINIC, LTD, LEGALLY: UROLOGY CLINIC, LTD, ADDRESS: 10503 WEST THUNDERBIRD SUITE 317, CITY: SUN CITY, STATE: AZ, ZIP: 85351, PHONE: (623) 974-3621, FAX: (623) 974-0511, CAPACITY: 0, COUNTY: MARICOPA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED1290, LICENSE: NONE, NAME: SOUTHWESTERN EYE CENTER-LHC, LEGALLY: SOUTHWESTERN EYE CENTER-LAKE HAVASU CITY, ADDRESS: 2005 INJO DRIVE, CITY: LAKE HAVASU, STATE: AZ, ZIP: 86403, PHONE: (620) 892-8400, FAX: (480) 833-6246, CAPACITY: 0, COUNTY: MOHAVE TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED1314, LICENSE: NONE, NAME: WESTERN UROLOGICAL ASSOCIATES, LEGALLY: WESTERN UROLOGICAL ASSOCIATES, PC, ADDRESS: 2091 NORTH SMOKETREE AVENUE, SUITE 102, CITY: LAKE HAVASU CITY, STATE: AZ, ZIP: 86403, PHONE: (928) 855-1050, FAX: (928) 855-3809, CAPACITY: 0, COUNTY: MOHAVE TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED1347, LICENSE: NONE, NAME: SOUTHWESTERN EYE SURGICENTER P, LEGALLY: SOUTHWESTERN EYE SURGICENTER-PRESCOTT, ADDRESS: 1600 WILLOW CREEK ROAD, CITY: PRESCOTT, STATE: AZ, ZIP: 86303, PHONE: (928) 776-7477, FAX: (480) 833-6246, CAPACITY: 0, COUNTY: YAVAPAI TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED0112, LICENSE: , NAME: SEVENTH AVENUE FAMILY HEALTH CENTER, LEGALLY: SEVENTH AVENUE FAMILY HEALTH CARE CENTER, ADDRESS: 1205 SOUTH 7TH AVENUE, CITY: PHOENIX, STATE: AZ, ZIP: 85007, PHONE: (602) 344-5011, FAX: (602) 344-1130, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED1492, LICENSE: OTC1780, NAME: SAGUARO FAMILY PRACTICE, LEGALLY: SAGUARO FAMILY PRACTICE, ADDRESS: 18404 NORTH TATUM BOULEVARD, SUITE 101 &102, CITY: PHOENIX, STATE: AZ, ZIP: 85032, PHONE: (602) 992-1900, FAX: (623) 485-7450, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED0018, LICENSE: OTC0331, NAME: WILLIAMS HEALTH CARE CENTER (URGENT CARE CENTER), LEGALLY: WILLIAMS HEALTH CARE CENTER, ADDRESS: 301 SOUTH 7TH STREET, CITY: WILLIAMS, STATE: AZ, ZIP: 86046, PHONE: (928) 635-4444, FAX: (928) 635-4403, CAPACITY: 0, COUNTY: COCONINO TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED1963, LICENSE: , NAME: THOMPSON PEAK OUTPT THERAPY & OCCUPATIONAL HLTH SV, LEGALLY: THOMPSON PEAK OUTPT THERAPY & OCCUPATIONAL HLTH SV, ADDRESS: 20201 N SCOTTSDALE HEALTHCARE DR, SUITE 135 & 140, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85255, PHONE: (480) 324-7409, FAX: (480) 323-3510, CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED1738, LICENSE: , NAME: YRMC DEL WEBB OUTPATIENT CTR, LEGALLY: YRMC DEL E WEBB OUTPATIENT CENTER, ADDRESS: 3262 NORTH WINDSONG DRIVE, CITY: PRESCOTT VALLEY, STATE: AZ, ZIP: 86314, PHONE: (928) 771-5604, FAX: (928) 771-5631, CAPACITY: 0, COUNTY: YAVAPAI TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED2044, LICENSE: OSC2894, NAME: SURGERY CENTER OF SCOTTSDALE, LEGALLY: SURGERY CENTER OF SCOTTSDALE, LLC, ADDRESS: 8962 EAST DESERT COVE AVENUE, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85260, PHONE: (480) 661-5232, FAX: (480) 661-5231, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED0662, LICENSE: OTC4359, NAME: TEEN WELLNESS CENTER II - FRED ARCHER CENTER, LEGALLY: TEEN WELLNESS CENTER II - FRED ARCHER CENTER, ADDRESS: 1655 SOUTH LA CHOLLA BOULEVARD, CITY: TUCSON, STATE: AZ, ZIP: 85713, PHONE: (520) 628-3078, FAX: (520) 678-4315, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2060, LICENSE: OTC2967, NAME: ST MICHAELS CLINIC, LEGALLY: ST. MICHAELS CLINIC, ADDRESS: 359 A WEST HIGHWAY 264, CITY: SAINT MICHAELS, STATE: AZ, ZIP: 86511, PHONE: (928) 810-3800, FAX: (928) 810-3801, CAPACITY: 0, COUNTY: APACHE TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED1869, LICENSE: , NAME: HUMAN MOTION INSTITUTE AT UMC AT ALVERNON, LEGALLY: HUMAN MOTION INSTITUTE AT UMC AT ALVERNON, ADDRESS: 707 NORTH ALVERNON WAY, SUITE 203, CITY: TUCSON, STATE: AZ, ZIP: 85711, PHONE: (520) 694-8065, FAX: (520) 694-4085, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED0101, LICENSE: OTC0317, NAME: COCHISE COUNTY HEALTH DEPT/WILLCOX, LEGALLY: COCHISE COUNTY HEALTH DEPARTMENT/WILLCOX, ADDRESS: 450 SOUTH HASKELL, CITY: WILLCOX, STATE: AZ, ZIP: 85643, PHONE: (520) 384-7100, FAX: (520) 384-0309, CAPACITY: 0, COUNTY: COCHISE TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED0113, LICENSE: , NAME: SOUTH CENTRAL FAMILY HEALTH CARE, LEGALLY: SOUTH CENTRAL FAMILY HEALTH CARE CENTER, ADDRESS: 33 WEST TAMARISK, CITY: PHOENIX, STATE: AZ, ZIP: 85041, PHONE: (602) 344-6400, FAX: (602) 344-1130, CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED0114, LICENSE: , NAME: SUNNYSLOPE FAMILY HEALTH CENTER, LEGALLY: SUNNYSLOPE FAMILY HEALTH CENTER, ADDRESS: 934 WEST HATCHER ROAD, CITY: PHOENIX, STATE: AZ, ZIP: 85029, PHONE: (602) 344-6300, FAX: (480) 344-6301, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED0127, LICENSE: OTC3512, NAME: YAVAPAI COUNTY COMMUNITY HEALTH SERVICES, LEGALLY: YAVAPAI COUNTY HEALTH DEPARTMENT, ADDRESS: 1090 COMMERCE DRIVE, CITY: PRESCOTT, STATE: AZ, ZIP: 86301, PHONE: (928) 442-5511, FAX: (928) 771-3369, CAPACITY: 0, COUNTY: YAVAPAI TYPE: FEDERALLY QUALIFIED HEALTH CENTER, SUBTYPE: FEDERALLY QUALIFIED HEALTH CENTER, ID: MED0153, LICENSE: , NAME: SUNSET COMMUNITY HEALTH CENTER, LEGALLY: SUNSET COMMUNITY HEALTH CENTER, ADDRESS: 2060 WEST 24TH STREET, CITY: YUMA, STATE: AZ, ZIP: 85364, PHONE: (928) 344-4216, FAX: (928) 314-4355, CAPACITY: 0, COUNTY: YUMA TYPE: FEDERALLY QUALIFIED HEALTH CENTER, SUBTYPE: FEDERALLY QUALIFIED HEALTH CENTER, ID: MED0419, LICENSE: OTC0497, NAME: SUNSET COMM HEALTH CENTER-PEDIATRIC (CLOSED), LEGALLY: SUNSET COMMUNITY HEALTH CENTER, INC-PEDIATRIC CLINIC, ADDRESS: 2435 SOUTH AVENUE A, SUITE A, CITY: YUMA, STATE: AZ, ZIP: 85364, PHONE: (928) 344-5112, FAX: (928) 344-5766, CAPACITY: 0, COUNTY: YUMA TYPE: FEDERALLY QUALIFIED HEALTH CENTER, SUBTYPE: FEDERALLY QUALIFIED HEALTH CENTER, ID: MED0494, LICENSE: OTC4014, NAME: SUNSET COMMUNITY HEALTH CENTER-SAN LUIS, LEGALLY: SUNSET COMMUNITY HEALTH CENTER - SAN LUIS, ADDRESS: 815 EAST JUAN SANCHEZ BLVD, CITY: SAN LUIS, STATE: AZ, ZIP: 85349, PHONE: (928) 627-3822, FAX: (928) 627-3989, CAPACITY: 0, COUNTY: YUMA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED0803, LICENSE: , NAME: YRMC SCHOOL HEALTH CARE CENTER RANCHO VIEJO, LEGALLY: YRMC SCHOOL HEALTH CARE CENTER RANCHO VIEJO, ADDRESS: 930 SOUTH AVENUE C, CITY: YUMA, STATE: AZ, ZIP: 85364, PHONE: (928) 329-9442, FAX: (928) 329-1761, CAPACITY: 0, COUNTY: YUMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED0810, LICENSE: OTC4448, NAME: CIGNA SCOTTSDALE HEALTH CARE CENTER, LEGALLY: CIGNA SCOTTSDALE HEALTH CARE CENTER, ADDRESS: 7287 EAST EARLL DRIVE, BUILDING D, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85251, PHONE: (602) 861-6330, FAX: (602) 861-6331, CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED0811, LICENSE: , NAME: VERDE VALLEY MEDICAL CENTER-SEDONA (URGENT CARE), LEGALLY: VERDE VALLEY MEDICAL CENTER-SEDONA CAMPUS, ADDRESS: 3700 WEST HIGHWAY 89A, CITY: SEDONA, STATE: AZ, ZIP: 86336, PHONE: (928) 204-4000, FAX: (928) 639-6070, CAPACITY: 0, COUNTY: COCONINO TYPE: FEDERALLY QUALIFIED HEALTH CENTER, SUBTYPE: FEDERALLY QUALIFIED HEALTH CENTER, ID: MED0819, LICENSE: OTC0046, NAME: SUNSET COMMUNITY HEALTH CENTER-SOMERTON, LEGALLY: SUNSET COMMUNITY HEALTH CENTER-SOMERTON, ADDRESS: 115 NORTH SOMERTON AVENUE, CITY: SOMERTON, STATE: AZ, ZIP: 85350, PHONE: (928) 627-2051, FAX: (928) 627-3857, CAPACITY: 0, COUNTY: YUMA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED1491, LICENSE: , NAME: YRMC SCHOOL HEALTH CARE WELLTON/MOHAWK MOBILE UNIT, LEGALLY: YRMC SCHOOL HEALTH CARE CENTERS WELLTON/MOHAWK VALLEY MOBILE UNIT, ADDRESS: 2400 AVENUE A, CITY: YUMA, STATE: AZ, ZIP: 85364, PHONE: (928) 336-7095, FAX: (928) 336-7497, CAPACITY: 0, COUNTY: YUMA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED1507, LICENSE: , NAME: YRMC SCHOOL HEALTH CARE PECAN GROVE (SCHOOL BASED), LEGALLY: YUMA REGIONAL MEDICAL CENTER SCHOOL HEALTH PROGRAM-PECAN GROVE, ADDRESS: 600 SOUTH 21ST AVENUE, CITY: YUMA, STATE: AZ, ZIP: 85364, PHONE: (928) 329-3442, FAX: (928) 329-1761, CAPACITY: 0, COUNTY: YUMA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED1523, LICENSE: , NAME: U M C AT PANTANO, LEGALLY: U M C AT PANTANO, ADDRESS: 7901 EAST 22ND STREET, CITY: TUCSON, STATE: AZ, ZIP: 85710, PHONE: (520) 694-8428, FAX: (520) 694-4085, CAPACITY: 0, COUNTY: PIMA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED1548, LICENSE: , NAME: YRMC SCHOOL HEALTH PROGRAM-SAN LUIS, LEGALLY: YRMC SCHOOL HEALTH CARE PROGRAM-SAN LUIS, ADDRESS: 1245 NORTH MAIN STREET, CITY: SAN LUIS, STATE: AZ, ZIP: 85349, PHONE: (928) 627-9835, FAX: (928) 627-1498, CAPACITY: 0, COUNTY: YUMA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED1666, LICENSE: , NAME: U M C AT NORTH HILLS CENTER, LEGALLY: U M C AT NORTH HILLS CENTER, ADDRESS: 265 WEST INA ROAD, CITY: TUCSON, STATE: AZ, ZIP: 85704, PHONE: (520) 694-8100, FAX: (520) 694-4085, CAPACITY: 0, COUNTY: PIMA TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED2212, LICENSE: OTC4054, NAME: NRI-SOUTH PHOENIX, LEGALLY: NRI-SOUTH PHOENIX, ADDRESS: 4621 SOUTH CENTRAL, CITY: PHOENIX, STATE: AZ, ZIP: 85040, PHONE: (602) 304-1977, FAX: (602) 304-1870, CAPACITY: 0, COUNTY: MARICOPA TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED2216, LICENSE: NONE, NAME: RENAL CARE GROUP - AK-CHIN, LEGALLY: RENAL CARE GROUP AK-CHIN, ADDRESS: 16536 NORTH MARICOPA ROAD, CITY: MARICOPA, STATE: AZ, ZIP: 85239, PHONE: (520) 568-3120, FAX: (480) 632-3283, CAPACITY: 0, COUNTY: PINAL TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED1696, LICENSE: HSPC2177, NAME: ODYSSEY HOSPICE HOUSE INPATIENT (031538), LEGALLY: ODYSSEY HEALTHCARE OF TUCSON - ODYSSEY HOSPICE HOUSE INPATIENT, ADDRESS: 750 EAST FOOTHILLS DRIVE, CITY: TUCSON, STATE: AZ, ZIP: 85718, PHONE: (520) 292-3955, FAX: (520) 292-3488, CAPACITY: 11, COUNTY: PIMA TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED0003, LICENSE: HSPC0003, NAME: HOSPICE OF YUMA, LEGALLY: HOSPICE OF YUMA, ADDRESS: 1824 SOUTH 8TH AVENUE, CITY: YUMA, STATE: AZ, ZIP: 85364, PHONE: (928) 343-2222, FAX: (602) 530-6904, CAPACITY: 0, COUNTY: YUMA TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED0025, LICENSE: HSPC0018, NAME: HOSPICE OF THE VALLEY - CENTRAL, LEGALLY: HOSPICE OF THE VALLEY - CENTRAL, ADDRESS: 2122 EAST HIGHLAND AVENUE, SUITE 100, CITY: PHOENIX, STATE: AZ, ZIP: 85016, PHONE: (602) 287-7000, FAX: (602) 278-7007, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED0315, LICENSE: HSPC0008, NAME: YRMC HOSPICE, LEGALLY: YAVAPAI REGIONAL MEDICAL CENTER HOSPICE, ADDRESS: 3262 NORTH WINDSONG DRIVE, CITY: PRESCOTT VALLEY, STATE: AZ, ZIP: 86314, PHONE: (928) 759-5910, FAX: (928) 759-5984, CAPACITY: 0, COUNTY: YAVAPAI TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED0647, LICENSE: HSPC0049, NAME: HOSPICE OF THE VALLEY GARDINER HOSPICE HOM(031500), LEGALLY: HOSPICE OF THE VALLEY GARDINER HOSPICE HOME, ADDRESS: 1522 WEST MYRTLE AVENUE, CITY: PHOENIX, STATE: AZ, ZIP: 85021, PHONE: (602) 995-9323, FAX: (602) 530-6904, CAPACITY: 10, COUNTY: MARICOPA TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED1593, LICENSE: HSPC1987, NAME: HEARTLAND HOSPICE SERVICES, LEGALLY: HEARTLAND HOME HEALTH CARE & HOSPICE, ADDRESS: 2980 NORTH CAMPBELL AVE, SUITE 190 B, CITY: TUCSON, STATE: AZ, ZIP: 85719, PHONE: (520) 325-2790, FAX: (520) 325-2746, CAPACITY: 0, COUNTY: PIMA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED0597, LICENSE: , NAME: PHYSICAL THERAPY CLINIC - SEDONA, LEGALLY: PHYSICAL THERAPY CLINIC - SEDONA, ADDRESS: 35 DRY CREEK ROAD, SUITE 3, CITY: SEDONA, STATE: AZ, ZIP: 86336, PHONE: (928) 282-6775, FAX: (520) 773-2419, CAPACITY: 0, COUNTY: COCONINO TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED1834, LICENSE: HSPC2341, NAME: HOSPICE OF THE VALLEY SUN CITY PALLI INPA(031515), LEGALLY: HOSPICE OF THE VALLEY'S SUN CITY PALLIATIVE CARE UNIT INPATIENT, ADDRESS: 10323 WEST OLIVE AVENUE, CITY: PEORIA, STATE: AZ, ZIP: 85345, PHONE: (623) 876-4520, FAX: (602) 530-6904, CAPACITY: 12, COUNTY: MARICOPA TYPE: FEDERALLY QUALIFIED HEALTH CENTER, SUBTYPE: FEDERALLY QUALIFIED HEALTH CENTER, ID: MED2082, LICENSE: OTC4096, NAME: DUNCAN HEALTH CLINIC, LEGALLY: DUNCAN HEALTH CLINIC, ADDRESS: 227 MAIN STREET, CITY: DUNCAN, STATE: AZ, ZIP: 85534, PHONE: (928) 359-1380, FAX: (928) 359-1381, CAPACITY: 0, COUNTY: GREENLEE TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED2092, LICENSE: OTC2992, NAME: TUCSON SOUTH CENTRAL DIALYSIS, LEGALLY: TUCSON SOUTH CENTRAL DIALYSIS, ADDRESS: 2024 EAST IRVINGTON, SUITE 7, CITY: TUCSON, STATE: AZ, ZIP: 85706, PHONE: (520) 573-0200, FAX: (520) 573-0210, CAPACITY: 0, COUNTY: PIMA TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED0317, LICENSE: HSPC0011, NAME: HOSPICE OF HAVASU, INC., LEGALLY: HOSPICE OF HAVASU, INC, ADDRESS: 365 SOUTH LAKE HAVASU AVE, CITY: LAKE HAVASU CITY, STATE: AZ, ZIP: 86403, PHONE: (928) 453-2111, FAX: (928) 453-3003, CAPACITY: 0, COUNTY: MOHAVE TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED0480, LICENSE: HSPC0022, NAME: HOSPICE OF THE VALLEY - WEST, LEGALLY: HOSPICE OF THE VALLEY - WEST, ADDRESS: 9435 WEST PEORIA AVENUE, CITY: PEORIA, STATE: AZ, ZIP: 85345, PHONE: (623) 583-4848, FAX: (623) 583-3285, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED0710, LICENSE: HSPC0055, NAME: ODYSSEY HEALTHCARE OF PHOENIX, LEGALLY: VISTA HOSPICE CARE, INC, ADDRESS: 202 EAST EARLL DRIVE, SUITE 160, CITY: PHOENIX, STATE: AZ, ZIP: 85012, PHONE: (602) 279-0677, FAX: (602) 279-1085, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED1338, LICENSE: HSPC1384, NAME: HOSPICE OF THE VALLEY'S PHX BAPTIST INPATI(031500), LEGALLY: HOSPICE OF THE VALLEY'S PHOENIX BAPTIST INPATIENT FACILITY, ADDRESS: 2000 WEST BETHANY HOME ROAD, CITY: PHOENIX, STATE: AZ, ZIP: 85015, PHONE: (602) 246-5370, FAX: (602) 530-6904, CAPACITY: 8, COUNTY: MARICOPA TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED1401, LICENSE: HSPC0034, NAME: DR ALBERT ECKSTEIN CTR FOR PALLIATIVE CRE (031517), LEGALLY: DR. ALBERT ECHSTEIN CENTER FOR PALLIATIVE CARE INPATIENT, ADDRESS: 9494 EAST BECKER LANE, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85260, PHONE: (480) 661-4500, FAX: (602) 530-6904, CAPACITY: 12, COUNTY: MARICOPA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED1474, LICENSE: , NAME: PHYSICAL THERAPY CLINIC - VILLAGE OF OAK CREEK, LEGALLY: PHYSICAL THERAPY CLINIC - VILLAGE OF OAK CREEK, ADDRESS: 6560 HIGHWAY 179, SUITES 118 & 120, CITY: SEDONA, STATE: AZ, ZIP: 86339, PHONE: (928) 282-8428, FAX: (928) 779-2419, CAPACITY: 0, COUNTY: COCONINO TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED1824, LICENSE: , NAME: PHYSICAL THERAPY CLINIC - EAST FLAGSTAFF, LEGALLY: PHYSICAL THERAPY CLINIC - EAST FLAGSTAFF, ADDRESS: 7810 NORTH HIGHWAY 89, SUITE 280, CITY: FLAGSTAFF, STATE: AZ, ZIP: 86004, PHONE: (928) 552-8375, FAX: (928) 779-2419, CAPACITY: 0, COUNTY: COCONINO TYPE: RURAL HEALTH CLINICS, SUBTYPE: MEDICARE, ID: MED1718, LICENSE: NONE, NAME: SAGE OUTPATIENT CLINIC, LEGALLY: SAGE OUTPATIENT CLINIC, ADDRESS: PO BOX 457, HIGHWAY 264, CITY: GANADO, STATE: AZ, ZIP: 86505, PHONE: (928) 755-3411, FAX: , CAPACITY: 0, COUNTY: APACHE TYPE: RURAL HEALTH CLINICS, SUBTYPE: MEDICARE, ID: MED1714, LICENSE: NONE, NAME: WIDE RUINS CLINIC, LEGALLY: WIDE RUINS CLINIC, ADDRESS: PO BOX 457, CITY: GANADO, STATE: AZ, ZIP: 86505, PHONE: (928) 652-3231, FAX: , CAPACITY: 0, COUNTY: APACHE TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED0001, LICENSE: HSPC0001, NAME: HOSPICE OF THE VALLEY EAST, LEGALLY: HOSPICE OF THE VALLEY EAST, ADDRESS: 777 WEST SOUTHERN AVENUE, SUITE 301, CITY: MESA, STATE: AZ, ZIP: 85210, PHONE: (480) 730-5980, FAX: (602) 730-6078, CAPACITY: 0, COUNTY: MARICOPA TYPE: COMMUNITY MENTAL HEALTH CENTERS, SUBTYPE: MEDICARE, ID: MED1065, LICENSE: FED ONLY, NAME: LA FRONTERA RESOURCE CENTER, LEGALLY: LA FRONTERA RESOURCE CENTER, ADDRESS: 502 WEST 29TH STREET, CITY: TUCSON, STATE: AZ, ZIP: 85713, PHONE: (620) 741-2351, FAX: , CAPACITY: 0, COUNTY: PIMA TYPE: OUTPATIENT PHYSICAL THERAPY/SPEECH PATHOLOGY SERVICES, SUBTYPE: MEDICARE, ID: MED1655, LICENSE: OTC4335, NAME: PHYSIOTHERAPY ASSOCIATES-KINGMAN, LEGALLY: PHYSIOTHERAPY ASSOCIATES-KINGMAN, ADDRESS: 2120 AIRWAY AVENUE, CITY: KINGMAN, STATE: AZ, ZIP: 86409, PHONE: (928) 757-1211, FAX: (928) 757-8826, CAPACITY: 0, COUNTY: MOHAVE TYPE: COMMUNITY MENTAL HEALTH CENTERS, SUBTYPE: MEDICARE, ID: MED1021, LICENSE: FED ONLY, NAME: TRI CITY BEHAVIORAL SERVICES,, LEGALLY: TRI CITY BEHAVIORAL SERVICES, INC, ADDRESS: 7816 NORTH 19TH AVENUE, CITY: PHOENIX, STATE: AZ, ZIP: 85021, PHONE: (480) 963-2281, FAX: , CAPACITY: 0, COUNTY: MARICOPA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED2097, LICENSE: OSC2943, NAME: SUNRISE AMBULATORY SURGICAL CENTER, LEGALLY: SUNRISE AMBULATORY SURGICAL CENTER, ADDRESS: 5448 SOUTH WHITE MOUNTAIN ROAD, SUITE 100, CITY: LAKESIDE, STATE: AZ, ZIP: 85929, PHONE: (928) 532-3010, FAX: (928) 532-1161, CAPACITY: 0, COUNTY: NAVAJO TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED0045, LICENSE: HSPC0016, NAME: SUN HEALTH HOSPICE, LEGALLY: SUN HEALTH HOSPICE, ADDRESS: 12740 NORTH PLAZA DEL RIO BOULEVARD, SUITE A, CITY: PEORIA, STATE: AZ, ZIP: 85381, PHONE: (623) 815-2800, FAX: (623) 972-2171, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2147, LICENSE: OTC3025, NAME: PRESCOTT VALLEY PRIMARY & URGENT CARE CLINIC, LEGALLY: PRESCOTT VALLEY PRIMARY & URGENT CARE CLINIC, ADDRESS: 3051 NORTH WINDSONG DRIVE, CITY: PRESCOTT VALLEY, STATE: AZ, ZIP: 86314, PHONE: (928) 772-3336, FAX: (928) 772-1148, CAPACITY: 0, COUNTY: YAVAPAI TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED1305, LICENSE: OTC1244, NAME: BMA RED MOUNTAIN DIALYSIS, LEGALLY: BMA RED MOUNTAIN DIALYSIS, ADDRESS: 1211 NORTH COUNTRY CLUB DRIVE, SUITE A1, CITY: MESA, STATE: AZ, ZIP: 85201, PHONE: (480) 833-7440, FAX: (480) 833-7764, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: AZ HHA ONLY, ID: MED2108, LICENSE: HHA3024, NAME: ALWAYS BETTER CARE, LEGALLY: ALWAYS BETTER CARE, ADDRESS: 3650 SOUTH POINT CIRCLE, SUITE #116, CITY: LAUGHLIN, STATE: NV, ZIP: 89029, PHONE: (702) 298-0555, FAX: (702) 298-0577, CAPACITY: 0, COUNTY: CLARK TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2046, LICENSE: OTC2999, NAME: MIDWEST EXPRESS CARE, LEGALLY: MIDWEST EXPRESS CARE, ADDRESS: 45 CAPRI BOULEVARD, SUITE G, CITY: LAKE HAVASU CITY, STATE: AZ, ZIP: 86403, PHONE: (928) 505-1030, FAX: (928) 505-1036, CAPACITY: 0, COUNTY: MOHAVE TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED1383, LICENSE: OTC1439, NAME: DESERT DIALYSIS SERVICES, LEGALLY: DESERT DIALYSIS SERVICES, ADDRESS: 13000 NORTH 103RD AVE SUITE 66, CITY: SUN CITY, STATE: AZ, ZIP: 85351, PHONE: (623) 583-3131, FAX: (623) 583-5414, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2072, LICENSE: OTC3000, NAME: SILVER CREEK MRI, LEGALLY: SILVER CREEK MRI, ADDRESS: 2735 SILVER CREEK ROAD, CITY: BULLHEAD CITY, STATE: AZ, ZIP: 86442, PHONE: (928) 704-4674, FAX: (928) 704-8867, CAPACITY: 0, COUNTY: MOHAVE TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED1185, LICENSE: OTC0660, NAME: AIMS URGENT CARE CENTER, LEGALLY: AIMS URGENT CARE CENTER, ADDRESS: 3636 STOCKTON HILL ROAD, CITY: KINGMAN, STATE: AZ, ZIP: 86409, PHONE: (928) 757-3680, FAX: (928) 757-3614, CAPACITY: 0, COUNTY: MOHAVE TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED0323, LICENSE: OTC4176, NAME: ARIZONA HEART INSTITUTE, LEGALLY: ARIZONA HEART INSTITUTE, ADDRESS: 2632 NORTH 20TH STREET, CITY: PHOENIX, STATE: AZ, ZIP: 85006, PHONE: (602) 266-2200, FAX: (602) 240-6160, CAPACITY: 0, COUNTY: MARICOPA TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED2096, LICENSE: OTC3005, NAME: FMC DIALYSIS SERVICES OF GRANITE VALLEY, LEGALLY: FMC DIALYSIS SERVICES OF GRANITE VALLEY, ADDRESS: 14510 WEST SHUMWAY DRIVE, SUITE 100, CITY: SUN CITY WEST, STATE: AZ, ZIP: 85375, PHONE: (623) 546-2718, FAX: (623) 546-2827, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED1479, LICENSE: OTC1607, NAME: HAROLD W. SMITH ELEMENTARY SCHOOL (SCHOOL BASED), LEGALLY: HAROLD W. SMITH ELEMENTARY SCHOOL, ADDRESS: 6534 NORTH 63RD AVENUE, NURSE'S OFFICE, CITY: GLENDALE, STATE: AZ, ZIP: 85301, PHONE: (623) 842-8230, FAX: (623) 528-3120, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2146, LICENSE: OTC3021, NAME: CONCENTRA MEDICAL CENTERS - CENTRAL (URGENT CARE), LEGALLY: CONCENTRA MEDICAL CENTERS - CENTRAL, ADDRESS: 3402 EAST BROADWAY, CITY: TUCSON, STATE: AZ, ZIP: 85716, PHONE: (520) 881-0050, FAX: (520) 795-8815, CAPACITY: 0, COUNTY: PIMA TYPE: HOSPITAL, SUBTYPE: REHABILITATION, ID: MED0454, LICENSE: SH0187, NAME: HEALTHSOUTH REHABILITATION HOSPITAL OF SOUTHERN AZ, LEGALLY: HEALTHSOUTH REHABILITATION HOSPITAL OF SOUTHERN ARIZONA, ADDRESS: 1921 WEST HOSPITAL DRIVE, CITY: TUCSON, STATE: AZ, ZIP: 85704, PHONE: (520) 742-2800, FAX: (520) 544-5288, CAPACITY: 60, COUNTY: PIMA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED1852, LICENSE: , NAME: PHOENIX CHILDREN'S HOSPITAL OUTPATIENT SPECIALTY C, LEGALLY: PHOENIX CHILDREN'S HOSPITAL OUTPATIENT SPECIALTY CARE CENTER-WEST VALLEY, ADDRESS: 5757 WEST THUNDERBIRD, SUITE E-353, CITY: GLENDALE, STATE: AZ, ZIP: 85306, PHONE: (602) 863-0864, FAX: (602) 546-0392, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2132, LICENSE: OTC3029, NAME: NEXTCARE URGENT CARE-TREKELL, LEGALLY: NEXTCARE URGENT CARE - TREKELL, ADDRESS: 1729 NORTH TREKELL ROAD, SUITE 110, CITY: CASA GRANDE, STATE: AZ, ZIP: 85122, PHONE: (480) 924-8382, FAX: (480) 924-8399, CAPACITY: 0, COUNTY: PINAL TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED2144, LICENSE: OSC3020, NAME: ADOBE SURGERY CENTER, LEGALLY: ADOBE SURGERY CENTER, ADDRESS: 2585 NORTH WYATT DRIVE, CITY: TUCSON, STATE: AZ, ZIP: 85712, PHONE: (520) 721-2728, FAX: (520) 721-0179, CAPACITY: 0, COUNTY: PIMA TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED2135, LICENSE: HSPC3040, NAME: KINGMAN REGIONAL MEDICAL CENTER HOSPICE, LEGALLY: KINGMAN REGIONAL MEDICAL CENTER HOSPICE, ADDRESS: 1790 SYCAMORE AVENUE, CITY: KINGMAN, STATE: AZ, ZIP: 86401, PHONE: (928) 692-4680, FAX: (928) 692-2733, CAPACITY: 0, COUNTY: MOHAVE TYPE: FEDERALLY QUALIFIED HEALTH CENTER, SUBTYPE: FEDERALLY QUALIFIED HEALTH CENTER, ID: MED2112, LICENSE: OTC3035, NAME: MOUNTAIN PARK HEALTH CENTER-MARYVALE, LEGALLY: MOUNTAIN PARK HEALTH CENTER-MARYVALE, ADDRESS: 4616 NORTH 51ST AVENUE, SUITE 203, CITY: PHOENIX, STATE: AZ, ZIP: 85031, PHONE: (623) 247-6266, FAX: (623) 247-9742, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: MED2153, LICENSE: HHA3071, NAME: ANGELS CARE HOME HEALTH OF ARIZONA, LEGALLY: ANGEL'S TOUCH, INC., ADDRESS: 301 SOUTH WILLARD, CITY: COTTONWOOD, STATE: AZ, ZIP: 86326, PHONE: (928) 649-8890, FAX: (928) 649-8891, CAPACITY: 0, COUNTY: YAVAPAI TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED2159, LICENSE: HSPC3077, NAME: HOSPICE OF THE VALLEY'S CORONADO HOUSE(031500), LEGALLY: HOSPICE OF THE VALLEY'S CORONADO HOUSE, ADDRESS: 340 EAST CORONADO, CITY: PHOENIX, STATE: AZ, ZIP: 85004, PHONE: (602) 530-6900, FAX: (602) 530-6904, CAPACITY: 12, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2130, LICENSE: OTC3042, NAME: WHITTIER WELLNESS CENTER (SCHOOL BASED CLINIC), LEGALLY: WHITTIER WELLNESS CENTER, ADDRESS: 2000 NORTH 16TH STREET, ROOM 101A, CITY: PHOENIX, STATE: AZ, ZIP: 85006, PHONE: (602) 257-3813, FAX: (602) 417-3556, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2129, LICENSE: OTC3044, NAME: V H LASSEN WELLNESS CENTER (SCHOOL BASED CLINIC), LEGALLY: V.H. LASSEN WELLNESS CENTER, ADDRESS: 909 WEST VINEYARD ROAD, RM 14A, CITY: PHOENIX, STATE: AZ, ZIP: 85041, PHONE: (602) 232-2410, FAX: (602) 417-3556, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPITAL, SUBTYPE: LONG TERM, ID: MED1724, LICENSE: SH3047, NAME: SELECT SPECIALTY HOSPITAL ARIZONA, LEGALLY: SELECT SPECIALTY HOSPITAL ARIZONA INC., ADDRESS: 7400 EAST OSBORN RD, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85251, PHONE: (480) 461-2706, FAX: (602) 406-6891, CAPACITY: 29, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2161, LICENSE: OTC4232, NAME: 21ST CENTURY ONCOLOGY OF ARIZONA, LEGALLY: 21ST CENTURY ONCOLOGY OF ARIZONA, ADDRESS: 7340 EAST THOMAS ROAD, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85251, PHONE: (480) 945-6896, FAX: (480) 945-7287, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED1948, LICENSE: OTC2674, NAME: ADVANCED URGENT CARE-THOMAS, LEGALLY: ADVANCED URGENT CARE-THOMAS, ADDRESS: 3302 WEST THOMAS ROAD, SUITE 9, 10, 11, CITY: PHOENIX, STATE: AZ, ZIP: 85017, PHONE: (602) 233-2900, FAX: (602) 233-3897, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED1570, LICENSE: OTC4111, NAME: ACACIA WOMEN'S CENTER, LEGALLY: ACACIA WOMEN'S CENTER, ADDRESS: 1615 EAST OSBORN ROAD, CITY: PHOENIX, STATE: AZ, ZIP: 85016, PHONE: (602) 765-9390, FAX: (602) 667-6608, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED0545, LICENSE: OTC0627, NAME: CIGNA CLYDE WRIGHT HEALTHCARE CENTER (URGENT CARE), LEGALLY: CIGNA CLYDE WRIGHT HEALTHCARE CENTER, ADDRESS: 755 EAST MC DOWELL ROAD, CITY: PHOENIX, STATE: AZ, ZIP: 85006, PHONE: (602) 271-5111, FAX: (602) 271-5431, CAPACITY: 0, COUNTY: MARICOPA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED2115, LICENSE: OSC3048, NAME: SKIN CANCER TREATMENT, LEGALLY: SKIN CANCER TREATMENT, ADDRESS: 13128 NORTH 94TH DRIVE, SUITE 101-A, CITY: PEORIA, STATE: AZ, ZIP: 85381, PHONE: (623) 875-2600, FAX: (623) 875-2621, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED1986, LICENSE: OTC2678, NAME: ADVANCED URGENT CARE-OAK, LEGALLY: ADVANCED URGENT CARE-OAK, ADDRESS: 2301 NORTH 44TH STREET, CITY: PHOENIX, STATE: AZ, ZIP: 85008, PHONE: (602) 808-8786, FAX: (602) 808-8704, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2122, LICENSE: OTC3049, NAME: VIRGINIA G PIPER CANCER CENTER, LEGALLY: VIRGINIA G. PIPER CANCER CENTER, ADDRESS: 10460 NORTH 92ND STREET, SUITE 206, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85258, PHONE: (480) 323-1250, FAX: (480) 323-1259, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPITAL, SUBTYPE: LONG TERM, ID: MED2151, LICENSE: SH3050, NAME: SELECT SPECIALTY HOSPITAL-ARIZONA-PHOENIX (032005), LEGALLY: SELECT SPECIALTY HOSPITAL-ARIZONA-PHOENIX DOWNTOWN, ADDRESS: 1012 EAST WILETTA, 4TH FLOOR, CITY: PHOENIX, STATE: AZ, ZIP: 85006, PHONE: (602) 239-6073, FAX: (602) 406-6891, CAPACITY: 33, COUNTY: MARICOPA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED2111, LICENSE: OSC3051, NAME: SCOTTSDALE ENDOSCOPY CENTER, LEGALLY: SCOTTSDALE ENDOSCOPY CENTER,, ADDRESS: 9787 NORTH 91ST STREET, SUITE 103, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85258, PHONE: (480) 657-0889, FAX: (480) 657-9277, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED2098, LICENSE: HSPC3056, NAME: RTA HOSPICE INPATIENT UNIT(031521), LEGALLY: RTA HOSPICE INPATIENT UNIT, ADDRESS: 1675 EAST MONUMENT PLAZA DRIVE SUITE B, CITY: CASA GRANDE, STATE: AZ, ZIP: 85222, PHONE: (520) 421-7143, FAX: (520) 421-7315, CAPACITY: 7, COUNTY: PINAL TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED1985, LICENSE: OTC2677, NAME: ADVANCED URGENT CARE-INDIAN SCHOOL, LEGALLY: ADVANCED URGENT CARE-INDIAN SCHOOL, ADDRESS: 8260 WEST INDIAN SCHOOL ROAD, SUITE 1, CITY: PHOENIX, STATE: AZ, ZIP: 85033, PHONE: (623) 846-7122, FAX: (623) 846-7027, CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED2167, LICENSE: , NAME: FOOTHILLS IMAGING CENTER, LEGALLY: FOOTHILLS IMAGING CENTER, ADDRESS: 11142 SOUTH SCOTTSDALE DRIVE, CITY: YUMA, STATE: AZ, ZIP: 85367, PHONE: (928) 305-6211, FAX: (928) 305-2210, CAPACITY: 0, COUNTY: YUMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2154, LICENSE: OTC3057, NAME: CHIRICAHUA COMMUNITY HEALTH CENTER- DOUGLAS, LEGALLY: CHIRICAHUA COMMUNITY HEALTH CENTERS, INC. - DOUGLAS, ADDRESS: 1100 F AVENUE, CITY: DOUGLAS, STATE: AZ, ZIP: 85607, PHONE: (520) 364-3285, FAX: (520) 642-3591, CAPACITY: 0, COUNTY: COCHISE TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2141, LICENSE: OTC3058, NAME: BEATITUDES OUTPATIENT REHAB, LEGALLY: BEATITUDES OUTPATIENT REHABILITATION, ADDRESS: 1712 WEST GLENDALE AVENUE, CITY: PHOENIX, STATE: AZ, ZIP: 85021, PHONE: (602) 433-6153, FAX: (602) 995-0704, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2136, LICENSE: OTC3068, NAME: PRIORITY MEDICAL CENTER, LEGALLY: PRIORITY MEDICAL CENTER, ADDRESS: 4340 WEST MCDOWELL ROAD, SUITE 5, CITY: PHOENIX, STATE: AZ, ZIP: 85035, PHONE: (602) 272-5289, FAX: (602) 272-8634, CAPACITY: 0, COUNTY: MARICOPA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED2201, LICENSE: OSC4349, NAME: PREMIER SURGERY CENTER OF TUCSON, LEGALLY: PREMIER SURGERY CENTER OF TUCSON, ADDRESS: 310 NORTH WILMOT ROAD, SUITE 309, CITY: TUCSON, STATE: AZ, ZIP: 85711, PHONE: (520) 296-7080, FAX: (520) 290-8350, CAPACITY: 0, COUNTY: PIMA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED2211, LICENSE: , NAME: ST JOSEPHS PEPPERTREE OUTPATIENT FACILITY, LEGALLY: ST JOSEPHS PEPPERTREE OUTPATIENT FACILITY, ADDRESS: 2927 NORTH 7TH AVENUE, CITY: PHOENIX, STATE: AZ, ZIP: 85013, PHONE: (602) 406-3153, FAX: (602) 406-4176, CAPACITY: 0, COUNTY: MARICOPA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED2187, LICENSE: OSC3188, NAME: SURGERY CENTER OF CASA GRANDE, LEGALLY: THE SURGERY CENTER OF CASA GRANDE, ADDRESS: 1760 EAST FLORENCE BOULEVARD, BUILDING 2, CITY: CASA GRANDE, STATE: AZ, ZIP: 85222, PHONE: (520) 421-2300, FAX: (520) 421-2411, CAPACITY: 0, COUNTY: PINAL TYPE: RURAL HEALTH CLINICS, SUBTYPE: MEDICARE, ID: MED2208, LICENSE: OTC3104, NAME: SUPERIOR CLINIC, LEGALLY: SUPERIOR CLINIC, ADDRESS: 14 NORTH MAGMA AVENUE, CITY: SUPERIOR, STATE: AZ, ZIP: 85273, PHONE: (520) 689-2423, FAX: (520) 689-5237, CAPACITY: 0, COUNTY: PINAL TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2215, LICENSE: OTC3084, NAME: PROGRESSIONS THERAPY AT COPPER MOUNTAIN INN, LEGALLY: PROGRESSIONS THERAPY AT COPPER MOUNTAIN INN, ADDRESS: 1100 MONROE STREET, CITY: GLOBE, STATE: AZ, ZIP: 85501, PHONE: (928) 425-5721, FAX: (928) 425-3745, CAPACITY: 0, COUNTY: GILA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2116, LICENSE: OTC3090, NAME: COOK HEALTH CARE REHAB CENTER, LEGALLY: COOK HEALTH CARE REHAB CENTER, ADDRESS: 11315 WEST PEORIA AVENUE, CITY: YOUNGTOWN, STATE: AZ, ZIP: 85363, PHONE: (623) 933-4683, FAX: (623) 972-4993, CAPACITY: 0, COUNTY: MARICOPA TYPE: OUTPATIENT PHYSICAL THERAPY/SPEECH PATHOLOGY SERVICES, SUBTYPE: MEDICARE, ID: MED2127, LICENSE: OTC3093, NAME: INNOVATIVE SENIOR CARE AT FREEDOM PLAZA PEORIA, LEGALLY: INNOVATIVE SENIOR CARE AT FREEDOM PLAZA PEORIA, ADDRESS: 13373 PLAZA DEL RIO BLVD, SUITE 1163, CITY: PEORIA, STATE: AZ, ZIP: 85381, PHONE: (623) 876-2417, FAX: (623) 876-2463, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2200, LICENSE: OTC3083, NAME: NEXTCARE URGENT CARE-SOUTHERN, LEGALLY: NEXTCARE URGENT CARE-SOUTHERN, ADDRESS: 2080 WEST SOUTHERN AVENUE, SUITE A-1, CITY: APACHE JUNCTION, STATE: AZ, ZIP: 85120, PHONE: (480) 924-8382, FAX: (480) 924-8399, CAPACITY: 0, COUNTY: PINAL TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED2104, LICENSE: NONE, NAME: ORTHOPEDIC CLINIC ASSOC, THE, LEGALLY: ORTHOPEDIC CLINIC ASSOCIATION, PC, THE, ADDRESS: 9377 EAST BELL, SUITE 231, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85260, PHONE: (602) 277-6211, FAX: (602) 277-1829, CAPACITY: 0, COUNTY: MARICOPA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED2113, LICENSE: NONE, NAME: SOUTHWESTERN EYE YUMA, LEGALLY: SOUTHWESTERN EYE CENTER, ADDRESS: 2149 WEST 24TH STREET, CITY: YUMA, STATE: AZ, ZIP: 85364, PHONE: (480) 833-9100, FAX: (480) 833-6246, CAPACITY: 0, COUNTY: YUMA TYPE: MED-OUTPATIENT SURGERY CENTER, SUBTYPE: OUTPATIENT SURGERY CENTER, ID: MED2178, LICENSE: OSC4261, NAME: PROFILES COSMETIC SURGERY CENTER, PLLC, LEGALLY: PROFILES COSMETIC SURGERY CENTER, PLLC, ADDRESS: 4741 EAST CAMP LOWELL, CITY: TUCSON, STATE: AZ, ZIP: 85712, PHONE: (520) 888-4540, FAX: (520) 888-4617, CAPACITY: 0, COUNTY: PIMA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED2172, LICENSE: OSC3777, NAME: UNION HILLS SURGERY CENTER, LEGALLY: UNION HILLS SURGERY CENTER LP, ADDRESS: 18301 NORTH 79TH AVENUE, SUITE E150, CITY: GLENDALE, STATE: AZ, ZIP: 85308, PHONE: (623) 487-7500, FAX: (623) 776-8800, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: MED2203, LICENSE: HHA4585, NAME: ARIZONA HOME REHAB & HEALTH CARE, AN AMEDISYS COMP, LEGALLY: ARIZONA HOME REHAB & HEALTH CARE, AN AMEDISYS COMPANY, ADDRESS: 1841 WEST 25TH STREET, SUITE A-1, CITY: YUMA, STATE: AZ, ZIP: 85364, PHONE: (928) 344-1701, FAX: (928) 344-1702, CAPACITY: 0, COUNTY: YUMA TYPE: COMPREHENSIVE OUTPATIENT REHABILITATION FACILITIES, SUBTYPE: MEDICARE, ID: MED2225, LICENSE: OTC4229, NAME: OPT OUTPATIENT THERAPY CENTER, LEGALLY: SAIJ, LLC, ADDRESS: 10325 EAST RIGGS ROAD, SUITE 102, CITY: SUN LAKES, STATE: AZ, ZIP: 85248, PHONE: (480) 802-7081, FAX: (480) 802-8492, CAPACITY: 0, COUNTY: MARICOPA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED2220, LICENSE: OSC3134, NAME: DESERT PAIN INSTITUTE, THE, LEGALLY: DESERT PAIN INSTITUTE, THE, ADDRESS: 6309 EAST BAYWOOD AVENUE, CITY: MESA, STATE: AZ, ZIP: 85206, PHONE: (480) 325-3801, FAX: (480) 344-1600, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2230, LICENSE: OTC3139, NAME: DESERT PAIN INSTITUTE AQUATICS & REHAB SVCS, LEGALLY: DESERT PAIN INSTITUTE AQUATICS & REHAB SERVICES, ADDRESS: 6309 EAST BAYWOOD AVENUE, SUITE 101, CITY: MESA, STATE: AZ, ZIP: 85206, PHONE: (480) 325-3801, FAX: (480) 344-1613, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPITAL, SUBTYPE: REHABILITATION, ID: MED0240, LICENSE: SH0178, NAME: HEALTHSOUTH VALLEY OF THE SUN REHABILITATION, LEGALLY: HEALTHSOUTH VALLEY OF THE SUN REHABILITATION, ADDRESS: 13460 NORTH 67TH AVENUE, CITY: GLENDALE, STATE: AZ, ZIP: 85304, PHONE: (623) 878-8800, FAX: (623) 334-5403, CAPACITY: 60, COUNTY: MARICOPA TYPE: HOSPITAL, SUBTYPE: CRITICAL ACCESS HOSPITALS, ID: MED0203, LICENSE: H0086, NAME: PAGE HOSPITAL, LEGALLY: PAGE HOSPITAL, ADDRESS: 501 NORTH NAVAJO DRIVE, CITY: PAGE, STATE: AZ, ZIP: 86040, PHONE: (628) 645-2424, FAX: (928) 645-3549, CAPACITY: 25, COUNTY: COCONINO TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED2238, LICENSE: NONE, NAME: SOUTHWESTERN EYE LAKESIDE, LEGALLY: SOUTHWESTERN EYE SURGICENTER LAKESIDE, ADDRESS: 2650 EAST SHOW LOW LAKE ROAD, SUITE 2, CITY: SHOW LOW, STATE: AZ, ZIP: 85901, PHONE: (928) 537-4240, FAX: (480) 833-6246, CAPACITY: 0, COUNTY: NAVAJO TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2241, LICENSE: OTC3835, NAME: ADELANTE WOMEN'S HEALTH CARE, LEGALLY: ADELANTE WOMEN'S HEALTH CARE, ADDRESS: 14300 WEST GRANITE VALLEY DRIVE, SUITE A-1, CITY: SUN CITY WEST, STATE: AZ, ZIP: 85375, PHONE: (623) 544-3214, FAX: (623) 544-3368, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2258, LICENSE: OTC3116, NAME: LEISURE WORLD HEALTH CENTER, LEGALLY: LEISURE WORLD COMMUNITY ASSOCIATION, ADDRESS: 908 SOUTH POWER ROAD, CITY: MESA, STATE: AZ, ZIP: 85206, PHONE: (480) 832-0003, FAX: (480) 832-8634, CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED2236, LICENSE: , NAME: BARROW NEUROLOGY CLINICS, LEGALLY: BARROW NEUROLOGY CLINICS, ADDRESS: 500 WEST THOMAS ROAD, SUITE 300, CITY: PHOENIX, STATE: AZ, ZIP: 85013, PHONE: (602) 406-6276, FAX: (602) 406-6260, CAPACITY: 0, COUNTY: MARICOPA TYPE: OUTPATIENT PHYSICAL THERAPY/SPEECH PATHOLOGY SERVICES, SUBTYPE: MEDICARE, ID: MED2270, LICENSE: OTC3131, NAME: INNOVATIVE SENIOR CARE AT PARK REGENCY, LEGALLY: INNOVATIVE SENIOR CARE AT PARK REGENCY, ADDRESS: 2555 NORTH PRICE ROAD, CITY: CHANDLER, STATE: AZ, ZIP: 85224, PHONE: (480) 345-8500, FAX: (480) 345-9311, CAPACITY: 0, COUNTY: MARICOPA TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED0848, LICENSE: NONE, NAME: GOOD SAMARITAN MEDICAL CENTER - ESRD (032300), LEGALLY: GOOD SAMARITAN MEDICAL CENTER - ESRD, ADDRESS: 1111 EAST MCDOWELL ROAD, SUITE 9-B, CITY: PHOENIX, STATE: AZ, ZIP: 85006, PHONE: (602) 239-4704, FAX: (602) 239-3606, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2295, LICENSE: OTC4643, NAME: PARKWAY MEDICAL FAMILY, LEGALLY: PARKWAY MEDICAL FAMILY, ADDRESS: 6565 EAST GREENWAY PARKWAY, SUITE 100, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85254, PHONE: (480) 348-3200, FAX: (480) 348-3210, CAPACITY: 0, COUNTY: MARICOPA TYPE: COMPREHENSIVE OUTPATIENT REHABILITATION FACILITIES, SUBTYPE: MEDICARE, ID: MED2234, LICENSE: OTC4110, NAME: MESA HEALTH IMPROVEMENT CENTER, LEGALLY: MESA HEALTH IMPROVEMENT CENTER, ADDRESS: 6343 EAST MAIN STREET, SUITE 8, CITY: MESA, STATE: AZ, ZIP: 85205, PHONE: (480) 325-8838, FAX: (480) 325-9191, CAPACITY: 0, COUNTY: MARICOPA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED2237, LICENSE: OSC4661, NAME: PHOENIX EYE SURGICAL CENTER, LLC, LEGALLY: PHOENIX EYE SURGICAL CENTER, LLC, ADDRESS: 5133 NORTH CENTRAL AVENUE, SUITE 100, CITY: PHOENIX, STATE: AZ, ZIP: 85012, PHONE: (602) 279-2434, FAX: (602) 279-6475, CAPACITY: 0, COUNTY: MARICOPA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED2250, LICENSE: OSC3133, NAME: SURGERY CENTER OF GILBERT, LEGALLY: SURGERY CENTER OF GILBERT, LLC, ADDRESS: 2450 EAST GUADALUPE ROAD, SUITE 101, CITY: GILBERT, STATE: AZ, ZIP: 85234, PHONE: (480) 558-7541, FAX: (480) 507-3311, CAPACITY: 0, COUNTY: MARICOPA TYPE: OUTPATIENT PHYSICAL THERAPY/SPEECH PATHOLOGY SERVICES, SUBTYPE: MEDICARE, ID: MED2251, LICENSE: OTC4117, NAME: PHYSIOTHERAPY ASSOCIATES-DUNLAP, LEGALLY: PHYSIOTHERAPY ASSOCIATES, ADDRESS: 2400 WEST DUNLAP AVENUE, SUITE 145, CITY: PHOENIX, STATE: AZ, ZIP: 85021, PHONE: (602) 870-1414, FAX: (602) 870-4141, CAPACITY: 0, COUNTY: MARICOPA TYPE: OUTPATIENT PHYSICAL THERAPY/SPEECH PATHOLOGY SERVICES, SUBTYPE: MEDICARE, ID: MED2259, LICENSE: OTC4567, NAME: SELECT PHYSICAL THERAPY-TEMPE GREENTREE (036574), LEGALLY: SELECT PHYSICAL THERAPY- TEMPE GREENTREE, ADDRESS: 1729 WEST GREENTREE DRIVE - SUITE 101, CITY: TEMPE, STATE: AZ, ZIP: 85284, PHONE: (480) 785-1765, FAX: (480) 785-4533, CAPACITY: 0, COUNTY: MARICOPA TYPE: FEDERALLY QUALIFIED HEALTH CENTER, SUBTYPE: FEDERALLY QUALIFIED HEALTH CENTER, ID: MED2249, LICENSE: OTC3120, NAME: MARIPOSA COMMUNITY HEALTH CENTER-SIERRA, LEGALLY: MARIPOSA COMMUNITY HEALTH CENTER-SIERRA BUILDING, 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: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED2262, LICENSE: NONE, NAME: RENAL CARE GROUP-SALT RIVER, LEGALLY: RENAL CARE GROUP-SALT RIVER, ADDRESS: 100301 EAST OSBORN ROAD, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85256, PHONE: (480) 362-1044, FAX: (480) 632-3283, CAPACITY: 0, COUNTY: MARICOPA TYPE: FEDERALLY QUALIFIED HEALTH CENTER, SUBTYPE: FEDERALLY QUALIFIED HEALTH CENTER, ID: MED2268, LICENSE: OTC3209, NAME: YAVAPAI COUNTY COMM HEALTH SERVICE-PRESCOTT VALLEY, LEGALLY: YAVAPAI COUNTY COMMUNITY HEALTH SERVICES-PRESCOTT VALLEY, ADDRESS: 3212 NORTH WINDSONG DRIVE, 2ND FLOOR, CITY: PRESCOTT VALLEY, STATE: AZ, ZIP: 86314, PHONE: (928) 771-3377, FAX: (928) 771-3379, CAPACITY: 0, COUNTY: YAVAPAI TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2274, LICENSE: OTC3231, NAME: LAKE HILLS INN OUTPATIENT REHAB, LEGALLY: ANASAZI HEALTHCARE INC, ADDRESS: 2781 OSBORN DRIVE, THERAPY ROOM, CITY: LAKE HAVASU CITY, STATE: AZ, ZIP: 86406, PHONE: (928) 505-5552, FAX: (928) 505-2660, CAPACITY: 0, COUNTY: MOHAVE TYPE: HOSPITAL, SUBTYPE: TRANSPLANT HOSPITAL, ID: AZTH00005, LICENSE: NONE, NAME: PHOENIX CHILDRENS HOSPITAL, LEGALLY: PHOENIX CHILDRENS HOSPITAL, ADDRESS: 1919 EAST THOMAS ROAD, CITY: PHOENIX, STATE: AZ, ZIP: 85016, PHONE: (602) 546-1000, FAX: (602) 546-0394, CAPACITY: 0, COUNTY: MARICOPA TYPE: FEDERALLY QUALIFIED HEALTH CENTER, SUBTYPE: FEDERALLY QUALIFIED HEALTH CENTER, ID: MED2307, LICENSE: OTC3688, NAME: EAST VALLEY FAMILY CARE, LEGALLY: EAST VALLEY FAMILY CARE, ADDRESS: 2204 SOUTH DOBSON ROAD, SUITE 101, CITY: MESA, STATE: AZ, ZIP: 85202, PHONE: (480) 491-6235, FAX: (480) 491-6239, CAPACITY: 0, COUNTY: MARICOPA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED2301, LICENSE: OSC3177, NAME: GATEWAY SURGERY CENTER, LEGALLY: GATEWAY SURGERY CENTER, ADDRESS: 690 NORTH COFCO CENTER COURT, SUITE 150, CITY: PHOENIX, STATE: AZ, ZIP: 85008, PHONE: (602) 288-4441, FAX: (602) 288-4460, CAPACITY: 14, COUNTY: MARICOPA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED2294, LICENSE: OSC3143, NAME: TUCSON ORTHOPAEDIC SURGERY CENTER, LEGALLY: TUCSON ORTHOPAEDIC SURGERY CENTER, ADDRESS: 2424 NORTH WYATT DRIVE, CITY: TUCSON, STATE: AZ, ZIP: 85712, PHONE: (520) 784-6500, FAX: (520) 784-6462, CAPACITY: 0, COUNTY: PIMA TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED2269, LICENSE: OTC3999, NAME: NRI-NORTHEAST PHOENIX, LEGALLY: NATIONAL RENAL INSTUTUTES, INC, ADDRESS: 3305 EAST GREENWAY ROAD, SUITE 1, CITY: PHOENIX, STATE: AZ, ZIP: 85032, PHONE: (602) 765-3919, FAX: (480) 765-9017, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2340, LICENSE: OTC3158, NAME: U S HEALTHWORKS MEDICAL GROUP-TEMPE (URGENT CARE), LEGALLY: U S HEALTHWORKS MEDICAL GROUP OF ARIZONA, PC, ADDRESS: 1492 SOUTH MILL AVENUE, SUITE 101, CITY: TEMPE, STATE: AZ, ZIP: 85281, PHONE: (480) 921-2273, FAX: (480) 921-7114, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2279, LICENSE: OTC3148, NAME: PINNACLE RADIOLOGY-DEER VALLEY, LEGALLY: JOHN C. LINCOLN, LLC, ADDRESS: 19636 NORTH 27TH AVENUE, SUITE LL1, CITY: PHOENIX, STATE: AZ, ZIP: 85027, PHONE: (623) 445-6400, FAX: (623) 445-6410, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2299, LICENSE: OTC3147, NAME: NEXTCARE URGENT CARE-GREENWAY, LEGALLY: GREENWAY URGENT CARE, LLC, ADDRESS: 3229 EAST GREENWAY ROAD, SUITE 102, CITY: PHOENIX, STATE: AZ, ZIP: 85032, PHONE: (480) 924-8382, FAX: (480) 924-8399, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2327, LICENSE: OTC3156, NAME: U S HEALTHWORKS MED GRP OF AZ-SCOTTS (URGENT CARE), LEGALLY: U.S. HEALTHWORKS MEDICAL GROUP OF ARIZONA, ADDRESS: 10335 NORTH SCOTTSDALE ROAD, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85253, PHONE: (480) 991-9358, FAX: (480) 483-3858, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2325, LICENSE: OTC3150, NAME: U S HEALTHWORKS MED GROUP-SOUTH WEST PHX (URGENT), LEGALLY: U.S. HEALTHWORKS MEDICAL GROUP - SOUTH WEST PHOENIX, ADDRESS: 2010 NORTH 75TH AVENUE, CITY: PHOENIX, STATE: AZ, ZIP: 85035, PHONE: (623) 245-6695, FAX: (623) 245-3582, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2321, LICENSE: OTC3153, NAME: CONCENTRA MEDICAL CENTERS - NORTH (URGENT CARE), LEGALLY: CONCENTRA MEDICAL CENTERS - NORTH, ADDRESS: 2005 WEST RUTHRAUFF ROAD #111, CITY: TUCSON, STATE: AZ, ZIP: 85705, PHONE: (520) 293-7250, FAX: (520) 293-7234, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2242, LICENSE: OTC3167, NAME: CIGNA GILBERT HEALTHCARE CENTER, LEGALLY: CIGNA GILBERT HEALTHCARE CENTER, ADDRESS: 4001 EAST BASELINE, SUITE 107, CITY: GILBERT, STATE: AZ, ZIP: 85234, PHONE: (602) 861-6330, FAX: (602) 861-6331, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2333, LICENSE: OTC3194, NAME: SCOTTSDALE RADIATION ONCOLOGY, LEGALLY: SCOTTSDALE HEALTHCARE HOSPITALS, ADDRESS: 7337 EAST 2ND STREET, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85251, PHONE: (480) 882-6234, FAX: (480) 882-6272, CAPACITY: 0, COUNTY: MARICOPA TYPE: OUTPATIENT PHYSICAL THERAPY/SPEECH PATHOLOGY SERVICES, SUBTYPE: MEDICARE, ID: MED2331, LICENSE: OTC3183, NAME: PHYSIOTHERAPY ASSOCIATES, INC-CAMELBACK, LEGALLY: PHYSIOTHERAPY ASSOCIATES, INC.-CAMELBACK, ADDRESS: 2222 EAST HIGHLAND AVENUE, SUITE 310, CITY: PHOENIX, STATE: AZ, ZIP: 85016, PHONE: (602) 955-8885, FAX: (602) 955-8895, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2278, LICENSE: OTC3128, NAME: COMMUNITY HEALTH ACTION ON WHEELS, LEGALLY: COMMUNITY HEALTH ACTION ON WHEELS, ADDRESS: 1533 EAST MABEL STREET, CITY: TUCSON, STATE: AZ, ZIP: 85719, PHONE: (520) 626-4363, FAX: (520) 626-9086, CAPACITY: 0, COUNTY: PIMA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED2329, LICENSE: OSC3151, NAME: SOUTHWESTERN EYE CENTER,LTD, LEGALLY: SOUTHWESTERN EYE SURGICENTER-SUN CITY, ADDRESS: 10615 WEST THUNDERBIRD,# A-100, CITY: SUN CITY, STATE: AZ, ZIP: 85351, PHONE: (623) 977-9600, FAX: (480) 833-6246, CAPACITY: 0, COUNTY: MARICOPA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED2335, LICENSE: OSC4178, NAME: SOUTHWESTERN EYE SURGICENTER-KINGMAN, LEGALLY: SOUTHWESTERN EYE SURGICENTER, ADDRESS: 1919 FLORENCE AVENUE, CITY: KINGMAN, STATE: AZ, ZIP: 86401, PHONE: (928) 753-5454, FAX: (928) 753-7790, CAPACITY: 0, COUNTY: MOHAVE TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2292, LICENSE: OTC3161, NAME: EL RIO MEL HEALTH CENTER, LEGALLY: EL RIO MEL HEALTH CENTER, ADDRESS: 5101 SOUTH LIBERTY AVENUE, CITY: TUCSON, STATE: AZ, ZIP: 85706, PHONE: (520) 545-3860, FAX: (520) 670-3744, CAPACITY: 0, COUNTY: PIMA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: MED2300, LICENSE: HHA3163, NAME: ASSISTED HEALTHCARE SERVICES, LEGALLY: ASSISTED HEALTHCARE SERVICES, ADDRESS: 8165 EAST INDIAN BEND, # 101, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85250, PHONE: (480) 860-2345, FAX: (480) 860-2340, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2306, LICENSE: OTC3856, NAME: ACADEMY VILLAGE WELLNESS CENTER, THE, LEGALLY: ACADEMY VILLAGE WELLNESS CENTER, THE, ADDRESS: 13701 EAST LANGTRY LANE, CITY: TUCSON, STATE: AZ, ZIP: 85747, PHONE: (520) 647-0904, FAX: (520) 647-0908, CAPACITY: 0, COUNTY: PIMA TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED2342, LICENSE: NONE, NAME: RENAL CARE GROUP-SAN CARLOS, LEGALLY: RENAL CARE GROUP-SAN CARLOS, ADDRESS: HIGHWAY 70 & 170 SRT, CITY: PERIDOT, STATE: AZ, ZIP: 85542, PHONE: (928) 475-5987, FAX: (480) 632-3283, CAPACITY: 0, COUNTY: GILA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2337, LICENSE: OTC3702, NAME: SUN CITY ENDOSCOPY CENTER, LEGALLY: SUN CITY ENDOSCOPY CENTER, ADDRESS: 13203 NORTH 103RD AVENUE, SUITE C-3, CITY: SUN CITY, STATE: AZ, ZIP: 85351, PHONE: (623) 972-5083, FAX: (623) 523-0505, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2302, LICENSE: OTC3155, NAME: TUCSON CLINICA MEDICA FAMILIAR, LEGALLY: TUCSON CLINICA MEDICA FAMILIAR, ADDRESS: 3770 SOUTH 16TH AVENUE, CITY: TUCSON, STATE: AZ, ZIP: 85713, PHONE: (520) 620-1200, FAX: (520) 620-1400, CAPACITY: 0, COUNTY: PIMA TYPE: MED-HOSPITAL, SUBTYPE: SPECIAL HOSPITAL, ID: MED2199, LICENSE: SH3121, NAME: KINDRED HOSPITAL ARIZONA SCOTT, LEGALLY: KINDRED HOSPITAL ARIZONA-SCOTTSDALE, ADDRESS: 11250 NORTH 92ND STREET, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85260, PHONE: (480) 391-4040, FAX: (602) 280-7299, CAPACITY: 50, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2296, LICENSE: OTC3638, NAME: DESERT SKY HEALTH & REHAB CENTER, LEGALLY: GLENDALE HEALTHCARE ASSOCIATES, LLC, ADDRESS: 5125 NORTH 58TH AVENUE, CITY: GLENDALE, STATE: AZ, ZIP: 85301, PHONE: (623) 931-5800, FAX: (623) 931-8776, CAPACITY: 0, COUNTY: MARICOPA TYPE: OUTPATIENT PHYSICAL THERAPY/SPEECH PATHOLOGY SERVICES, SUBTYPE: MEDICARE, ID: MED2346, LICENSE: OTC4294, NAME: PHYSIOTHERAPY ASSOCIATES-PEORIA, LEGALLY: PHYSIOTHERAPY ASSOCIATES-PEORIA, ADDRESS: 16155 NORTH 83RD AVENUE, SUITE 105, CITY: PEORIA, STATE: AZ, ZIP: 85382, PHONE: (623) 572-6776, FAX: (623) 572-6962, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPITAL, SUBTYPE: LONG TERM, ID: MED1397, LICENSE: SH3843, NAME: CORNERSTONE HOSPITAL OF SOUTHEAST AZ, LEGALLY: CORNERSTONE HOSPITAL OF SOUTHEAST ARIZONA, ADDRESS: 7220 EAST ROSEWOOD STREET, CITY: TUCSON, STATE: AZ, ZIP: 85710, PHONE: (520) 546-4595, FAX: (520) 290-1465, CAPACITY: 34, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2298, LICENSE: OTC3195, NAME: NEXTCARE URGENT CARE-DOBSON, LEGALLY: NEXTCARE URGENT CARE-DOBSON, ADDRESS: 600 SOUTH DOBSON ROAD, SUITE C26, CITY: CHANDLER, STATE: AZ, ZIP: 85224, PHONE: (480) 324-8382, FAX: (480) 924-8399, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2358, LICENSE: OTC4451, NAME: PINNACLE HEALTHCARE (URGENT CARE CENTER), LEGALLY: PINNACLE HEALTHCARE, ADDRESS: 4343 EAST 31ST PLACE, CITY: YUMA, STATE: AZ, ZIP: 85365, PHONE: (928) 341-4544, FAX: (928) 341-4514, CAPACITY: 0, COUNTY: YUMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2354, LICENSE: OTC3196, NAME: HENDRIX JR HI SCHL BASED CLINIC (SCHOOL BASED), LEGALLY: HENDRIX JUNIOR HIGH SCHOOL BASED CLINIC, ADDRESS: 1550 WEST SUMMIT PLACE, NURSES OFFICE, CITY: CHANDLER, STATE: AZ, ZIP: 85224, PHONE: (480) 472-3304, FAX: (480) 472-3320, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2375, LICENSE: OTC4360, NAME: PLANNED PARENTHOOD-MARGARET SANGER, LEGALLY: PLANNED PARENTHOOD-MARGARET SANGER, ADDRESS: 2255 NORTH WYATT DRIVE, CITY: TUCSON, STATE: AZ, ZIP: 85712, PHONE: (520) 624-1766, FAX: (520) 628-3069, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2361, LICENSE: OTC3561, NAME: UNITED CEREBRAL PALSY, LEGALLY: UNITED CEREBRAL PALSY, ADDRESS: 1802 WEST PARKSIDE LANE, CITY: PHOENIX, STATE: AZ, ZIP: 85027, PHONE: (602) 943-5472, FAX: (602) 943-4936, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED2336, LICENSE: HSPC3324, NAME: HOSPICE OF THE VALLEY EAST MESA BLD B, PCU (031505, LEGALLY: HOSPICE OF THE VALLEY'S EAST MESA BUILDING B-PCU INPATIENT, ADDRESS: 6063 EAST ARBOR AVENUE, BLDG B, CITY: MESA, STATE: AZ, ZIP: 85206, PHONE: (480) 654-6580, FAX: (602) 530-6904, CAPACITY: 10, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2297, LICENSE: OTC3317, NAME: NEXTCARE URGENT CARE-SHEA, LEGALLY: SHEA URGENT CARE, LLC, ADDRESS: 7425 EAST SHEA BOULEVARD, SUITE 108, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85260, PHONE: (480) 948-5067, FAX: (480) 348-1059, CAPACITY: 0, COUNTY: MARICOPA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED2610, LICENSE: OSC3385, NAME: METRO SURGERY CENTER, L P, LEGALLY: METRO SURGERY CENTER, L.P., ADDRESS: 3131 WEST PEORIA AVENUE, CITY: PHOENIX, STATE: AZ, ZIP: 85029, PHONE: (602) 375-1083, FAX: (602) 789-6833, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2511, LICENSE: OTC3511, NAME: VALLEY OXIMETRY & POLYSOMNOGRAPHY SLEEP DISORDERS, LEGALLY: VALLEY OXIMETRY & POLYSOMNOGRAPHY SLEEP DISORDERS CENTER, ADDRESS: 4555 EAST INVERNESS, SUITE 3, CITY: MESA, STATE: AZ, ZIP: 85206, PHONE: (480) 830-3900, FAX: (480) 830-3901, CAPACITY: 0, COUNTY: MARICOPA TYPE: FEDERALLY QUALIFIED HEALTH CENTER, SUBTYPE: FEDERALLY QUALIFIED HEALTH CENTER, ID: MED2359, LICENSE: OTC3208, NAME: MOUNTAIN PARK HEALTH CENTER-TOLLESON, LEGALLY: MOUNTAIN PARK HEALTH CENTER -TOLLESON, ADDRESS: 9169 WEST VAN BUREN STREET, CITY: TOLLESON, STATE: AZ, ZIP: 85353, PHONE: (602) 936-6795, FAX: (623) 478-8150, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2606, LICENSE: OTC3387, NAME: ADVANTAGE URGENT CARE, LEGALLY: ADVANTAGE URGENT CARE, ADDRESS: 5410 WEST THUNDERBIRD, SUITE 101, CITY: GLENDALE, STATE: AZ, ZIP: 85306, PHONE: (602) 530-6189, FAX: (602) 548-2292, CAPACITY: 0, COUNTY: MARICOPA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED2305, LICENSE: OSC3340, NAME: ARIZONA DIGESTIVE INSTITUTE, LEGALLY: ARIZONA DIGESTIVE INSTITUTE, ADDRESS: 7566 NORTH LA CHOLLA, CITY: TUCSON, STATE: AZ, ZIP: 85704, PHONE: (520) 742-2019, FAX: (520) 742-3010, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2545, LICENSE: OTC3357, NAME: NAVAJO COUNTY PUBLIC HEALTH DISTRICT-HOLBROOK, LEGALLY: NAVAJO COUNTY PUBLIC HEALTH DISTRICT-HOLBROOK, ADDRESS: 117 EAST BUFFALO STREET, CITY: HOLBROOK, STATE: AZ, ZIP: 86025, PHONE: (928) 524-4750, FAX: (928) 524-4754, CAPACITY: 0, COUNTY: NAVAJO TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2546, LICENSE: OTC3358, NAME: NAVAJO COUNTY PUBLIC HEALTH DISTRICT-WINSLOW, LEGALLY: NAVAJO COUNTY PUBLIC HEALTH DISTRICT-WINSLOW, ADDRESS: 619 EAST THIRD STREET, CITY: WINSLOW, STATE: AZ, ZIP: 86047, PHONE: (928) 289-6830, FAX: (928) 289-6826, CAPACITY: 0, COUNTY: NAVAJO TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2547, LICENSE: OTC3356, NAME: NAVAJO COUNTY PUBLIC HEALTH DISTRICT-SHOW LOW, LEGALLY: NAVAJO COUNTY PUBLIC HEALTH DISTRICT-SHOW LOW SITE, ADDRESS: 251 NORTH PENROD ROAD, SUITE 1, CITY: SHOW LOW, STATE: AZ, ZIP: 85901, PHONE: (928) 532-6050, FAX: (928) 532-6054, CAPACITY: 0, COUNTY: NAVAJO TYPE: HOSPITAL, SUBTYPE: REHABILITATION, ID: MED2543, LICENSE: SH3378, NAME: YUMA REHABILITATION HOSPITAL, LEGALLY: YUMA REHABILITATION HOSPITAL, ADDRESS: 901 WEST 24TH STREET, CITY: YUMA, STATE: AZ, ZIP: 85364, PHONE: (928) 726-5000, FAX: (928) 726-5001, CAPACITY: 41, COUNTY: YUMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2281, LICENSE: OTC3171, NAME: COMMUNITY ASSET & RESOURCE ENTERPRISE PARTNERSHIP, LEGALLY: COMMUNITY ASSET AND RESOURCE ENTERPRISE PARTNERSHIP, ADDRESS: 466 SOUTH BELLVIEW STREET, CITY: MESA, STATE: AZ, ZIP: 85204, PHONE: (480) 962-5197, FAX: (480) 833-8842, CAPACITY: 0, COUNTY: MARICOPA TYPE: FEDERALLY QUALIFIED HEALTH CENTER, SUBTYPE: FEDERALLY QUALIFIED HEALTH CENTER, ID: MED2323, LICENSE: OTC3144, NAME: CONTINENTAL FAMILY MEDICAL CENTER, LEGALLY: CONTINENTAL FAMILY MEDICAL CENTER, ADDRESS: 1260 SOUTH CAMPBELL AVENUE, CITY: GREEN VALLEY, STATE: AZ, ZIP: 85614, PHONE: (520) 625-4401, FAX: (520) 625-8504, CAPACITY: 0, COUNTY: PIMA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: MED2356, LICENSE: HHA3958, NAME: SUNRISE HEALTH SERVICES, LEGALLY: APACHE HEALTHCARE SERVICES, INC., ADDRESS: 105 NORTH PASADENA STREET, SUITE A, CITY: GILBERT, STATE: AZ, ZIP: 85233, PHONE: (480) 926-0133, FAX: (480) 926-6377, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2377, LICENSE: OTC3353, NAME: ASU BREAKING THE CYCLE COMMUNITY HEALTHCARE, LEGALLY: ASU BREAKING THE CYCLE COMMUNITY HEALTHCARE, ADDRESS: 1124 NORTH THIRD STREET, CITY: PHOENIX, STATE: AZ, ZIP: 85014, PHONE: (602) 523-9275, FAX: (602) 258-4345, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2515, LICENSE: OTC4179, NAME: BIRTH AND WOMEN'S HEALTH CENTER, LEGALLY: BIRTH AND WOMEN'S HEALTH CENTER, ADDRESS: 2595 NORTH WYATT DRIVE, CITY: TUCSON, STATE: AZ, ZIP: 85712, PHONE: (520) 795-9912, FAX: (520) 795-9934, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2520, LICENSE: OTC3330, NAME: COMPREHENSIVE SLEEP SOLUTIONS, LEGALLY: COMPREHENSIVE SLEEP SOLUTIONS, ADDRESS: 7440 NORTH ORACLE ROAD, CASITA 1, CITY: TUCSON, STATE: AZ, ZIP: 85704, PHONE: (520) 575-6400, FAX: (520) 575-7281, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2521, LICENSE: OTC3331, NAME: COMPREHENSIVE SLEEP SOLUTIONS - GRANT, LEGALLY: COMPREHENSIVE SLEEP SOLUTIONS, LLC - GRANT, ADDRESS: 5671 EAST GRANT ROAD, CITY: TUCSON, STATE: AZ, ZIP: 85712, PHONE: (520) 885-4671, FAX: (520) 575-7281, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2527, LICENSE: OTC3343, NAME: ARIZONA FAMILY CARE ASSOCIATES-SUITE 5, LEGALLY: ARIZONA FAMILY CARE ASSOCIATES, INC., SUITE 5, ADDRESS: 302 EL CAMINO REAL, CITY: SIERRA VISTA, STATE: AZ, ZIP: 85635, PHONE: (520) 459-3920, FAX: (520) 458-4335, CAPACITY: 0, COUNTY: COCHISE TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2528, LICENSE: OTC3348, NAME: ARIZONA FAMILY CARE ASSOCIATES-SUITE 10F, LEGALLY: ARIZONA FAMILY CARE ASSOCIATES, INC. SUITE 10F, ADDRESS: 302 EL CAMINO REAL, CITY: SIERRA VISTA, STATE: AZ, ZIP: 85635, PHONE: (520) 417-4318, FAX: (520) 458-4335, CAPACITY: 0, COUNTY: COCHISE TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2529, LICENSE: OTC3347, NAME: ARIZONA FAMILY CARE ASSOCIATES -SUITE 11A/B, LEGALLY: ARIZONA FAMILY CARE ASSOCIATES, INC. SUITE 11A/B, ADDRESS: 302 EL CAMINO REAL, CITY: SIERRA VISTA, STATE: AZ, ZIP: 85635, PHONE: (520) 459-1914, FAX: (520) 452-2227, CAPACITY: 0, COUNTY: COCHISE TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2530, LICENSE: OTC3346, NAME: ARIZONA FAMILY CARE ASSOCIATES-SUITE 11C/D, LEGALLY: ARIZONA FAMILY CARE ASSOCIATES, SUITE 11C/D, ADDRESS: 302 EL CAMINO REAL, CITY: SIERRA VISTA, STATE: AZ, ZIP: 85635, PHONE: (520) 458-9644, FAX: (520) 417-9436, CAPACITY: 0, COUNTY: COCHISE TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2531, LICENSE: OTC3344, NAME: ARIZONA FAMILY CARE COCHISE ORTHOPAEDIC CLINIC, LEGALLY: ARIZONA FAMILY CARE COCHISE ORTHOPAEDIC CLINIC, ADDRESS: 1951 SOUTH FRONTAGE ROAD, CITY: SIERRA VISTA, STATE: AZ, ZIP: 85635, PHONE: (520) 458-0650, FAX: (520) 458-4335, CAPACITY: 0, COUNTY: COCHISE TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2381, LICENSE: OTC3336, NAME: COMPREHENSIVE SLEEP SOLUTIONS-TEMPE, LEGALLY: COMPREHENSIVE SLEEP SOLUTIONS-TEMPE, ADDRESS: 3280 SOUTH COUNTRY CLUB WAY, SUITE 112, CITY: TEMPE, STATE: AZ, ZIP: 85282, PHONE: (480) 603-0615, FAX: (480) 603-0620, CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED2538, LICENSE: , NAME: CARONDELET REHABILITATION SERVICES, LEGALLY: CARONDELET REHABILITATION SERVICES, ADDRESS: 1055 NORTH LA CANADA, SUITE 103, CITY: GREEN VALLEY, STATE: AZ, ZIP: 85614, PHONE: (520) 648-7131, FAX: (520) 873-3921, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2549, LICENSE: OTC3388, NAME: SOJOURNER CENTER HEALTH CLINIC, LEGALLY: SOJOURNER CENTER HEALTH CLINIC, ADDRESS: P O BOX 20156, CITY: PHOENIX, STATE: AZ, ZIP: 85036, PHONE: (602) 244-0997, FAX: (602) 244-8006, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: AZ HHA ONLY, ID: MED2553, LICENSE: HHA3392, NAME: DEPENDABLE NURSES PHOENIX, LEGALLY: DEPENDABLE NURSES OF PHOENIX, INC., ADDRESS: 8687 EAST VIA DE VENTURA, SUITE 207, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85258, PHONE: (480) 609-9000, FAX: (480) 609-9021, CAPACITY: 0, COUNTY: MARICOPA TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED2556, LICENSE: OTC3408, NAME: SCOTTSDALE DIALYSIS CENTER, LEGALLY: SCOTTSDALE DIALYSIS CENTER, ADDRESS: 4725 NORTH SCOTTSDALE ROAD, SUITE 100, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85251, PHONE: (480) 994-1445, FAX: (480) 994-4946, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2557, LICENSE: OTC3386, NAME: HORIZON HEALTH SERVICES, LEGALLY: HORIZON HEALTH SERVICES, ADDRESS: 3250 EAST 40TH STREET, SUITE A-C, CITY: YUMA, STATE: AZ, ZIP: 85364, PHONE: (928) 317-5023, FAX: (928) 344-6358, CAPACITY: 0, COUNTY: YUMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2283, LICENSE: OTC3405, NAME: EL RIO BROADWAY CLINIC, LEGALLY: EL RIO BROADWAY CLINIC, ADDRESS: 1101 EAST BROADWAY, CITY: TUCSON, STATE: AZ, ZIP: 85719, PHONE: (520) 792-3293, FAX: (520) 670-3744, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2285, LICENSE: OTC3160, NAME: EL RIO HEALTH CENTER-SUMMIT ELEMENTARY, LEGALLY: EL RIO SANTA CRUZ NEIGHBORHOOD HEATLH CENTER - SUMMIT ELEMENTARY SCHOOL, ADDRESS: 1900 EAST SUMMIT STREET, CITY: TUCSON, STATE: AZ, ZIP: 85706, PHONE: (520) 792-0989, FAX: (520) 205-4940, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2315, LICENSE: OTC4432, NAME: BANNER NORTHWEST VALLEY OBSTETRICS AND GYNECOLOGY, LEGALLY: BANNER NORTHWEST VALLEY OBSTETRICS AND GYNECOLOGY, ADDRESS: 14418 WEST MEEKER BLVD, SUITE 304, CITY: SUN CITY WEST, STATE: AZ, ZIP: 85375, PHONE: (623) 214-4400, FAX: (623) 214-4157, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: MED2319, LICENSE: HHA3362, NAME: MAXICARE HOMEHEALTH, INC, LEGALLY: MAXICARE HOMEHEALTH, INC., ADDRESS: 2432 WEST PEORIA AVENUE, SUITE #1120 BLDG 5, CITY: PHOENIX, STATE: AZ, ZIP: 85029, PHONE: (602) 246-1115, FAX: (602) 246-1114, CAPACITY: 0, COUNTY: MARICOPA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED2328, LICENSE: OSC3152, NAME: SOUTHWESTERN EYE SURGICENTER-BELL ROAD, LEGALLY: SOUTHWESTERN EYE SURGICENTER-BELL ROAD, ADDRESS: 3321 EAST BELL ROAD, #B 10/12, CITY: PHOENIX, STATE: AZ, ZIP: 85032, PHONE: (602) 787-9100, FAX: (480) 833-6246, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: MED2501, LICENSE: HHA3307, NAME: LIFE CARE AT HOME, LEGALLY: LIFE CARE AT HOME, ADDRESS: 1820 EAST RIVER ROAD SUITE D100, CITY: TUCSON, STATE: AZ, ZIP: 85718, PHONE: (520) 498-2288, FAX: (520) 498-4693, CAPACITY: 0, COUNTY: PIMA TYPE: MED-OUTPATIENT SURGERY CENTER, SUBTYPE: OUTPATIENT SURGERY CENTER, ID: MED2360, LICENSE: OSC3434, NAME: TURNING POINTE SURGERY CENTER, LEGALLY: TURNING POINTE SURGERY CENTER, ADDRESS: 4540 EAST BASELINE ROAD, #117, CITY: MESA, STATE: AZ, ZIP: 85206, PHONE: (480) 844-1410, FAX: (480) 396-0651, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: MED2362, LICENSE: HHA3379, NAME: LOS NINOS HOSPITAL INNOVATIVE, LEGALLY: LOS NINOS HOSPITAL INNOVATIVE HOME HEALTH CARE, ADDRESS: 2601 EAST THOMAS ROAD, SUITE 230, CITY: PHOENIX, STATE: AZ, ZIP: 85016, PHONE: (602) 305-9500, FAX: (602) 243-1217, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPICE, SUBTYPE: HOSPICE - OUTOFSTATE, ID: MED2363, LICENSE: HSPC3366, NAME: NEW HOPE HOSPICE OF NEVADA, INC, LEGALLY: NEW HOPE HOSPICE OF NEVADA, INC, ADDRESS: 3650 SOUTH POINTE CIRCLE, SUITE 112, CITY: LAUGHLIN, STATE: NV, ZIP: 89029, PHONE: (702) 298-4673, FAX: (702) 298-8056, CAPACITY: 0, COUNTY: CLARK TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2369, LICENSE: OTC3309, NAME: IMMANUEL OUTPATIENT THERAPY CENTER, LEGALLY: IMMANUEL OUTPATIENT THERAPY CENTER, ADDRESS: 11301 NORTH 99TH AVENUE, CITY: PEORIA, STATE: AZ, ZIP: 85345, PHONE: (623) 977-8373, FAX: (623) 974-4948, CAPACITY: 0, COUNTY: MARICOPA TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED2373, LICENSE: OTC4222, NAME: RENAL CARE GROUP-AHWATUKEE, LEGALLY: RENAL CARE GROUP-AHWATUKEE, ADDRESS: 4629 EAST CHANDLER BLVD, SUITE 100, CITY: PHOENIX, STATE: AZ, ZIP: 85048, PHONE: (480) 785-2270, FAX: (480) 785-7199, CAPACITY: 0, COUNTY: MARICOPA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED2505, LICENSE: OSC3889, NAME: ENDOSCOPY CENTER OF YUMA, LEGALLY: ENDOSCOPY CENTER OF YUMA, ADDRESS: 1030 WEST 24TH STREET, SUITE I, CITY: YUMA, STATE: AZ, ZIP: 85364, PHONE: (928) 343-1717, FAX: (928) 343-1011, CAPACITY: 0, COUNTY: YUMA TYPE: RURAL HEALTH CLINICS, SUBTYPE: MEDICARE, ID: MED2506, LICENSE: NONE, NAME: SULPHUR SPRINGS MEDICAL CENTER, LEGALLY: SULPHUR SPRINGS MEDICAL CENTER, ADDRESS: 900 WEST SCOTT, CITY: WILLCOX, STATE: AZ, ZIP: 85643, PHONE: (520) 384-4421, FAX: (520) 384-4645, CAPACITY: 0, COUNTY: COCHISE TYPE: RURAL HEALTH CLINICS, SUBTYPE: MEDICARE, ID: MED2507, LICENSE: NONE, NAME: SUNSITES MEDICAL CENTER, LEGALLY: SUNSITES MEDICAL CENTER, ADDRESS: PO BOX 186, CITY: PEARCE, STATE: AZ, ZIP: 85625, PHONE: (520) 826-1088, FAX: (520) 384-4645, CAPACITY: 0, COUNTY: COCHISE TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2508, LICENSE: OTC4457, NAME: PIMA COUNTY JUVENILE DETENTION CENTER MEDICAL UNIT, LEGALLY: PIMA COUNTY JUVENILE DETENTION CENTER MEDICAL UNIT, ADDRESS: 2225 EAST AJO WAY, CITY: TUCSON, STATE: AZ, ZIP: 85713, PHONE: (520) 838-7834, FAX: (520) 838-7473, CAPACITY: 0, COUNTY: PIMA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED2514, LICENSE: OSC3368, NAME: EAST VALLEY ENDOSCOPY PLLC, LEGALLY: EAST VALLEY ENDOSCOPY P.L.L.C., ADDRESS: 6020 EAST ARBOR AVENUE, SUITE 105, CITY: MESA, STATE: AZ, ZIP: 85206, PHONE: (480) 830-2005, FAX: (480) 830-2405, CAPACITY: 0, COUNTY: MARICOPA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED2519, LICENSE: OSC3316, NAME: JON R HILLEGAS SURGERY CENTER, LEGALLY: THE JON R HILLEGAS SURGERY CENTER, ADDRESS: 13640 NORTH PLAZA DEL RIO BOULEVARD, SUITE135, CITY: PEORIA, STATE: AZ, ZIP: 85381, PHONE: (623) 876-3956, FAX: (623) 876-6946, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2525, LICENSE: OTC3335, NAME: VIRGINIA G PIPER CANCER CTR OUTPATIENT INFUSION, LEGALLY: VIRGINIA G PIPER CANCER CENTER OUTPATIENT INFUSION, ADDRESS: 10460 NORTH 92ND STREET, SUITE 206, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85258, PHONE: (480) 323-1340, FAX: (480) 323-1341, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2383, LICENSE: OTC3339, NAME: NO APPOINTMENT M D (URGENT CARE CENTER), LEGALLY: NO APPOINTMENT M D, LLC, ADDRESS: 12235 NORTH CAVE CREEK ROAD, SUITE 9, CITY: PHOENIX, STATE: AZ, ZIP: 85022, PHONE: (602) 992-7700, FAX: (602) 992-7722, CAPACITY: 0, COUNTY: MARICOPA TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED2533, LICENSE: OTC4040, NAME: FRESENIUS MEDICAL CARE MAMMOTH DIALYSIS, LEGALLY: FRESENIUS MEDICAL CARE MAMMOTH DIALYSIS, ADDRESS: 14786 SOUTH HIGHWAY 77, CITY: MAMMOTH, STATE: AZ, ZIP: 85618, PHONE: (520) 381-1540, FAX: (520) 487-0156, CAPACITY: 0, COUNTY: PINAL TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2535, LICENSE: OTC3365, NAME: DESERT ROSE IMAGING CENTER, LEGALLY: DESERT ROSE IMAGING CENTER, ADDRESS: 1708 SYCAMORE AVENUE, SUITE A, CITY: KINGMAN, STATE: AZ, ZIP: 86401, PHONE: (928) 681-3600, FAX: (928) 681-3612, CAPACITY: 0, COUNTY: MOHAVE TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2537, LICENSE: OTC3374, NAME: NEXTCARE URGENT CARE-POWER, LEGALLY: NEXTCARE URGENT CARE - POWER, ADDRESS: 1066 NORTH POWER ROAD, SUITE 101, CITY: MESA, STATE: AZ, ZIP: 85205, PHONE: (480) 924-8382, FAX: (480) 924-8399, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPITAL, SUBTYPE: PSYCHIATRIC, ID: MED0208, LICENSE: SH0059, NAME: ARIZONA STATE HOSPITAL, LEGALLY: ARIZONA STATE HOSPITAL, ADDRESS: 2500 EAST VAN BUREN STREET, CITY: PHOENIX, STATE: AZ, ZIP: 85008, PHONE: (602) 220-6000, FAX: (602) 220-6292, CAPACITY: 558, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2380, LICENSE: OTC4459, NAME: APACHE COUNTY HEALTH DEPARTMENT-SPRINGERVILLE, LEGALLY: APACHE COUNTY HEALTH DEPARTMENT-SPRINGERVILLE, ADDRESS: 323 SOUTH MOUNTAIN AVENUE, CITY: SPRINGERVILLE, STATE: AZ, ZIP: 85938, PHONE: (928) 333-2415, FAX: (928) 333-5876, CAPACITY: 0, COUNTY: APACHE TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2542, LICENSE: OTC3376, NAME: SUMMIT HEALTHCARE ONCOLOGY SERVICES, LEGALLY: SUMMIT HEALTHCARE ONCOLOGY SERVICES, ADDRESS: 2500 EAST HUNT DRIVE, SUITE H, CITY: SHOW LOW, STATE: AZ, ZIP: 85901, PHONE: (928) 537-6964, FAX: (928) 532-8798, CAPACITY: 0, COUNTY: NAVAJO TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2309, LICENSE: OTC3360, NAME: CLINICA AMISTAD, LEGALLY: CLINICA AMISTAD, ADDRESS: 1631 SOUTH 10TH AVENUE, CITY: TUCSON, STATE: AZ, ZIP: 85713, PHONE: (520) 237-5434, FAX: (520) 219-7304, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2577, LICENSE: OTC3753, NAME: COMPREHENSIVE SLEEP SOLUTIONS - CASA GRANDE, LEGALLY: COMPREHENSIVE SLEEP SOLUTIONS - CASA GRANDE, ADDRESS: 1729 NORTH TREKELL ROAD, SUITE 101, CITY: CASA GRANDE, STATE: AZ, ZIP: 85222, PHONE: (520) 426-1480, FAX: (520) 575-7281, CAPACITY: 0, COUNTY: PINAL TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED2597, LICENSE: OSC3418, NAME: UNITED SURGICAL ASSOCIATES, LLC, LEGALLY: UNITED SURGICAL ASSOCIATES, LLC, ADDRESS: 651 WEST MINGUS AVENUE, SUITE 2A, CITY: COTTONWOOD, STATE: AZ, ZIP: 86326, PHONE: (928) 649-4480, FAX: (928) 634-8118, CAPACITY: 0, COUNTY: YAVAPAI TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2598, LICENSE: OTC4431, NAME: BANNER SUN CITY NEUROLOGICAL & GENERAL SURGERY SPE, LEGALLY: BANNER SUN CITY NEUROLOGICAL & GENERAL SURGERY SPECIALISTS, ADDRESS: 13188 NORTH 103RD DRIVE, SUITE 206, CITY: SUN CITY, STATE: AZ, ZIP: 85351, PHONE: (623) 972-3001, FAX: (623) 933-3045, CAPACITY: 0, COUNTY: MARICOPA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED2524, LICENSE: OSC3384, NAME: ARIZONA EYE INSTITUTE AND COSMETIC LASER CENTER, LEGALLY: ARIZONA EYE INSTITUTE AND COSMETIC LASER CENTER, ADDRESS: 19052 R H JOHNSON BOULEVARD, CITY: SUN CITY WEST, STATE: AZ, ZIP: 85375, PHONE: (623) 975-2020, FAX: (623) 975-7005, CAPACITY: 0, COUNTY: MARICOPA TYPE: FEDERALLY QUALIFIED HEALTH CENTER, SUBTYPE: FEDERALLY QUALIFIED HEALTH CENTER, ID: MED2605, LICENSE: OTC3382, NAME: KEELING HEALTH CENTER, LEGALLY: MARANA HEALTH CENTER, INC., ADDRESS: 435 EAST GLENN, CITY: TUCSON, STATE: AZ, ZIP: 85705, PHONE: (520) 696-6969, FAX: (520) 682-2333, CAPACITY: 0, COUNTY: PIMA TYPE: FEDERALLY QUALIFIED HEALTH CENTER, SUBTYPE: FEDERALLY QUALIFIED HEALTH CENTER, ID: MED2604, LICENSE: OTC3381, NAME: CATALINA HEALTH CENTER, LEGALLY: CATALINA HEALTH CENTER, ADDRESS: 3645 EAST PIMA STREET, CITY: TUCSON, STATE: AZ, ZIP: 85716, PHONE: (520) 232-8438, FAX: (520) 232-8511, CAPACITY: 0, COUNTY: PIMA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: MED2347, LICENSE: HHA4209, NAME: AMEDISYS HOME HEALTH OF TEMPE, LEGALLY: AMEDISYS HOME HEALTH OF TEMPE, ADDRESS: 2185 WEST PECOS ROAD, SUITE E1, CITY: CHANDLER, STATE: AZ, ZIP: 85224, PHONE: (480) 883-9295, FAX: (480) 883-9252, CAPACITY: 0, COUNTY: MARICOPA TYPE: OUTPATIENT PHYSICAL THERAPY/SPEECH PATHOLOGY SERVICES, SUBTYPE: MEDICARE, ID: MED2541, LICENSE: OTC3391, NAME: A R C THERAPY SERVICES - TUCSON, LEGALLY: A R C THERAPY SERVICES - TUCSON, ADDRESS: 7500 NORTH CALLE SIN ENVIDIA , SUITE #5103, CITY: TUCSON, STATE: AZ, ZIP: 85718, PHONE: (520) 742-6242, FAX: (520) 742-5045, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2752, LICENSE: OTC3396, NAME: KEMPTON & NELSON THERAPY CLINIC, LEGALLY: KEMPTON & NELSON THERAPY CLINIC, ADDRESS: 334 WEST 10TH PLACE, SUITE 103, CITY: MESA, STATE: AZ, ZIP: 85201, PHONE: (480) 964-4242, FAX: (480) 964-4455, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPITAL, SUBTYPE: SHORT TERM, ID: MED2568, LICENSE: SH3394, NAME: GREENBAUM SURGICAL SPECIALTY HOSPITAL, LEGALLY: GREENBAUM SURGICAL SPECIALTY HOSPITAL, ADDRESS: 3535 NORTH SCOTTSDALE ROAD, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85251, PHONE: (480) 882-4657, FAX: (480) 882-4084, CAPACITY: 26, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2614, LICENSE: OTC3397, NAME: ALMA MEDICAL INCORPORATED, LEGALLY: ALMA MEDICAL INCORPORATED, ADDRESS: 4455 SOUTH PARK AVENUE, SUITE 104, CITY: TUCSON, STATE: AZ, ZIP: 85714, PHONE: (520) 741-0599, FAX: (520) 741-0790, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2622, LICENSE: OTC3407, NAME: NEURO INSTITUTE, LEGALLY: NEURO INSTITUTE, ADDRESS: 1221 WEST WARNER ROAD, SUITE 102, CITY: TEMPE, STATE: AZ, ZIP: 85284, PHONE: (480) 735-0124, FAX: (480) 735-0126, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2581, LICENSE: OTC3463, NAME: KACHINA POINT HEALTH CARE AND REHAB (OUTPATIENT), LEGALLY: KACHINA POINT HEALTH CARE & REHAB CENTER, ADDRESS: 505 JACKS CANYON ROAD, CITY: SEDONA, STATE: AZ, ZIP: 86351, PHONE: (928) 284-1000, FAX: (928) 284-0626, CAPACITY: 0, COUNTY: COCONINO TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2621, LICENSE: OTC3435, NAME: ISAAC E IMES ELEMENTARY SCHOOL BASED HEALTH CLINIC, LEGALLY: ISAAC E. IMES ELEMENTARY SCHOOL BASED HEALTH CLINIC, ADDRESS: 6625 NORTH 56TH AVENUE, CLINIC EXAM ROOM, CITY: GLENDALE, STATE: AZ, ZIP: 85301, PHONE: (623) 237-4002, FAX: (602) 246-9026, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED2634, LICENSE: HSPC3420, NAME: HOSPICE INSPIRIS, LEGALLY: HOSPICE INSPIRIS, ADDRESS: 2025 NORTH 3RD STREET, SUITE B205, CITY: PHOENIX, STATE: AZ, ZIP: 85004, PHONE: (602) 712-1000, FAX: (602) 712-0012, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2636, LICENSE: OTC3428, NAME: CROCKETT SCHOOL FAMILY PRACTICE CLINIC (SCHOOL), LEGALLY: CROCKETT SCHOOL FAMILY PRACTICE CLINIC, ADDRESS: 501 NORTH 36TH STREET, NURSES OFFICE, CITY: PHOENIX, STATE: AZ, ZIP: 85013, PHONE: (602) 629-6611, FAX: (602) 406-7176, CAPACITY: 0, COUNTY: MARICOPA TYPE: RURAL HEALTH CLINICS, SUBTYPE: MEDICARE, ID: MED2582, LICENSE: OTC3530, NAME: SAN LUIS WALK-IN CLINIC-D (URGENT CARE CENTER), LEGALLY: SAN LUIS WALK-IN CLINIC, ADDRESS: 1896 EAST BABBIT LANE, SUITE D, CITY: SAN LUIS, STATE: AZ, ZIP: 85349, PHONE: (928) 722-6112, FAX: (928) 722-6113, CAPACITY: 0, COUNTY: YUMA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED2635, LICENSE: , NAME: PHOENIX CHILDREN'S SURGERY CENTER, LEGALLY: PHOENIX CHILDREN'S SURGERY CENTER, ADDRESS: 1920 EAST CAMBRIDGE, BUILDING E, SUITE 100, CITY: PHOENIX, STATE: AZ, ZIP: 85006, PHONE: (602) 604-9400, FAX: (602) 604-9444, CAPACITY: 0, COUNTY: MARICOPA TYPE: FEDERALLY QUALIFIED HEALTH CENTER, SUBTYPE: FEDERALLY QUALIFIED HEALTH CENTER, ID: MED2637, LICENSE: OTC3455, NAME: NORTH COUNTRY HEALTHCARE-WINSLOW, LEGALLY: NORTH COUNTRY HEALTHCARE-WINSLOW, ADDRESS: 620 WEST LEE, CITY: WINSLOW, STATE: AZ, ZIP: 86047, PHONE: (928) 289-2000, FAX: (928) 774-1652, CAPACITY: 0, COUNTY: NAVAJO TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED2638, LICENSE: OSC3462, NAME: PHOENIX ENDOSCOPY, LLC, LEGALLY: PHOENIX ENDOSCOPY, LLC, ADDRESS: 349 EAST CORONADO ROAD, CITY: PHOENIX, STATE: AZ, ZIP: 85006, PHONE: (602) 266-5678, FAX: (602) 264-5646, CAPACITY: 0, COUNTY: MARICOPA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED2566, LICENSE: NONE, NAME: SOUTHWESTERN EYE SURGICENTER, LEGALLY: SOUTHWESTERN EYE CENTER SURGICENTER - SIERRA VISTA, ADDRESS: 75 COLONIA DE SALUD, CITY: SIERRA VISTA, STATE: AZ, ZIP: 85635, PHONE: (520) 459-6860, FAX: (480) 833-6246, CAPACITY: 0, COUNTY: COCHISE TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED2612, LICENSE: OSC3456, NAME: ST JOSEPH'S OUTPATIENT SURGERY CENTER, LEGALLY: ST JOSEPH'S OUTPATIENT SURGERY CENTER, LLC, ADDRESS: 240 WEST THOMAS ROAD, SUITE A, CITY: PHOENIX, STATE: AZ, ZIP: 85013, PHONE: (602) 406-3552, FAX: (602) 406-3813, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2651, LICENSE: OTC3433, NAME: NEXTCARE URGENT CARE-MCDOWELL, LEGALLY: NEXTCARE URGENT CARE-MCDOWELL, ADDRESS: 13075 WEST MCDOWELL ROAD, SUITE D106, CITY: AVONDALE, STATE: AZ, ZIP: 85323, PHONE: (623) 547-0522, FAX: (623) 547-0521, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2551, LICENSE: OTC3419, NAME: WEST VALLEY URGENT CARE 2, LEGALLY: WEST VALLEY URGENT CARE 2, ADDRESS: 12133 WEST BELL ROAD, SUITE 101, CITY: SURPRISE, STATE: AZ, ZIP: 85374, PHONE: (623) 815-9073, FAX: (623) 815-9201, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED2662, LICENSE: HSPC4076, NAME: PREMIER HOSPICE AND PALLIATIVE CARE, LLC, LEGALLY: PREMIER HOSPICE AND PALLIATIVE CARE, LLC, ADDRESS: 3737 NORTH 7TH STREET, SUITE 203, CITY: PHOENIX, STATE: AZ, ZIP: 85014, PHONE: (602) 274-7572, FAX: (602) 274-5465, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2648, LICENSE: OTC3426, NAME: GILA COUNTY DIV OF HEALTH & COMMUNITY SERVICES, LEGALLY: GILA COUNTY DIV. OF HEALTH & COMMUNITY SERVICES, ADDRESS: 5515 SOUTH APACHE AVENUE, SUITE 100, CITY: GLOBE, STATE: AZ, ZIP: 85501, PHONE: (928) 402-8811, FAX: (928) 425-0794, CAPACITY: 0, COUNTY: GILA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED2653, LICENSE: OSC3432, NAME: AMBULATORY SURGERY CENTER OF TUCSON, LEGALLY: AMBULATORY SURGERY CENTER OF TUCSON, ADDRESS: 1502 NORTH TUCSON BOULEVARD, CITY: TUCSON, STATE: AZ, ZIP: 85716, PHONE: (520) 326-4321, FAX: (520) 326-4736, CAPACITY: 0, COUNTY: PIMA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED2661, LICENSE: OSC3471, NAME: FOREST CANYON ENDOSCOPY AND SURGERY CENTER, PC, LEGALLY: FOREST CANYON ENDOSCOPY AND SURGERY CENTER, P.C., ADDRESS: 560 NORTH SWITZER CANYON DRIVE, CITY: FLAGSTAFF, STATE: AZ, ZIP: 86001, PHONE: (928) 774-3044, FAX: (928) 774-7107, CAPACITY: 0, COUNTY: COCONINO TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2664, LICENSE: OTC3466, NAME: MOHAVE COUNTY DEPARTMENT OF PUBLIC HEALTH-COLORADO, LEGALLY: MOHAVE COUNTY DEPARTMENT OF PUBLIC HEALTH, ADDRESS: 20 SOUTH COLVIN STREET, ROOM 1, CITY: COLORADO CITY, STATE: AZ, ZIP: 86021, PHONE: (928) 875-8960, FAX: (928) 718-5547, CAPACITY: 0, COUNTY: MOHAVE TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2665, LICENSE: OTC3464, NAME: MOHAVE COUNTY DEPARTMENT OF PUBLIC HEALTH, LEGALLY: MOHAVE COUNTY DEPARTMENT OF PUBLIC HEALTH, ADDRESS: 1222 HANCOCK ROAD, CITY: BULLHEAD CITY, STATE: AZ, ZIP: 86442, PHONE: (928) 758-0703, FAX: (928) 758-0719, CAPACITY: 0, COUNTY: MOHAVE TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2666, LICENSE: OTC3465, NAME: MOHAVE COUNTY DEPARTMENT OF PUBLIC HEALTH, LEGALLY: MOHAVE COUNTY DEPARTMENT OF PUBLIC HEALTH, ADDRESS: 2001 COLLEGE DRIVE, SUITE 115, CITY: LAKE HAVASU CITY, STATE: AZ, ZIP: 86403, PHONE: (928) 453-0703, FAX: (928) 453-0740, CAPACITY: 0, COUNTY: MOHAVE TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2682, LICENSE: OTC3448, NAME: PLANNED PARENTHOOD - FLAGSTAFF, LEGALLY: PLANNED PARENTHOOD - FLAGSTAFF, ADDRESS: 1304 SOUTH PLAZA WAY, CITY: EAST FLAGSTAFF, STATE: AZ, ZIP: 86001, PHONE: (928) 774-2951, FAX: (928) 774-5366, CAPACITY: 0, COUNTY: COCONINO TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2684, LICENSE: OTC3477, NAME: PRESCOTT MEDICAL IMAGING, LEGALLY: PRESCOTT MEDICAL IMAGING, LLC, ADDRESS: 810 WHIPPLE STREET, CITY: PRESCOTT, STATE: AZ, ZIP: 86301, PHONE: (928) 771-7577, FAX: (928) 771-7616, CAPACITY: 0, COUNTY: YAVAPAI TYPE: FEDERALLY QUALIFIED HEALTH CENTER, SUBTYPE: FEDERALLY QUALIFIED HEALTH CENTER, ID: MED2685, LICENSE: OTC3430, NAME: SUN LIFE FAMILY HEALTH CENTER - COOLIDGE, LEGALLY: SUN LIFE FAMILY HEALTH CENTER - COOLIDGE, ADDRESS: 1284 NORTH ARIZONA BOULEVARD, CITY: COOLIDGE, STATE: AZ, ZIP: 85228, PHONE: (520) 723-9131, FAX: (520) 723-7974, CAPACITY: 0, COUNTY: PINAL TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2617, LICENSE: OTC3440, NAME: ARETE SLEEP-SCOTTSDALE, LEGALLY: ARETE SLEEP-SCOTTSDALE, ADDRESS: 8436 EAST SHEA BOULEVARD, SUITE 101, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85260, PHONE: (480) 282-6540, FAX: (480) 282-6640, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2671, LICENSE: OTC3604, NAME: STAT CLINIX-MESA (URGENT CARE CENTER), LEGALLY: STAT CLINIX-MESA, ADDRESS: 1151 NORTH GILBERT ROAD, CITY: MESA, STATE: AZ, ZIP: 85213, PHONE: (480) 610-0688, FAX: (602) 926-6132, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2672, LICENSE: OTC3606, NAME: STAT CLINIX-AHWATUKEE (URGENT CARE CENTER), LEGALLY: STAT CLINIX-AHWATUKEE, ADDRESS: 4530 EAST RAY ROAD, SUITE 100, CITY: PHOENIX, STATE: AZ, ZIP: 85044, PHONE: (480) 598-7500, FAX: (480) 926-2628, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED2675, LICENSE: HSPC3460, NAME: HOSPICE OF THE VALLEY'S MARICOPA PALL CARE (031500, LEGALLY: HOSPICE OF THE VALLEY'S MARICOPA PALLIATIVE CARE UNIT, ADDRESS: 2619 EAST PIERCE STREET, 2ND FLOOR, CITY: PHOENIX, STATE: AZ, ZIP: 85008, PHONE: (602) 344-1590, FAX: (602) 344-1591, CAPACITY: 9, COUNTY: MARICOPA TYPE: FEDERALLY QUALIFIED HEALTH CENTER, SUBTYPE: FEDERALLY QUALIFIED HEALTH CENTER, ID: MED2680, LICENSE: OTC3453, NAME: NORTH COUNTRY HEALTH CARE-ROUND VALLEY(URG CARE), LEGALLY: NORTH COUNTRY HEALTH CARE-ROUND VALLEY, ADDRESS: 830 EAST MAIN STREET, SUITE 230, CITY: SPRINGERVILLE, STATE: AZ, ZIP: 85938, PHONE: (928) 333-0127, FAX: (928) 333-4799, CAPACITY: 0, COUNTY: APACHE TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2686, LICENSE: OTC3475, NAME: STAND-UP MRI OF ARIZONA, LLC, LEGALLY: STAND-UP MRI OF ARIZONA, LLC, ADDRESS: 8581 WEST KELTON LANE, SUITE 202, CITY: PEORIA, STATE: AZ, ZIP: 85382, PHONE: (623) 815-8500, FAX: (623) 815-7773, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2618, LICENSE: OTC3557, NAME: ARETE SLEEP-SUN CITY, LEGALLY: ARETE SLEEP-SUN CITY, ADDRESS: 13203 NORTH 103RD AVENUE, SUITE I-7, CITY: SUN CITY, STATE: AZ, ZIP: 85351, PHONE: (480) 282-6500, FAX: (480) 282-6600, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2687, LICENSE: OTC3473, NAME: NEXTCARE URGENT CARE-59TH, LEGALLY: NEXTCARE URGENT CARE-59TH, ADDRESS: 18589 NORTH 59TH AVENUE, SUITE 101, CITY: GLENDALE, STATE: AZ, ZIP: 85308, PHONE: (480) 924-8382, FAX: (480) 924-8399, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2690, LICENSE: OTC4666, NAME: THUMB BUTTE OUTPATIENT REHAB CLINIC, LEGALLY: THUMB BUTTE OUTPATIENT REHAB CLINIC, ADDRESS: 864 DOUGHERTY STREET, CITY: PRESCOTT, STATE: AZ, ZIP: 86305, PHONE: (928) 445-2744, FAX: (928) 445-0019, CAPACITY: 0, COUNTY: YAVAPAI TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: AZ HHA ONLY, ID: MED2696, LICENSE: HHA3444, NAME: NURSES NETWORK, INC-PRESCOTT VALLEY, LEGALLY: NURSES NETWORK, INC, ADDRESS: 3085 NORTH WINDSONG DRIVE, SUITE B, CITY: PRESCOTT VALLEY, STATE: AZ, ZIP: 86314, PHONE: (928) 772-8707, FAX: (928) 772-7054, CAPACITY: 0, COUNTY: YAVAPAI TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: AZ HHA ONLY, ID: MED2697, LICENSE: HHA3443, NAME: NURSES NETWORK, INC- FLAGSTAFF, LEGALLY: NURSES NETWORK, INC.-FLAGSTAFF, ADDRESS: 624 NORTH HUMPHREYS, SUITE BN, CITY: FLAGSTAFF, STATE: AZ, ZIP: 86001, PHONE: (928) 774-1924, FAX: (928) 556-0625, CAPACITY: 0, COUNTY: COCONINO TYPE: MED-UNCLASSIFIED, SUBTYPE: UNCLASSIFIED, ID: MED2603, LICENSE: UNC4544, NAME: ARIZONA SCHOOL FOR THE DEAF AND BLIND STUDENT HLTH, LEGALLY: ARIZONA SCHOOL FOR THE DEAF AND BLIND - STUDENT HEALTH CENTER, ADDRESS: 1200 WEST SPEEDWAY BOULEVARD, CITY: TUCSON, STATE: AZ, ZIP: 85745, PHONE: (520) 770-3700, FAX: (520) 770-3787, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2667, LICENSE: OTC3467, NAME: ADVANTAGE URGENT CARE II, LEGALLY: ADVANTAGE URGENT CARE II, ADDRESS: 14800 WEST MOUNTAIN VIEW ROAD, SUITE 190, CITY: SURPRISE, STATE: AZ, ZIP: 85374, PHONE: (602) 530-6189, FAX: (602) 443-6760, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2691, LICENSE: OTC3461, NAME: FARWC HEALTH SERVICES AT SANTA ROSA CLINIC, LEGALLY: FARWC HEALTH SERVICES AT SANTA ROSA CLINIC, ADDRESS: 1080 SOUTH 10TH AVENUE, CITY: TUCSON, STATE: AZ, ZIP: 85701, PHONE: (520) 620-0228, FAX: (520) 205-8416, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2693, LICENSE: OTC3497, NAME: HEART CENTER OF NORTHEASTERN ARIZONA, LLC, LEGALLY: HEART CENTER OF NORTHEASTERN ARIZONA, LLC, ADDRESS: 2200 SHOW LOW LAKE ROAD, CITY: SHOW LOW, STATE: AZ, ZIP: 85901, PHONE: (928) 532-0600, FAX: (928) 532-0550, CAPACITY: 0, COUNTY: NAVAJO TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2698, LICENSE: OTC3452, NAME: COMMUNITY WELLNESS & SAFETY OF ARIZONA, LEGALLY: COMMUNITY WELLNESS & SAFETY OF ARIZONA, LLC, ADDRESS: 522 NORTH GILBERT ROAD, SUITE 104, NURSING OFFICE, CITY: GILBERT, STATE: AZ, ZIP: 85234, PHONE: (480) 892-4295, FAX: (480) 396-0234, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2699, LICENSE: OTC3449, NAME: HAMILTON ELEMENTARY SCHOOL CLINIC, LEGALLY: HAMILTON ELEMENTARY SCHOOL CLINIC, ADDRESS: 2020 WEST DURANGO STREET, ROOM 46, CITY: PHOENIX, STATE: AZ, ZIP: 85009, PHONE: (602) 353-5330, FAX: (602) 353-5388, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: MED2700, LICENSE: HHA3480, NAME: PHOENIX HOME HEALTH NURSING SERVICES, INC, LEGALLY: PHOENIX HOME HEALTH NURSING SERVICES, INC, ADDRESS: 16841 NORTH 31ST AVENUE, SUITE 170, CITY: PHOENIX, STATE: AZ, ZIP: 85053, PHONE: (602) 789-8282, FAX: (602) 789-1989, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2702, LICENSE: OTC3495, NAME: EAST MESA HEALTHCARE CENTER, LEGALLY: EAST MESA HEALTHCARE CENTER, ADDRESS: 51 SOUTH 48TH STREET, CITY: MESA, STATE: AZ, ZIP: 85206, PHONE: (480) 832-8333, FAX: (480) 830-2466, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2708, LICENSE: OTC3527, NAME: PINAL COUNTY-APACHE JUNCTION HEALTH DEPARTMENT, LEGALLY: PINAL COUNTY DEPARTMENT OF PUBLIC HEALTH APACHE JUNCTION, ADDRESS: 575 NORTH IDAHO STREET, SUITE 301, CITY: APACHE JUNCTION, STATE: AZ, ZIP: 85219, PHONE: (520) 866-7326, FAX: (520) 866-6165, CAPACITY: 0, COUNTY: PINAL TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2711, LICENSE: OTC3520, NAME: PINAL COUNTY - CASA GRANDE HEALTH DEPARTMENT, LEGALLY: PINAL COUNTY CASA GRANDE HEALTH DEPARTMENT, ADDRESS: 820 EAST COTTONWOOD LANE, BUILDING E, CITY: CASA GRANDE, STATE: AZ, ZIP: 85222, PHONE: (520) 836-5931, FAX: (520) 866-7358, CAPACITY: 0, COUNTY: PINAL TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2712, LICENSE: OTC3521, NAME: PINAL COUNTY - COOLIDGE HEALTH DEPARTMENT, LEGALLY: PINAL COUNTY COOLIDGE HEALTH DEPARTMENT, ADDRESS: 119 WEST CENTRAL AVENUE, CITY: COOLIDGE, STATE: AZ, ZIP: 85228, PHONE: (866) 960-0633, FAX: (520) 866-6165, CAPACITY: 0, COUNTY: PINAL TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2713, LICENSE: OTC3522, NAME: PINAL COUNTY - FLORENCE HEALTH DEPARTMENT, LEGALLY: PINAL COUNTY - FLORENCE HEALTH DEPARTMENT, ADDRESS: 500 SOUTH CENTRAL STREET, CITY: FLORENCE, STATE: AZ, ZIP: 85232, PHONE: (520) 866-7326, FAX: (520) 866-7358, CAPACITY: 0, COUNTY: PINAL TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2714, LICENSE: OTC3523, NAME: PINAL COUNTY - KEARNY HEALTH DEPARTMENT, LEGALLY: PINAL COUNTY KEARNY HEALTH DEPARTMENT, ADDRESS: 355 ALDEN ROAD, CITY: KEARNY, STATE: AZ, ZIP: 85237, PHONE: (520) 866-7326, FAX: (520) 866-7358, CAPACITY: 0, COUNTY: PINAL TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2715, LICENSE: OTC3524, NAME: PINAL COUNTY - MAMMOTH HEALTH DEPARTMENT, LEGALLY: PINAL COUNTY MAMMOTH HEALTH DEPARTMENT, ADDRESS: 110 MAIN STREET, CITY: MAMMOTH, STATE: AZ, ZIP: 85618, PHONE: (520) 487-2110, FAX: (520) 866-7358, CAPACITY: 0, COUNTY: PINAL TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2716, LICENSE: OTC3526, NAME: PINAL COUNTY - ORACLE HEALTH DEPARTMENT, LEGALLY: PINAL COUNTY ORACLE HEALTH DEPARTMENT, ADDRESS: 1870 WEST AMERICAN WAY, CITY: ORACLE, STATE: AZ, ZIP: 85623, PHONE: (520) 896-9777, FAX: (520) 866-7358, CAPACITY: 0, COUNTY: PINAL TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2718, LICENSE: OTC3525, NAME: PINAL COUNTY - ELOY HEALTH DEPARTMENT, LEGALLY: PINAL COUNTY ELOY HEALTH DEPARTMENT, ADDRESS: 302 EAST 5TH STREET, CITY: ELOY, STATE: AZ, ZIP: 85231, PHONE: (520) 466-7762, FAX: (520) 866-7358, CAPACITY: 0, COUNTY: PINAL TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED2719, LICENSE: OTC3476, NAME: PALM BROOK DIALYSIS CENTER, LEGALLY: PALM BROOK DIALYSIS CENTER, ADDRESS: 14664 NORTH DEL WEBB BOULEVARD, CITY: SUN CITY, STATE: AZ, ZIP: 85351, PHONE: (615) 341-5894, FAX: (615) 341-5894, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2720, LICENSE: OTC2478, NAME: KEMPTON & NELSON DIAGNOSTICS, LEGALLY: KEMPTON & NELSON DIAGNOSTICS, LLC, ADDRESS: 334 WEST 10TH PLACE, SUITE 103, CITY: MESA, STATE: AZ, ZIP: 85201, PHONE: (480) 610-6400, FAX: (480) 964-4455, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2721, LICENSE: OTC3472, NAME: NEIGHBORHOOD CHRISTIAN CLINIC, THE, LEGALLY: NEIGHBORHOOD CHRISTIAN CLINIC, THE, ADDRESS: 1929 WEST FILLMORE, BUILDING C, CITY: PHOENIX, STATE: AZ, ZIP: 85009, PHONE: (602) 258-6008, FAX: (602) 258-8388, CAPACITY: 0, COUNTY: MARICOPA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED2727, LICENSE: NONE, NAME: UROLOGY PROVIDERS OF NORTHERN ARIZONA, LEGALLY: UROLOGY PROVIDERS OF NORTHERN ARIZONA, ADDRESS: 450 SOUTH WILLARD STREET #105, CITY: COTTONWOOD, STATE: AZ, ZIP: 86326, PHONE: (928) 639-1573, FAX: (928) 639-1573, CAPACITY: 0, COUNTY: YAVAPAI TYPE: HOSPITAL, SUBTYPE: SHORT TERM, ID: MED2312, LICENSE: SH3711, NAME: ARIZONA SPINE AND JOINT HOSPITAL, LEGALLY: ARIZONA SPINE & JOINT HOSPITAL, LLC, ADDRESS: 4620 EAST BASELINE ROAD, CITY: MESA, STATE: AZ, ZIP: 85206, PHONE: (480) 832-4770, FAX: (480) 824-1269, CAPACITY: 23, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2632, LICENSE: OTC3487, NAME: METRO IMAGING A, LEGALLY: METRO IMAGING A, ADDRESS: 3201 WEST PEORIA AVENUE, SUITE B-404, CITY: PHOENIX, STATE: AZ, ZIP: 85029, PHONE: (602) 336-8600, FAX: (602) 942-8716, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2722, LICENSE: OTC3489, NAME: BULLHEAD URGENT CARE CENTER, LEGALLY: BULLHEAD URGENT CARE CENTER, ADDRESS: 1355 RAMAR ROAD, SUITE 11, CITY: BULLHEAD CITY, STATE: AZ, ZIP: 86442, PHONE: (928) 704-9202, FAX: (928) 704-9207, CAPACITY: 0, COUNTY: MOHAVE TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2628, LICENSE: OTC3485, NAME: OPEN MRI OF PHOENIX, LEGALLY: PHOENIX DIAGNOSTIC IMAGING, INC, DBA OPEN MRI OF PHOENIX, ADDRESS: 1331 NORTH 7TH STREET, SUITE 150, CITY: PHOENIX, STATE: AZ, ZIP: 85006, PHONE: (602) 253-0000, FAX: (602) 253-8611, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2630, LICENSE: OTC3486, NAME: OPEN MRI OF WEST VALLEY, LEGALLY: OPEN MRI OF WEST VALLEY, ADDRESS: 10249 WEST THUNDERBIRD ROAD, SUITE 200, CITY: SUN CITY, STATE: AZ, ZIP: 85351, PHONE: (623) 876-8800, FAX: (623) 876-8881, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2627, LICENSE: OTC3483, NAME: DOBSON IMAGING, LEGALLY: DOBSON IMAGING, ADDRESS: 1111 SOUTH DOBSON ROAD, CITY: MESA, STATE: AZ, ZIP: 85202, PHONE: (480) 964-4995, FAX: (480) 464-1462, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2631, LICENSE: OTC3484, NAME: SUPERSITITION IMAGING, LEGALLY: SUPERSITITION IMAGING, ADDRESS: 875 NORTH GREENFIELD ROAD, SUITE 107, CITY: GILBERT, STATE: AZ, ZIP: 85234, PHONE: (480) 813-8700, FAX: (480) 813-8707, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2633, LICENSE: OTC3492, NAME: FOUNTAINS IMAGING, LEGALLY: FOUNTAINS IMAGING, ADDRESS: 5620 WEST THUNDERBIRD ROAD, BUILDING A, CITY: GLENDALE, STATE: AZ, ZIP: 85306, PHONE: (602) 863-9729, FAX: (602) 978-5940, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2755, LICENSE: OTC3491, NAME: METRO IMAGING B, LEGALLY: METRO IMAGING B, ADDRESS: 3201 WEST PEORIA AVENUE, SUITE B302, CITY: PHOENIX, STATE: AZ, ZIP: 85029, PHONE: (602) 336-8600, FAX: (602) 942-8716, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2729, LICENSE: OTC3490, NAME: JOHN C LINCOLN HEALTH CENTER AT ANTHEM (URGENT CAR, LEGALLY: JOHN C LINCOLN HEALTH CENTER AT ANTHEM, ADDRESS: 3648 WEST ANTHEM WAY, BUILDING A-100, CITY: ANTHEM, STATE: AZ, ZIP: 85086, PHONE: (623) 434-6444, FAX: (623) 434-6448, CAPACITY: 0, COUNTY: MARICOPA TYPE: FEDERALLY QUALIFIED HEALTH CENTER, SUBTYPE: FEDERALLY QUALIFIED HEALTH CENTER, ID: MED2750, LICENSE: OTC3493, NAME: ALTAR VALLEY HEALTH & WELLNESS CENTER - ROBLES ELE, LEGALLY: UNITED COMMUNITY HEALTH CENTER, ADDRESS: 9875 SOUTH SASABE ROAD, CITY: TUCSON, STATE: AZ, ZIP: 85736, PHONE: (520) 822-9418, FAX: (520) 625-8504, CAPACITY: 0, COUNTY: PIMA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: AZ HHA ONLY, ID: MED2728, LICENSE: HHA3496, NAME: ARISTOCARE HOME HEALTH SERVICES, LEGALLY: ARISTOCARE HOME HEALTH SERVICES, ADDRESS: 698 EAST WETMORE, SUITE 200, CITY: TUCSON, STATE: AZ, ZIP: 85705, PHONE: (520) 577-4825, FAX: (520) 529-0862, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2753, LICENSE: OTC3498, NAME: EL RIO OB/GYN ASSOCIATES, LEGALLY: EL RIO OB/GYN ASSOCIATES, ADDRESS: 225 WEST IRVINGTON, CITY: TUCSON, STATE: AZ, ZIP: 85714, PHONE: (520) 792-9890, FAX: (520) 205-4940, CAPACITY: 0, COUNTY: PIMA TYPE: FEDERALLY QUALIFIED HEALTH CENTER, SUBTYPE: FEDERALLY QUALIFIED HEALTH CENTER, ID: MED2732, LICENSE: OTC3514, NAME: MOUNTAIN PARK HEALTH CENTER-EAST PHOENIX, LEGALLY: MOUNTAIN PARK HEALTH CENTER EAST PHOENIX, ADDRESS: 690 NORTH COFCO CENTER COURT, SUITE 230, CITY: PHOENIX, STATE: AZ, ZIP: 85042, PHONE: (602) 286-6090, FAX: (602) 286-0808, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2734, LICENSE: OTC3548, NAME: SLEEP-WAKE DISORDERS CENTER OF HAVASU, LEGALLY: SLEEP-WAKE DISORDERS CENTER OF HAVASU, ADDRESS: 1720 MESQUITE AVENUE, SUITE 201, CITY: LAKE HAVASU CITY, STATE: AZ, ZIP: 86403, PHONE: (928) 855-7570, FAX: (928) 855-7574, CAPACITY: 0, COUNTY: MOHAVE TYPE: FEDERALLY QUALIFIED HEALTH CENTER, SUBTYPE: FEDERALLY QUALIFIED HEALTH CENTER, ID: MED2745, LICENSE: OTC3499, NAME: SANTA CATALINA HEALTH CENTER, LEGALLY: MARANA HEALTH CENTER, INC., ADDRESS: 15631 NORTH ORACLE ROAD, SUITE 141, CITY: TUCSON, STATE: AZ, ZIP: 85739, PHONE: (520) 825-6763, FAX: (520) 825-6841, CAPACITY: 0, COUNTY: PIMA TYPE: PORTABLE X-RAY SUPPLIERS, SUBTYPE: MEDICARE, ID: MED2762, LICENSE: NONE, NAME: RAPID-RAY, LEGALLY: RAPID-RAY, ADDRESS: 450 WEST CONTINENTAL ROAD, CITY: GREEN VALLEY, STATE: AZ, ZIP: 85614, PHONE: (520) 625-7670, FAX: (520) 625-7362, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2763, LICENSE: OTC3513, NAME: URGENT CARE EXPRESS-GILBERT (URGENT CARE CENTER), LEGALLY: URGENT CARE EXPRESS-GILBERT, ADDRESS: 920 EAST WILLIAMS FIELD ROAD, SUITE 101, CITY: GILBERT, STATE: AZ, ZIP: 85295, PHONE: (480) 855-9400, FAX: (480) 782-1598, CAPACITY: 0, COUNTY: MARICOPA TYPE: OUTPATIENT PHYSICAL THERAPY/SPEECH PATHOLOGY SERVICES, SUBTYPE: MEDICARE, ID: MED2771, LICENSE: OTC3510, NAME: PHYSIOTHERAPY ASSOCIATES-EAST MESA, LEGALLY: PHYSIOTHERAPY ASSOCIATES-EAST MESA, ADDRESS: 7436 EAST MAIN STREET, SUITE 1, CITY: MESA, STATE: AZ, ZIP: 85207, PHONE: (480) 854-7333, FAX: (480) 854-8572, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2747, LICENSE: OTC3502, NAME: UNIVERSITY OF ARIZONA CAMPUS HEALTH SERVICE, LEGALLY: UNIVERSITY OF ARIZONA CAMPUS HEALTH SERVICE, ADDRESS: 1224 EAST LOWELL STREET, CITY: TUCSON, STATE: AZ, ZIP: 85721, PHONE: (520) 621-7428, FAX: (520) 621-8412, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2774, LICENSE: OTC3550, NAME: WESTCHESTER THERAPY CENTER, LEGALLY: WESTCHESTER THERAPY CENTER, ADDRESS: 6100 SOUTH RURAL ROAD, CITY: TEMPE, STATE: AZ, ZIP: 85283, PHONE: (480) 831-8660, FAX: (480) 820-7663, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: MED2737, LICENSE: HHA3532, NAME: MGA HOME HEALTHCARE, LLC- PHOENIX, LEGALLY: MGA HOME HEALTHCARE, LLC, ADDRESS: 2800 NORTH 44TH STREET, SUITE #600, CITY: PHOENIX, STATE: AZ, ZIP: 85008, PHONE: (602) 385-8733, FAX: (602) 385-4930, CAPACITY: 0, COUNTY: MARICOPA TYPE: FEDERALLY QUALIFIED HEALTH CENTER, SUBTYPE: FEDERALLY QUALIFIED HEALTH CENTER, ID: MED2739, LICENSE: OTC3506, NAME: CONTINENTAL PEDIATRICS, LEGALLY: UNITED COMMUNITY HEALTH CENTER, ADDRESS: 1150 WHITEHOUSE CANYON ROAD, CITY: GREEN VALLEY, STATE: AZ, ZIP: 85614, PHONE: (520) 625-4401, FAX: (520) 625-8504, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2757, LICENSE: OTC3504, NAME: COMPREHENSIVE SLEEP SOLUTIONS-GLENDALE, LEGALLY: COMPREHENSIVE SLEEP SOLUTIONS, LLC, ADDRESS: 7200 WEST BELL ROAD, SUITE K-101, CITY: GLENDALE, STATE: AZ, ZIP: 85308, PHONE: (480) 603-0615, FAX: (480) 603-0620, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2761, LICENSE: OTC3558, NAME: EAST BASELINE FAMILY MEDICINE CENTER, LEGALLY: EAST BASELINE FAMILY MEDICINE CENTER, ADDRESS: 3540 EAST BASELINE ROAD, SUITE 130, CITY: PHOENIX, STATE: AZ, ZIP: 85042, PHONE: (602) 454-0328, FAX: (602) 454-0367, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2746, LICENSE: OTC3501, NAME: DISABILITY RESOURCE CENTER, LEGALLY: DISABILITY RESOURCE CENTER, ADDRESS: 1224 EAST LOWELL STREET, CITY: TUCSON, STATE: AZ, ZIP: 85721, PHONE: (520) 621-3268, FAX: (520) 621-9423, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2773, LICENSE: OTC3597, NAME: FASTRAX URGENT CARE CENTER, LEGALLY: FASTRAX URGENT CARE CENTER, ADDRESS: 2002 STOCKTON HILL ROAD, SUITE 103, CITY: KINGMAN, STATE: AZ, ZIP: 86401, PHONE: (928) 753-3303, FAX: (928) 753-3603, CAPACITY: 0, COUNTY: MOHAVE TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2778, LICENSE: OTC3507, NAME: GILA HEALTH RESOURCES, L L C, LEGALLY: GILA HEALTH RESOURCES, LLC, ADDRESS: 401 BURRO ALLEY, CITY: MORENCI, STATE: AZ, ZIP: 85540, PHONE: (928) 865-7505, FAX: (928) 865-7571, CAPACITY: 0, COUNTY: GREENLEE TYPE: HOSPITAL, SUBTYPE: SHORT TERM, ID: MED0224, LICENSE: H0101, NAME: MARYVALE HOSPITAL, LEGALLY: MARYVALE HOSPITAL, ADDRESS: 5102 WEST CAMPBELL AVENUE, CITY: PHOENIX, STATE: AZ, ZIP: 85031, PHONE: (623) 848-5000, FAX: (623) 848-5553, CAPACITY: 232, COUNTY: MARICOPA TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED2783, LICENSE: HSPC3566, NAME: EVERCARE HOSPICE, INC, LEGALLY: EVERCARE HOSPICE, INC., ADDRESS: 3141 NORTH THIRD AVENUE, CITY: PHOENIX, STATE: AZ, ZIP: 85013, PHONE: (602) 745-7921, FAX: (602) 749-5999, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPITAL, SUBTYPE: SHORT TERM, ID: MED0260, LICENSE: H0122, NAME: VERDE VALLEY MEDICAL CENTER, LEGALLY: VERDE VALLEY MEDICAL CENTER, ADDRESS: 269 SOUTH CANDY LANE, CITY: COTTONWOOD, STATE: AZ, ZIP: 86326, PHONE: (928) 639-6000, FAX: (928) 639-6070, CAPACITY: 110, COUNTY: YAVAPAI TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2709, LICENSE: OTC3851, NAME: PINAL COUNTY-SUPERIOR CLINIC, LEGALLY: PINAL COUNTY HEALTH DEPARTMENT - SUPERIOR, ADDRESS: 60 EAST MAIN STREET, CITY: SUPERIOR, STATE: AZ, ZIP: 85273, PHONE: (520) 866-7326, FAX: (520) 866-6512, CAPACITY: 0, COUNTY: PINAL TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2738, LICENSE: OTC3518, NAME: ARIZONA FAMILY CARE ASSOCIATES, INC- NEUROLOGY, LEGALLY: ARIZONA FAMILY CARE ASSOCIATES, INC, ADDRESS: 2480 EAST WILCOX, CITY: SIERRA VISTA, STATE: AZ, ZIP: 85635, PHONE: (520) 417-1133, FAX: (520) 458-4335, CAPACITY: 0, COUNTY: COCHISE TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED2825, LICENSE: HSPC3589, NAME: HOSPICE OF THE VALLEY DOBSON HOUSE (031505), LEGALLY: HOSPICE OF THE VALLEY DOBSON HOUSE, ADDRESS: 1188 NORTH DOBSON ROAD, CITY: CHANDLER, STATE: AZ, ZIP: 85225, PHONE: (480) 786-1900, FAX: (480) 786-8849, CAPACITY: 11, COUNTY: MARICOPA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: MED2809, LICENSE: HHA3554, NAME: SUPREME HOME CARE, LEGALLY: SUPREME HOME CARE, INC, ADDRESS: 2737 WEST BASELINE ROAD, SUITE #28, CITY: TEMPE, STATE: AZ, ZIP: 85283, PHONE: (602) 454-0155, FAX: (602) 454-0156, CAPACITY: 0, COUNTY: MARICOPA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED2578, LICENSE: OSC3540, NAME: ADVANCED LASER & SURGICENTER OF ARIZONA, LEGALLY: ADVANCED LASER & SURGICENTER OF ARIZONA, ADDRESS: 3303 EAST BASELINE ROAD, SUITE #104, CITY: GILBERT, STATE: AZ, ZIP: 85234, PHONE: (480) 632-2020, FAX: (480) 632-2121, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2742, LICENSE: OTC3545, NAME: BANNER DESERT OCCUPATIONAL HEALTH CLINIC (URGENT), LEGALLY: BANNER DESERT OCCUPATIONAL HEALTH CLINIC, ADDRESS: 2225 WEST SOUTHERN AVENUE, CITY: MESA, STATE: AZ, ZIP: 85202, PHONE: (480) 512-3275, FAX: (480) 512-8760, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2792, LICENSE: OTC3748, NAME: EZ SLEEP LAB, LEGALLY: EZ SLEEP LAB, ADDRESS: 1590 WILLOW CREEK ROAD, SUITE A, CITY: PRESCOTT, STATE: AZ, ZIP: 86301, PHONE: (602) 200-8988, FAX: (602) 200-8878, CAPACITY: 0, COUNTY: YAVAPAI TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2799, LICENSE: OTC3542, NAME: BRADSHAW MOUNTAIN HIGH SCHOOL EAST CLINIC, LEGALLY: BRADSHAW MOUNTAIN HIGH SCHOOL EAST CLINIC, ADDRESS: 6411 NORTH ROBERT ROAD, ROOM 114, CITY: PRESCOTT VALLEY, STATE: AZ, ZIP: 86314, PHONE: (928) 771-5662, FAX: (928) 771-5249, CAPACITY: 0, COUNTY: YAVAPAI TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: MED2795, LICENSE: HHA3549, NAME: VICTORY HOME CARE AGENCY, LEGALLY: VICTORY HOME CARE AGENCY, ADDRESS: 1212 NORTH SPENCER STREET, SUITE # 1, CITY: MESA, STATE: AZ, ZIP: 85203, PHONE: (480) 726-6553, FAX: (480) 726-3329, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPITAL, SUBTYPE: CRITICAL ACCESS HOSPITALS, ID: MED3286, LICENSE: H0015, NAME: SOUTHEAST ARIZONA MEDICAL CENTER, LEGALLY: SOUTHEAST ARIZONA MEDICAL CENTER, ADDRESS: 2174 WEST OAK AVENUE, CITY: DOUGLAS, STATE: AZ, ZIP: 85607, PHONE: (520) 364-7931, FAX: (520) 364-2551, CAPACITY: 25, COUNTY: COCHISE TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED2764, LICENSE: OTC4389, NAME: ARROWHEAD LAKES DIALYSIS CENTER, LEGALLY: ARROWHEAD LAKES DIALYSIS CENTER, ADDRESS: 20325 NORTH 51ST AVENUE, BLDG 11, SUITE 184 & 186, CITY: GLENDALE, STATE: AZ, ZIP: 85308, PHONE: (623) 533-6521, FAX: (623) 533-6579, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED2827, LICENSE: HSPC3567, NAME: HSPC OF THE VALLEY'S FRIENDSHIP VILL PCU (031505), LEGALLY: HOSPICE OF THE VALLEY'S FRIENDSHIP VILLAGE PCU, ADDRESS: 2525 EAST SOUTHERN AVENUE, CITY: TEMPE, STATE: AZ, ZIP: 85282, PHONE: (602) 530-6900, FAX: (602) 530-6904, CAPACITY: 14, COUNTY: MARICOPA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: MED2539, LICENSE: HHA4712, NAME: MAXIM HEALTHCARE SERVICES, INC, LEGALLY: MAXIM HEALTHCARE SERVICES, INC, ADDRESS: 5151 EAST BROADWAY BOULEVARD, SUITE 750, CITY: TUCSON, STATE: AZ, ZIP: 85711, PHONE: (520) 790-8200, FAX: (520) 514-2936, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2741, LICENSE: OTC3643, NAME: BANNER THUNDERBIRD OCCUPA HEALTH CLINIC (URGENT), LEGALLY: BANNER THUNDERBIRD OCCUPATIONAL HEALTH CLINIC, ADDRESS: 5601 WEST EUGIE AVENUE, SUITE 213, CITY: GLENDALE, STATE: AZ, ZIP: 85304, PHONE: (602) 865-5618, FAX: (602) 585-5828, CAPACITY: 0, COUNTY: MARICOPA TYPE: OUTPATIENT PHYSICAL THERAPY/SPEECH PATHOLOGY SERVICES, SUBTYPE: MEDICARE, ID: MED2800, LICENSE: OTC3551, NAME: PHYSIOTHERAPY ASSOCIATES-GILBERT, LEGALLY: PHYSIOTHERAPY ASSOCIATES-GILBERT, ADDRESS: 1166 SOUTH GILBERT ROAD, SUITE 118, CITY: GILBERT, STATE: AZ, ZIP: 85296, PHONE: (480) 507-2024, FAX: (480) 539-4748, CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED2811, LICENSE: , NAME: SIERRA VISTA REGIONAL HLTH CNTR-OUTPT SURGERY CTR, LEGALLY: SIERRA VISTA REGIONAL HEALTH CENTER INC. OUTPATIENT SURGERY CENTER, ADDRESS: 151 COLONIA DE SALUD, CITY: SIERRA VISTA, STATE: AZ, ZIP: 85635, PHONE: (520) 417-3003, FAX: (520) 417-3297, CAPACITY: 0, COUNTY: COCHISE TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED2810, LICENSE: HSPC3553, NAME: CORNERSTONE HOSPICE, LEGALLY: CORNERSTONE HOSPICE, ADDRESS: 7310 NORTH 16TH STREET, SUITE 230, CITY: PHOENIX, STATE: AZ, ZIP: 85020, PHONE: (602) 263-0925, FAX: (602) 263-0929, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2749, LICENSE: OTC3559, NAME: FOUNTAINS WOMEN'S CENTER, LEGALLY: FOUNTAINS WOMEN'S CENTER, ADDRESS: 5620 WEST THUNDERBIRD ROAD, SUITE B-2, CITY: GLENDALE, STATE: AZ, ZIP: 85306, PHONE: (602) 863-9729, FAX: (602) 978-5940, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: AZ HHA ONLY, ID: MED2775, LICENSE: HHA3556, NAME: DEPENDABLE NURSES INC, LEGALLY: DEPENDABLE NURSES, INC., ADDRESS: 1120 SOUTH SWAN ROAD, SUITE A, CITY: TUCSON, STATE: AZ, ZIP: 85711, PHONE: (520) 721-3822, FAX: (520) 886-9604, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2740, LICENSE: OTC3911, NAME: BANNER GOOD SAMARITAN OCCUP HEALTH CLINIC (URGENT, LEGALLY: BANNER GOOD SAMARITAN OCCUPATIONAL HEALTH CLINIC, ADDRESS: 1300 NORTH 12TH STREET, SUITE 520, CITY: PHOENIX, STATE: AZ, ZIP: 85006, PHONE: (602) 239-4456, FAX: (602) 239-3182, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2803, LICENSE: OTC3555, NAME: NORTHWEST IMAGING AT ORANGE GROVE, LEGALLY: NORTHWEST IMAGING AT ORANGE GROVE, ADDRESS: 1845 WEST ORANGE GROVE ROAD, SUITE 103, CITY: TUCSON, STATE: AZ, ZIP: 85741, PHONE: (520) 469-8960, FAX: (520) 469-8101, CAPACITY: 0, COUNTY: PIMA TYPE: RURAL HEALTH CLINICS, SUBTYPE: MEDICARE, ID: MED2570, LICENSE: , NAME: COPPER QUEEN MEDICAL ASSOCIATES-DOUGLAS, LEGALLY: COPPER QUEEN MEDICAL ASSOCIATES-DOUGLAS, ADDRESS: 100 EAST 5TH STREET, CITY: DOUGLAS, STATE: AZ, ZIP: 85607, PHONE: (520) 432-2042, FAX: (520) 432-1724, CAPACITY: 0, COUNTY: COCHISE TYPE: RURAL HEALTH CLINICS, SUBTYPE: MEDICARE, ID: MED2822, LICENSE: , NAME: COPPER QUEEN MEDICAL ASSOCIATES-BISBEE, LEGALLY: COPPER QUEEN MEDICAL ASSOCIATES-BISBEE, ADDRESS: 101 COLE AVENUE, CITY: BISBEE, STATE: AZ, ZIP: 85603, PHONE: (520) 432-2042, FAX: (520) 432-7724, CAPACITY: 0, COUNTY: COCHISE TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2780, LICENSE: OTC4662, NAME: ABRAZO MEDICAL GROUP ANTHEM, LEGALLY: ABRAZO MEDICAL GROUP ANTHEM, ADDRESS: 41810 N VENTURE DRIVE, BUILDING C, CITY: ANTHEM, STATE: AZ, ZIP: 85086, PHONE: (623) 551-2516, FAX: (623) 551-2475, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2584, LICENSE: OTC3370, NAME: CHIRICAHUA COMMUNITY HEALTH CENTER - BISBEE, LEGALLY: CHIRICAHUA COMMUNITY HEALTH CENTER - BISBEE, ADDRESS: 108 ARIZONA STREET, CITY: BISBEE, STATE: AZ, ZIP: 85603, PHONE: (520) 432-3309, FAX: (520) 432-3717, CAPACITY: 0, COUNTY: COCHISE TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: AZ037036, LICENSE: HHA0171, NAME: GENTIVA HEALTH SERVICES, LEGALLY: GENTIVA HEALTH SERVICES, ADDRESS: 6400 EAST EL DORADO CIRCLE, SUITE 120, CITY: TUCSON, STATE: AZ, ZIP: 85715, PHONE: (520) 731-1333, FAX: (520) 731-2722, CAPACITY: 0, COUNTY: PIMA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED2652, LICENSE: , NAME: SPORTSPLUS PHYSICAL THERAPY CLINIC, LEGALLY: SPORTSPLUS PHYSICAL THERAPY CLINIC, ADDRESS: 630 NORTH ALVERNON, SUITE 181, CITY: TUCSON, STATE: AZ, ZIP: 85711, PHONE: (520) 319-3949, FAX: (520) 873-3743, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2793, LICENSE: OTC3535, NAME: MARIPOSA COMMUNITY HEALTH CENTER-T B CLINIC, LEGALLY: MARIPOSA COMMUNITY HEALTH CENTER - T B CLINIC, ADDRESS: 91 EAST CASTELLANA DRIVE, CITY: NOGALES, STATE: AZ, ZIP: 85621, PHONE: (520) 761-7920, FAX: (520) 761-7923, CAPACITY: 0, COUNTY: SANTA CRUZ TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2736, LICENSE: OTC3570, NAME: CHARLES MATLIN, M D, LEGALLY: CHARLES MATLIN, M.D., ADDRESS: 1728 WEST GLENDALE AVENUE, SUITE 100, CITY: PHOENIX, STATE: AZ, ZIP: 85021, PHONE: (602) 249-0839, FAX: (602) 249-0979, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: MED2840, LICENSE: HHA4088, NAME: AMERICAN PREMIER HOME HEALTH CARE, LEGALLY: AMERICAN PREMIER HOME HEALTH CARE, ADDRESS: 3001 WEST INDIAN SCHOOL ROAD, SUITE 120, CITY: PHOENIX, STATE: AZ, ZIP: 85017, PHONE: (602) 287-0003, FAX: (602) 287-0005, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPITAL, SUBTYPE: SHORT TERM, ID: MED2157, LICENSE: SH3034, NAME: BANNER HEART HOSPITAL, LEGALLY: BANNER HEART HOSPITAL, ADDRESS: 6750 EAST BAYWOOD AVENUE, CITY: MESA, STATE: AZ, ZIP: 85206, PHONE: (480) 854-5050, FAX: (480) 854-5011, CAPACITY: 111, COUNTY: MARICOPA TYPE: PORTABLE X-RAY SUPPLIERS, SUBTYPE: MEDICARE, ID: MED2848, LICENSE: NONE, NAME: TRANSRAY OF ARIZONA, LEGALLY: TRANSRAY OF ARIZONA, ADDRESS: 1351 NORTH PLEASANT, SUITE 105, CITY: CHANDLER, STATE: AZ, ZIP: 85224, PHONE: (480) 786-5280, FAX: (480) 821-1765, CAPACITY: 0, COUNTY: MARICOPA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED1685, LICENSE: , NAME: BARNET EYE CENTER FLAGSTAFF, LEGALLY: BARNET DULANEY PERKINS EYE CENTER-FLAGSTAFF, ADDRESS: 1030 NORTH SAN FRANCISCO ST #130, CITY: FLAGSTAFF, STATE: AZ, ZIP: 86001, PHONE: (620) 779-1300, FAX: (620) 508-4891, CAPACITY: 0, COUNTY: COCONINO TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2834, LICENSE: OTC3585, NAME: INSIGHT IMAGING-THUNDERBIRD MRI AND PET, LEGALLY: INSIGHT IMAGING-THUNDERBIRD MRI AND PET, ADDRESS: 6591 WEST THUNDERBIRD, SUITE A-1, CITY: GLENDALE, STATE: AZ, ZIP: 85306, PHONE: (623) 412-9725, FAX: (623) 412-3830, CAPACITY: 0, COUNTY: MARICOPA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED2791, LICENSE: OSC3583, NAME: ARIZONA SURGICAL SPECIALISTS CENTER, LEGALLY: ARIZONA SURGICAL SPECIALISTS CENTER, LLC, ADDRESS: 1984 EAST BASELINE ROAD, CITY: TEMPE, STATE: AZ, ZIP: 85283, PHONE: (480) 237-1234, FAX: (480) 237-1236, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2831, LICENSE: OTC3592, NAME: INSIGHT IMAGING-GATEWAY, LEGALLY: INSIGHT IMAGING-GATEWAY, ADDRESS: 690 NORTH COFCO CENTER COURT, SUITE 130, CITY: PHOENIX, STATE: AZ, ZIP: 85008, PHONE: (602) 225-0652, FAX: (602) 225-0920, CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED2945, LICENSE: , NAME: BANNER DEL E WEBB MEDICAL CENTER - OUTPATIENT PEDI, LEGALLY: BANNER DEL E WEBB MEDICAL CENTER - OUTPATIENT PEDIATRIC REHABILITATION, ADDRESS: 14505 WEST GRANITE VALLEY DRIVE, CITY: SUN CITY, STATE: AZ, ZIP: 85375, PHONE: (623) 214-4323, FAX: (623) 975-8696, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: MED2613, LICENSE: HHA3582, NAME: GOOD SAMARITAN SOCIETY PRESCOTT HOME HEALTH, LEGALLY: GOOD SAMARITAN SOCIETY PRESCOTT HOME HEALTH, ADDRESS: 1065 RUTH STREET, SUITE 104, CITY: PRESCOTT, STATE: AZ, ZIP: 86301, PHONE: (928) 778-5655, FAX: (928) 445-2497, CAPACITY: 0, COUNTY: YAVAPAI TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2859, LICENSE: OTC3588, NAME: EL RIO NORTHWEST HEALTH CENTER, LEGALLY: EL RIO NORTHWEST HEALTH CENTER, ADDRESS: 320 WEST PRINCE ROAD, CITY: TUCSON, STATE: AZ, ZIP: 85705, PHONE: (520) 792-9890, FAX: (520) 887-2363, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2788, LICENSE: OTC3586, NAME: MRI OF ARIZONA-MRI 7TH AVENUE, LEGALLY: MRI 7TH AVENUE, ADDRESS: 701 WEST GLENDALE AVENUE, CITY: PHOENIX, STATE: AZ, ZIP: 85021, PHONE: (602) 294-9009, FAX: (602) 294-9012, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2841, LICENSE: OTC3591, NAME: ARIZONA ADVANCED IMAGING CENTER, LEGALLY: ARIZONA ADVANCED IMAGING CENTER, ADDRESS: 4566 EAST INVERNESS DRIVE, SUITE 102, CITY: MESA, STATE: AZ, ZIP: 85206, PHONE: (480) 308-7718, FAX: (480) 308-7717, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2816, LICENSE: OTC3593, NAME: ARETE SLEEP DIAGNOSTICS,LLC, LEGALLY: ARETE SLEEP DIAGNOSTICS, LLC, ADDRESS: 1951 NORTH WILMOT ROAD, BUILDING 1, UNIT 4, CITY: TUCSON, STATE: AZ, ZIP: 85712, PHONE: (520) 722-3210, FAX: (480) 282-6600, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2839, LICENSE: OTC3595, NAME: ARIZONA FAMILY CARE ASSOCIATES, INC - SURGERY, LEGALLY: ARIZONA FAMILY CARE ASSOCIATES, INC- SURGERY, ADDRESS: 155 CALLE PORTAL, SUITE 400, CITY: SIERRA VISTA, STATE: AZ, ZIP: 85635, PHONE: (520) 458-0229, FAX: (520) 458-4335, CAPACITY: 0, COUNTY: COCHISE TYPE: FEDERALLY QUALIFIED HEALTH CENTER, SUBTYPE: FEDERALLY QUALIFIED HEALTH CENTER, ID: MED2878, LICENSE: FED ONLY, NAME: KAIBETO HEALTH CLINIC, LEGALLY: KAIBETO HEALTH CLINIC, ADDRESS: BOX 2121, CITY: KAIBITO, STATE: AZ, ZIP: 86053, PHONE: (520) 673-3491, FAX: (928) 645-2626, CAPACITY: 0, COUNTY: COCONINO TYPE: FEDERALLY QUALIFIED HEALTH CENTER, SUBTYPE: FEDERALLY QUALIFIED HEALTH CENTER, ID: MED2879, LICENSE: FED ONLY, NAME: LAKE POWELL MED CENTER CHILCHINBETO CLINIC, LEGALLY: LAKE POWELL MED CENTER CHILCHINBETO CLINIC, ADDRESS: PO BOX 1496, ROUTE 59, CITY: BABY ROCK, STATE: AZ, ZIP: 86033, PHONE: (520) 697-8154, FAX: (928) 645-2626, CAPACITY: 0, COUNTY: NAVAJO TYPE: FEDERALLY QUALIFIED HEALTH CENTER, SUBTYPE: FEDERALLY QUALIFIED HEALTH CENTER, ID: MED2880, LICENSE: NONE, NAME: NW AZ RHC LAKE POWELL MEDICAL CENTER, LEGALLY: NW AZ RHC LAKE POWELL MEDICAL CENTER, ADDRESS: PO BOX 490, 1-15 EXIT 9, CITY: GREENEHAVEN, STATE: AZ, ZIP: 86040, PHONE: (520) 347-5971, FAX: , CAPACITY: 0, COUNTY: COCONINO TYPE: FEDERALLY QUALIFIED HEALTH CENTER, SUBTYPE: FEDERALLY QUALIFIED HEALTH CENTER, ID: MED2881, LICENSE: NONE, NAME: COMMUNITY HEALTH CENTER OF WEST YAVAPAI, LEGALLY: COMMUNITY HEALTH CENTER OF WEST YAVAPAI, ADDRESS: 930 DIVISION STREET, CITY: PRESCOTT, STATE: AZ, ZIP: 86301, PHONE: (928) 771-3122, FAX: (928) 771-3379, CAPACITY: 0, COUNTY: YAVAPAI TYPE: ORGAN PROCUREMENT ORGANIZATIONS, SUBTYPE: OPO, ID: MED2877, LICENSE: FED ONLY, NAME: ARIZONA ORGAN BANK, LEGALLY: ARIZONA ORGAN BANK, ADDRESS: 1300 NORTH 12TH STREET, SUITE 608, CITY: PHOENIX, STATE: AZ, ZIP: 85006, PHONE: (602) 999-9999, FAX: , CAPACITY: 0, COUNTY: MARICOPA TYPE: PORTABLE X-RAY SUPPLIERS, SUBTYPE: MEDICARE, ID: MED2812, LICENSE: NONE, NAME: ARIZONA PORTABLE IMAGING, LEGALLY: ARIZONA PORTABLE IMAGING, ADDRESS: 2011 WEST MULBERRY DRIVE, CITY: PHOENIX, STATE: AZ, ZIP: 85015, PHONE: (602) 434-3593, FAX: (602) 294-9729, CAPACITY: 0, COUNTY: MARICOPA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED2754, LICENSE: OSC3599, NAME: ARIZONA SKIN CANCER SURGERY CENTER P C, LEGALLY: ARIZONA SKIN CANCER SURGERY CENTER P. C., ADDRESS: 5980 NORTH LA CHOLLA BOULEVARD, CITY: TUCSON, STATE: AZ, ZIP: 85741, PHONE: (520) 887-3333, FAX: (520) 203-0224, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2832, LICENSE: OTC3596, NAME: INSIGHT IMAGING-MOUNTAIN VIEW MRI, LEGALLY: INSIGHT IMAGING-MOUNTAIN VIEW MRI, ADDRESS: 10595 NORTH TATUM BOULEVARD, SUITE E 144, CITY: PARADISE VALLEY, STATE: AZ, ZIP: 85253, PHONE: (480) 991-4055, FAX: (480) 991-2289, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2829, LICENSE: OTC3598, NAME: INSIGHT IMAGING-EAST MESA, LEGALLY: INSIGHT IMAGING-EAST MESA, ADDRESS: 6402 EAST SUPERSTITION SPRINGS BLVD, SUITE 106, CITY: MESA, STATE: AZ, ZIP: 85206, PHONE: (480) 731-3200, FAX: (480) 731-4717, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2857, LICENSE: OTC3602, NAME: MARYVALE SPECIALTY GROUPS, LEGALLY: MARYVALE SPECIALTY GROUPS, ADDRESS: 4524 NORTH MARYVALE PARKWAY, SUITE 120, CITY: PHOENIX, STATE: AZ, ZIP: 85031, PHONE: (623) 848-4460, FAX: (623) 848-4485, CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED2845, LICENSE: , NAME: CHILDREN'S HEALTH CENTER/ ADOLESCENT HEALTH PARTNE, LEGALLY: CHILDREN'S HEALTH CENTER/ ADOLESCENT HEALTH PARTNERSHIP, ADDRESS: 715 WEST MARIPOSA STREET, CITY: PHOENIX, STATE: AZ, ZIP: 85013, PHONE: (602) 406-6479, FAX: (602) 406-4176, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED2842, LICENSE: HSPC4079, NAME: HSPC OF AZ IPU-SUN HLTH DEL E WEBB (INPT)(031510), LEGALLY: HOSPICE OF ARIZONA, LC, ADDRESS: 19702 NORTH ROUTZAHN WAY, CITY: SUN CITY WEST, STATE: AZ, ZIP: 85375, PHONE: (623) 815-2800, FAX: (623) 977-2868, CAPACITY: 12, COUNTY: MARICOPA TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED2843, LICENSE: HSPC3613, NAME: HOSPICE COMPASSUS-PAYSON (031523), LEGALLY: RTA HOSPICE, INC, ADDRESS: 511 SOUTH MUDSPRING ROAD, SUITE #2, CITY: PAYSON, STATE: AZ, ZIP: 85541, PHONE: (928) 472-6340, FAX: (928) 468-2120, CAPACITY: 7, COUNTY: GILA TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED2819, LICENSE: HSPC3615, NAME: RTA HOSPICE INPATIENT UNIT (031550), LEGALLY: RTA HOSPICE, INC, ADDRESS: 1789 WEST COMMERCE DRIVE, SUITE B, CITY: LAKESIDE, STATE: AZ, ZIP: 85929, PHONE: (928) 368-4400, FAX: (928) 368-4424, CAPACITY: 7, COUNTY: NAVAJO TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2710, LICENSE: OTC3618, NAME: PINAL COUNTY - STANFIELD HEALTH DEPARTMENT, LEGALLY: PINAL COUNTY STANFIELD HEALTH DEPARTMENT, ADDRESS: 36711 WEST PAPAGO DRIVE, CITY: STANFIELD, STATE: AZ, ZIP: 85272, PHONE: (520) 866-7326, FAX: (520) 866-7358, CAPACITY: 0, COUNTY: PINAL TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2817, LICENSE: OTC3639, NAME: NEXTCARE URGENT CARE-LAKE PLEASANT, LEGALLY: SUN CITY URGENT CARE, LLC, ADDRESS: 20470 NORTH LAKE PLEASANT ROAD, SUITE 102, CITY: PEORIA, STATE: AZ, ZIP: 85382, PHONE: (480) 924-8382, FAX: (480) 924-8399, CAPACITY: 0, COUNTY: MARICOPA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED2818, LICENSE: OSC3647, NAME: NORTH SCOTTSDALE AMBULATORY SURGERY CENTER, LEGALLY: NORTH SCOTTSDALE AMBULATORY SURGERY CENTER, ADDRESS: 9439 EAST IRONWOOD SQUARE DRIVE, SUITE 100, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85258, PHONE: (480) 355-3750, FAX: (480) 355-3753, CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED2828, LICENSE: , NAME: COWDEN CENTER, LEGALLY: COWDEN CENTER, ADDRESS: 9202 NORTH 2ND STREET, CITY: PHOENIX, STATE: AZ, ZIP: 85020, PHONE: (602) 943-2381, FAX: (602) 678-0028, CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED2835, LICENSE: , NAME: BANNER BOSWELL MEDICAL CENTER - IMAGING CENTER, LEGALLY: BANNER BOSWELL MEDICAL CENTER - IMAGING CENTER, ADDRESS: 10474 WEST THUNDERBIRD ROAD, SUITE 100, CITY: SUN CITY, STATE: AZ, ZIP: 85351, PHONE: (623) 876-5316, FAX: (623) 876-5499, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: MED2838, LICENSE: HHA3650, NAME: HAGGAI HEALTHCARE CORP, LEGALLY: HAGGAI HEALTHCARE CORP, ADDRESS: 4531 NORTH 16TH STREET, SUITE 102, CITY: PHOENIX, STATE: AZ, ZIP: 85016, PHONE: (602) 943-5963, FAX: (602) 943-4516, CAPACITY: 0, COUNTY: MARICOPA TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED2862, LICENSE: OTC4391, NAME: GILBERT DIALYSIS CENTER, LEGALLY: GILBERT DIALYSIS CENTER, ADDRESS: 5222 EAST BASELINE ROAD, SUITE 104, CITY: GILBERT, STATE: AZ, ZIP: 85234, PHONE: (480) 832-6996, FAX: (480) 832-7337, CAPACITY: 0, COUNTY: MARICOPA TYPE: FEDERALLY QUALIFIED HEALTH CENTER, SUBTYPE: FEDERALLY QUALIFIED HEALTH CENTER, ID: MED2866, LICENSE: OTC3610, NAME: ORTIZ COMMUNITY HEALTH CENTER, LEGALLY: MARANA HEALTH CENTER, INC., ADDRESS: 12635 WEST RUDASILL ROAD, CITY: TUCSON, STATE: AZ, ZIP: 85743, PHONE: (520) 682-3777, FAX: (520) 682-2333, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2867, LICENSE: OTC3605, NAME: ARETE SLEEP-MESA, LEGALLY: ARETE SLEEP-MESA, ADDRESS: 6641 EAST BAYWOOD, SUITE C-1, CITY: MESA, STATE: AZ, ZIP: 85211, PHONE: (602) 266-9225, FAX: (602) 266-9312, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2869, LICENSE: OTC3674, NAME: HEALTHCARE CTR AT THE FORUM AT DESERT HARBOR, LEGALLY: HEALTHCARE CENTER AT THE FORUM AT DESERT HARBOR, ADDRESS: 13840 NORTH DESERT HARBOR DRIVE, CITY: PEORIA, STATE: AZ, ZIP: 85381, PHONE: (623) 972-0995, FAX: (623) 974-4519, CAPACITY: 0, COUNTY: MARICOPA TYPE: OUTPATIENT PHYSICAL THERAPY/SPEECH PATHOLOGY SERVICES, SUBTYPE: MEDICARE, ID: MED2872, LICENSE: OTC3612, NAME: PHYSIOTHERAPY ASSOCIATES-AVONDALE (036588), LEGALLY: PHYSIOTHERAPY ASSOCIATES-AVONDALE, ADDRESS: 13055 WEST MCDOWELL ROAD, SUITE G-107, CITY: AVONDALE, STATE: AZ, ZIP: 85323, PHONE: (623) 547-4787, FAX: (623) 547-4787, CAPACITY: 0, COUNTY: MARICOPA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED2888, LICENSE: OSC3634, NAME: KOKOPELLI EYE CARE PRESCOTT, LEGALLY: KOKOPELLI EYE CARE PRESCOTT, ADDRESS: 412 WHIPPLE STREET, CITY: PRESCOTT, STATE: AZ, ZIP: 86301, PHONE: (928) 771-9000, FAX: (928) 772-4999, CAPACITY: 0, COUNTY: YAVAPAI TYPE: FEDERALLY QUALIFIED HEALTH CENTER, SUBTYPE: FEDERALLY QUALIFIED HEALTH CENTER, ID: MED2776, LICENSE: OTC3608, NAME: ALTAR VALLEY HEALTH & WELLNESS CENTER-MIDDLESCHOOL, LEGALLY: UNITED COMMUNITY HEALTH CENTER, ADDRESS: 16350 WEST AJO WAY, CITY: TUCSON, STATE: AZ, ZIP: 85726, PHONE: (520) 822-9343, FAX: (520) 625-8504, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2895, LICENSE: OTC3693, NAME: STATCLINIX - NORTHSIGHT (URGENT CARE CENTER), LEGALLY: STATCLINIX NORTHSIGHT, ADDRESS: 15223 NORTH 87TH STREET, SUITE 110, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85260, PHONE: (480) 682-4100, FAX: (480) 682-4101, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2868, LICENSE: OTC3620, NAME: COCONINO COUNTY HEALTH DEPARTMENT-WILLIAMS, LEGALLY: COCONINO COUNTY HEALTH DEPARTMENT-WILLIAMS, ADDRESS: 850 WEST GRANT, CITY: WILLIAMS, STATE: AZ, ZIP: 86046, PHONE: (928) 635-4550, FAX: (928) 522-7808, CAPACITY: 0, COUNTY: COCONINO TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2903, LICENSE: OTC3625, NAME: COCHISE COUNTY HEALTH DEPARTMENT/BENSON, LEGALLY: COCHISE COUNTY HEALTH DEPARTMENT/ BENSON, ADDRESS: 126 WEST 5TH STREET, CITY: BENSON, STATE: AZ, ZIP: 85602, PHONE: (520) 586-8200, FAX: (520) 586-2051, CAPACITY: 0, COUNTY: COCHISE TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2765, LICENSE: OTC3627, NAME: DESERT FOOTHILLS MEDICAL CENTER URGENT CARE, LEGALLY: DESERT FOOTHILLS MEDICAL CENTER URGENT CARE, ADDRESS: 36889 NORTH TOM DARLINGTON DRIVE SUITE A-911, CITY: CAREFREE, STATE: AZ, ZIP: 85377, PHONE: (480) 488-9220, FAX: (480) 488-7014, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2907, LICENSE: OTC3626, NAME: NORTHWEST TUCSON ADVANCED IMAGING, LEGALLY: NORTHWEST TUCSON ADVANCED IMAGING, ADDRESS: 6261 NORTH LA CHOLLA BOULEVARD, SUITE 151, CITY: TUCSON, STATE: AZ, ZIP: 85741, PHONE: (520) 352-7600, FAX: (520) 352-7610, CAPACITY: 0, COUNTY: PIMA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: MED2914, LICENSE: HHA3590, NAME: TEAMSELECT HOME CARE, LEGALLY: TEAMSELECT HOME CARE, ADDRESS: 1804 SOUTH SIGNAL BUTTE, SUITE 103, CITY: MESA, STATE: AZ, ZIP: 85209, PHONE: (480) 380-7742, FAX: (480) 380-7734, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2801, LICENSE: OTC3629, NAME: ARIZONA RADIOLOGY - MARYVALE OPEN MRI, LEGALLY: ARIZONA RADIOLOGY LLC-MARYVALE OPEN MRI, ADDRESS: 4700 NORTH 51ST AVENUE, SUITE 2, CITY: PHOENIX, STATE: AZ, ZIP: 85031, PHONE: (623) 849-3800, FAX: (623) 846-6060, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: MED2899, LICENSE: HHA3642, NAME: HORIZON HOME HEALTH OF PHOENIX, LEGALLY: HORIZON HOME HEALTH OF PHOENIX, ADDRESS: 2020 SOUTH MCCLINTOCK DRIVE, SUITE 105, CITY: TEMPE, STATE: AZ, ZIP: 85282, PHONE: (480) 894-5113, FAX: (480) 894-5134, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED2924, LICENSE: HSPC3646, NAME: CROSSING HOSPICE CARE, THE, LEGALLY: CROSSING HOSPICE CARE, THE, ADDRESS: 7500 NORTH DREAMY DRAW DRIVE, SUITE 105, CITY: PHOENIX, STATE: AZ, ZIP: 85020, PHONE: (602) 216-0330, FAX: (602) 216-0550, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPITAL, SUBTYPE: SHORT TERM, ID: MED3003, LICENSE: FED ONLY, NAME: WHITERIVER PHS INDIAN HOSPITAL, LEGALLY: PHS WHITERIVER INDIAN HOSPITAL, ADDRESS: PO BOX 860, CITY: WHITERIVER, STATE: AZ, ZIP: 85941, PHONE: (928) 338-4911, FAX: (928) 338-3530, CAPACITY: 0, COUNTY: NAVAJO TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2892, LICENSE: OTC3631, NAME: ANDALUCIA PRIMARY SCHOOL BASED HEALTH CENTER, LEGALLY: ANDALUCIA PRIMARY SCHOOL BASED HEALTH CENTER, ADDRESS: 4530 WEST CAMPBELL AVENUE, NURSES OFFICE, CITY: PHOENIX, STATE: AZ, ZIP: 85031, PHONE: (623) 848-8420, FAX: (602) 246-5825, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2889, LICENSE: OTC3632, NAME: SEVILLA PRIMARY SCHOOL CLINIC, LEGALLY: SEVILLA PRIMARY SCHOOL CLINIC, ADDRESS: 3801 WEST MISSOURI AVENUE, NURSES OFFICE, CITY: PHOENIX, STATE: AZ, ZIP: 85019, PHONE: (602) 242-0281, FAX: (602) 246-5825, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2911, LICENSE: OTC3636, NAME: PLANNED PARENTHOOD - SOUTHWEST VALLEY, LEGALLY: PLANNED PARENTHOOD - SOUTHWEST VALLEY, ADDRESS: 140 NORTH LITCHFIELD ROAD, SUITE 100, CITY: GOODYEAR, STATE: AZ, ZIP: 85338, PHONE: (623) 932-5111, FAX: (623) 932-4558, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED2922, LICENSE: HSPC3648, NAME: HOSPICE OF THE SOUTHWEST, LEGALLY: HOSPICE OF THE SOUTHWEST, ADDRESS: 450 NORTH DOBSON, SUITE 108, CITY: MESA, STATE: AZ, ZIP: 85201, PHONE: (480) 456-9300, FAX: (480) 456-9696, CAPACITY: 0, COUNTY: MARICOPA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED2856, LICENSE: OSC3651, NAME: DESERT ENDOSCOPY CENTER, LEGALLY: DESERT ENDOSCOPY CENTER, ADDRESS: 610 EAST BASELINE ROAD, CITY: TEMPE, STATE: AZ, ZIP: 85283, PHONE: (480) 969-0405, FAX: (480) 569-2280, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2893, LICENSE: OTC3654, NAME: EAST VALLEY URGENT CARE-GILBERT, LEGALLY: EAST VALLEY URGENT CARE-GILBERT, ADDRESS: 641 WEST WARNER ROAD, CITY: GILBERT, STATE: AZ, ZIP: 85234, PHONE: (480) 722-9828, FAX: (480) 722-9831, CAPACITY: 0, COUNTY: MARICOPA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED2886, LICENSE: OSC3662, NAME: GILBERT HEALTHCARE CENTER ENDOSCOPY SUITE, LEGALLY: GILBERT HEALTHCARE CENTER ENDOSCOPY SUITE, ADDRESS: 4001 EAST BASELINE ROAD, SUITE #102, CITY: GILBERT, STATE: AZ, ZIP: 85234, PHONE: (602) 371-2461, FAX: (602) 371-2625, CAPACITY: 0, COUNTY: MARICOPA TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED2920, LICENSE: OTC3657, NAME: DESERT RIDGE DIALYSIS, LEGALLY: DESERT RIDGE DIALYSIS, ADDRESS: 8573 EAST PRINCESS DRIVE, SUITE 111, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85255, PHONE: (480) 419-2533, FAX: , CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPITAL, SUBTYPE: CRITICAL ACCESS HOSPITALS, ID: MED0192, LICENSE: RGH3899X, NAME: SAGE MEMORIAL HOSPITAL, LEGALLY: SAGE MEMORIAL HOSPITAL, ADDRESS: STATE ROUTE 264 SOUTH 191 PO BOX 457, CITY: GANADO, STATE: AZ, ZIP: 86505, PHONE: (928) 755-4500, FAX: (928) 755-4659, CAPACITY: 25, COUNTY: APACHE TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2930, LICENSE: OTC3705, NAME: STI PHYSICAL THERAPY & REHAB-NORTH PHOENIX, LEGALLY: STI PHYSICAL THERAPY & REHAB-NORTH PHOENIX, ADDRESS: 17233 NORTH HOLMES BOULEVARD, SUITE 1650, CITY: PHOENIX, STATE: AZ, ZIP: 85053, PHONE: (602) 547-1836, FAX: (602) 547-0508, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2952, LICENSE: OTC3724, NAME: WHITE MOUNTAIN IMAGING, LEGALLY: WHITE MOUNTAIN IMAGING, LLC, ADDRESS: 5448 SOUTH HIGHWAY 260, SUITE 110, CITY: LAKESIDE, STATE: AZ, ZIP: 85929, PHONE: (928) 537-2077, FAX: (928) 537-5282, CAPACITY: 0, COUNTY: NAVAJO TYPE: MED-OUTPATIENT SURGERY CENTER, SUBTYPE: OUTPATIENT SURGERY CENTER, ID: MED2790, LICENSE: OSC3661, NAME: J D STUART, M D P C, LEGALLY: J D STUART M D P C, ADDRESS: 4721 EAST CAMP LOWELL DRIVE, CITY: TUCSON, STATE: AZ, ZIP: 85712, PHONE: (520) 795-8700, FAX: (520) 795-8850, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2900, LICENSE: OTC3691, NAME: OPEN MRI SOLUTIONS, LEGALLY: OPEN MRI SOLUTIONS, LLC, ADDRESS: 4130 EAST VAN BUREN STREET, SUITE 100, CITY: PHOENIX, STATE: AZ, ZIP: 85008, PHONE: (602) 244-2442, FAX: (602) 244-2445, CAPACITY: 0, COUNTY: MARICOPA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED2908, LICENSE: OSC3677, NAME: DESERT SUN SURGERY CENTER, LEGALLY: DESET SUN SURGERY CENTER, ADDRESS: 7140 EAST ROSEWOOD, SUITE A, CITY: TUCSON, STATE: AZ, ZIP: 85710, PHONE: (520) 547-4600, FAX: (520) 547-4605, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2919, LICENSE: OTC3678, NAME: PRIMECARE VALLEY 24, LEGALLY: PRIMECARE VALLEY 24, ADDRESS: 2377 SOUTH 22ND DRIVE, CITY: YUMA, STATE: AZ, ZIP: 85364, PHONE: (928) 341-4563, FAX: (928) 782-0401, CAPACITY: 0, COUNTY: YUMA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED2926, LICENSE: , NAME: CHC CHILD NEUROLOGY AND NEUROSURGERY CLINIC, LEGALLY: CHC CHILD NEUROLOGY AND NEUROSURGERY CLINIC, ADDRESS: 500 WEST THOMAS ROAD, SUITE 400, CITY: PHOENIX, STATE: AZ, ZIP: 85013, PHONE: (602) 406-3800, FAX: (602) 406-3810, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: MED2961, LICENSE: HHA3699, NAME: FIRSTAT HOME HEALTH SERVICES, LEGALLY: FIRSTAT HOME HEALTH SERVICES, ADDRESS: 5125 NORTH 16TH STREET, SUITE A-108, CITY: PHOENIX, STATE: AZ, ZIP: 85016, PHONE: (602) 279-0000, FAX: (602) 279-6666, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2918, LICENSE: OTC3676, NAME: PRIMECARE 24 FOOTHILLS CAMPUS, LEGALLY: PRIMECARE 24 FOOTHILLS CAMPUS, ADDRESS: 11142 SOUTH SCOTTSDALE DRIVE, CITY: YUMA, STATE: AZ, ZIP: 85367, PHONE: (928) 341-4563, FAX: (928) 782-0401, CAPACITY: 0, COUNTY: YUMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2967, LICENSE: OTC3687, NAME: GOOD NIGHT PEDIATRICS OF AVONDALE (URGENT CARE), LEGALLY: GOOD NIGHT PEDIATRICS OF AVONDALE, ADDRESS: 10320 WEST MCDOWELL ROAD, BLDG L, BOX 1240, CITY: AVONDALE, STATE: AZ, ZIP: 85323, PHONE: (623) 643-9233, FAX: (623) 643-9234, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: MED2991, LICENSE: HHA3726, NAME: COZY HOME HEALTH CARE, LEGALLY: COZY HOME HEALTH CARE, INC., ADDRESS: 1930 SOUTH ALMA SCHOOL ROAD, SUITE D-103, CITY: MESA, STATE: AZ, ZIP: 85210, PHONE: (602) 978-4663, FAX: (602) 978-9079, CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED2913, LICENSE: , NAME: PAYSON REGIONAL MEDICAL CENTER REHAB SERVICES, LEGALLY: PAYSON REGIONAL MEDICAL CENTER REHABILITATION SERVICES, ADDRESS: 126 EAST MAIN STREET, SUITE C, CITY: PAYSON, STATE: AZ, ZIP: 85541, PHONE: (928) 472-5230, FAX: (928) 472-3446, CAPACITY: 0, COUNTY: GILA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2972, LICENSE: OTC3692, NAME: GLENDALE HIGH SCHOOL CLINIC, LEGALLY: GLENDALE HIGH SCHOOL CLINIC, ADDRESS: 6216 WEST GLENDALE AVENUE, BLDG 100, NURSES OFFICE, CITY: GLENDALE, STATE: AZ, ZIP: 85301, PHONE: (623) 435-6681, FAX: (623) 435-6078, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: MED2977, LICENSE: HHA3698, NAME: ALL AT HOME HEALTH CARE, LEGALLY: ALL AT HOME HEALTH CARE, ADDRESS: 16601 NORTH 40TH STREET, SUITE 110, CITY: PHOENIX, STATE: AZ, ZIP: 85032, PHONE: (480) 970-3700, FAX: (480) 970-3707, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2984, LICENSE: OTC3703, NAME: DERMA HEALTH INSTITUTE OF CHANDLER, LEGALLY: DERMA HEALTH INSTITUTE OF CHANDLER, ADDRESS: 2905 WEST WARNER ROAD, SUITE 17, CITY: CHANDLER, STATE: AZ, ZIP: 85224, PHONE: (480) 730-9000, FAX: (480) 831-7633, CAPACITY: 0, COUNTY: MARICOPA TYPE: FEDERALLY QUALIFIED HEALTH CENTER, SUBTYPE: FEDERALLY QUALIFIED HEALTH CENTER, ID: MED3002, LICENSE: OTC3730, NAME: FREEDOM PARK HEALTH CENTER, LEGALLY: FREEDOM PARK HEALTH CENTER, ADDRESS: 5000 EAST 29TH STREET, CITY: TUCSON, STATE: AZ, ZIP: 85711, PHONE: (520) 790-8500, FAX: (520) 790-8505, CAPACITY: 0, COUNTY: PIMA TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED3021, LICENSE: HSPC3721, NAME: HOSPICE OF THE PINES, LEGALLY: HOSPICE OF THE PINES, ADDRESS: 13175 EAST HIGHWAY 169, CITY: DEWEY, STATE: AZ, ZIP: 86327, PHONE: (928) 632-0111, FAX: (928) 632-0333, CAPACITY: 0, COUNTY: YAVAPAI TYPE: HOSPITAL, SUBTYPE: SHORT TERM, ID: MED3005, LICENSE: FED ONLY, NAME: FORT DEFIANCE INDIAN HOSPITAL, LEGALLY: PHS INDIAN HOSPITAL, ADDRESS: PO BOX 649, CITY: FORT DEFIANCE, STATE: AZ, ZIP: 86504, PHONE: (928) 729-8000, FAX: (602) 263-1618, CAPACITY: 0, COUNTY: APACHE TYPE: HOSPITAL, SUBTYPE: SHORT TERM, ID: MED3006, LICENSE: FED ONLY, NAME: TUBA CITY REGIONAL HEALTH CARE CORPORATION, LEGALLY: TUBA CITY INDIAN MEDICAL CENTER, ADDRESS: PO BOX 600, CITY: TUBA CITY, STATE: AZ, ZIP: 86045, PHONE: (928) 283-2501, FAX: (928) 283-2828, CAPACITY: 0, COUNTY: COCONINO TYPE: HOSPITAL, SUBTYPE: SHORT TERM, ID: MED3007, LICENSE: FED ONLY, NAME: CHINLE COMPREHENSIVE CARE FACILITY, LEGALLY: CHINLE COMPREHENSIVE CARE FACILITY, ADDRESS: PO BOX PH, CITY: CHINLE, STATE: AZ, ZIP: 86503, PHONE: (602) 674-5281, FAX: (928) 636-0754, CAPACITY: 0, COUNTY: APACHE TYPE: HOSPITAL, SUBTYPE: CRITICAL ACCESS HOSPITALS, ID: MED3008, LICENSE: FED ONLY, NAME: FT YUMA PHS INDIAN HOSPITAL, LEGALLY: FT YUMA PHS INDIAN HOSPITAL, ADDRESS: PO BOX 1368, CITY: YUMA, STATE: AZ, ZIP: 85366, PHONE: (760) 572-0217, FAX: , CAPACITY: 0, COUNTY: YUMA TYPE: HOSPITAL, SUBTYPE: CRITICAL ACCESS HOSPITALS, ID: MED3009, LICENSE: FED ONLY, NAME: HU HU KAM MEMORIAL HOSPITAL, LEGALLY: HU HU KAM MEMORIAL HOSPITAL, ADDRESS: SEED FARM ROAD, CITY: SACATON, STATE: AZ, ZIP: 85247, PHONE: (520) 562-3321, FAX: , CAPACITY: 0, COUNTY: PINAL TYPE: HOSPITAL, SUBTYPE: CRITICAL ACCESS HOSPITALS, ID: MED3010, LICENSE: FED ONLY, NAME: HOPI HEALTH CARE CENTER, LEGALLY: HOPI HEALTH CARE CENTER, ADDRESS: PO BOX 6000, CITY: POLACCA, STATE: AZ, ZIP: 86042, PHONE: (928) 737-6000, FAX: , CAPACITY: 0, COUNTY: NAVAJO TYPE: HOSPITAL, SUBTYPE: CRITICAL ACCESS HOSPITALS, ID: MED3011, LICENSE: FED ONLY, NAME: PARKER INDIAN HOSPITAL, LEGALLY: DHEW IND HLTH SV HLTH SVS & MNTL HLTH ADM, ADDRESS: 12033 AGENCY ROAD, CITY: PARKER, STATE: AZ, ZIP: 85344, PHONE: (928) 669-2137, FAX: (928) 669-3390, CAPACITY: 0, COUNTY: LA PAZ TYPE: HOSPITAL, SUBTYPE: SHORT TERM, ID: MED3012, LICENSE: FED ONLY, NAME: SELLS INDIAN HEALTH SERVICE HOSPITAL, LEGALLY: SELLS INDIAN HOSPITAL, ADDRESS: PO BOX 548, CITY: SELLS, STATE: AZ, ZIP: 85634, PHONE: (520) 383-7200, FAX: (520) 383-7325, CAPACITY: 0, COUNTY: PIMA TYPE: HOSPITAL, SUBTYPE: SHORT TERM, ID: MED3013, LICENSE: FED ONLY, NAME: PHOENIX INDIAN MEDICAL CENTER, LEGALLY: PHS INDIAN MEDICAL CENTER, ADDRESS: 4212 N 16TH ST, CITY: PHOENIX, STATE: AZ, ZIP: 85016, PHONE: (602) 263-1200, FAX: (602) 263-1618, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPITAL, SUBTYPE: SHORT TERM, ID: MED3014, LICENSE: FED ONLY, NAME: PHS INDIAN HOSPITAL-SAN CARLOS, LEGALLY: PHS INDIAN HOSPITAL, ADDRESS: PO BOX 208, CITY: SAN CARLOS, STATE: AZ, ZIP: 85550, PHONE: (928) 475-2371, FAX: (602) 263-1618, CAPACITY: 0, COUNTY: GILA TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED3025, LICENSE: HSPC3729, NAME: RTA HOSPICE AND PALLIATIVE CARE SEDONA, LEGALLY: RTA HOSPICE AND PALLIATIIVE CARE SEDONA, ADDRESS: 70 BELL ROCK PLAZA, SUITE A, CITY: SEDONA, STATE: AZ, ZIP: 86351, PHONE: (928) 284-0180, FAX: (928) 284-9352, CAPACITY: 0, COUNTY: COCONINO TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED2928, LICENSE: OSC3700, NAME: CHANDLER ENDOSCOPY CENTER, LEGALLY: CHANDLER ENDOSCOPY CENTER, ADDRESS: 600 SOUTH DOBSON ROAD, BUILDING A, CITY: CHANDLER, STATE: AZ, ZIP: 85224, PHONE: (480) 786-6655, FAX: (480) 786-6996, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2833, LICENSE: OTC3728, NAME: INSIGHT IMAGING-BILTMORE, LEGALLY: INSIGHT IMAGING-BILTMORE, ADDRESS: 2141 EAST CAMELBACK ROAD, SUITE 110, CITY: PHOENIX, STATE: AZ, ZIP: 85016, PHONE: (602) 954-0954, FAX: (602) 354-0038, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3018, LICENSE: OTC3817, NAME: WEST BASELINE FAMILY MEDICINE CENTER, LEGALLY: WEST BASELINE FAMILY MEDICINE CENTER, ADDRESS: 5130 WEST BASELINE ROAD, SUITE 102-103, CITY: LAVEEN, STATE: AZ, ZIP: 85339, PHONE: (602) 237-0039, FAX: (602) 237-7824, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED3004, LICENSE: HSPC3710, NAME: AMERICARE HOSPICE AND PALLIATIVE CARE, LEGALLY: AMERICAN HOSPICE AND PALLIATIVE CARE, ADDRESS: 1212 NORTH SPENCER STREET, SUITE # 1, CITY: MESA, STATE: AZ, ZIP: 85203, PHONE: (480) 726-7773, FAX: (480) 726-7790, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3026, LICENSE: OTC3735, NAME: HERITAGE THERAPY CLINIC, LEGALLY: HERITAGE THERAPY CLINIC, ADDRESS: 1300 SOUTH STREET, CITY: GLOBE, STATE: AZ, ZIP: 85501, PHONE: (928) 425-3118, FAX: (928) 425-0707, CAPACITY: 0, COUNTY: GILA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2935, LICENSE: OTC3708, NAME: STI PHYSICAL THERAPY & REHAB-ARCADIA, LEGALLY: STI PHYSICAL THERAPY & REHAB-ARCADIA, ADDRESS: 4840 EAST INDIAN SCHOOL ROAD, SUITE 103, CITY: PHOENIX, STATE: AZ, ZIP: 85018, PHONE: (602) 547-1836, FAX: (602) 547-0508, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2933, LICENSE: OTC3706, NAME: STI PHYSICAL THERAPY & REHAB-SUN CITY, LEGALLY: STI PHYSICAL THERAPY & REHAB-SUN CITY, ADDRESS: 14802 NORTH DEL WEBB BOULEVARD, CITY: SUN CITY, STATE: AZ, ZIP: 85351, PHONE: (602) 547-1836, FAX: (602) 547-0508, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2985, LICENSE: OTC3718, NAME: TRUE REHAB, LEGALLY: TRUEREHAB, ADDRESS: 1720 MESQUITE AVENUE, SUITE 101, CITY: LAKE HAVASU CITY, STATE: AZ, ZIP: 86403, PHONE: (928) 453-0501, FAX: (928) 453-0502, CAPACITY: 0, COUNTY: MOHAVE TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED3034, LICENSE: HSPC3752, NAME: GRANITE MOUNTAIN HOSPICE, LEGALLY: GRANITE MOUNTAIN HOME CARE & HOSPICE, ADDRESS: 3107 CLEARWATER DRIVE SUITE B, CITY: PRESCOTT, STATE: AZ, ZIP: 86305, PHONE: (928) 445-2522, FAX: (928) 445-1910, CAPACITY: 0, COUNTY: YAVAPAI TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2937, LICENSE: OTC3715, NAME: STI PHYSICAL THERAPY & REHAB-MESA, LEGALLY: STI PHYSICAL THERAPY & REHAB-MESA, ADDRESS: 1941 WEST GUADALUPE ROAD, SUITE 108, CITY: MESA, STATE: AZ, ZIP: 85202, PHONE: (480) 491-3563, FAX: (480) 491-3572, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED2989, LICENSE: HSPC3731, NAME: SERENITY HOSPICE & PALLIATIVE CARE, LEGALLY: SERENITY HOSPICE & PALLIATIVE CARE, ADDRESS: 7227 NORTH 16TH STREET, SUITE 170, CITY: PHOENIX, STATE: AZ, ZIP: 85020, PHONE: (602) 216-2273, FAX: (602) 944-2457, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPITAL, SUBTYPE: CRITICAL ACCESS HOSPITALS, ID: MED0247, LICENSE: RGH0076, NAME: LITTLE COLORADO MEDICAL CENTER, LEGALLY: LITTLE COLORADO MEDICAL CENTER, ADDRESS: 1501 NORTH WILLIAMSON AVENUE, CITY: WINSLOW, STATE: AZ, ZIP: 86047, PHONE: (928) 289-4691, FAX: (928) 289-3855, CAPACITY: 25, COUNTY: NAVAJO TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2942, LICENSE: OTC3717, NAME: NO APPOINTMENT M D-2 (URGENT CARE), LEGALLY: NO APPOINTMENT MD-THUNDERBIRD, ADDRESS: 6677 WEST THUNDERBIRD ROAD, SUITE A-124, CITY: GLENDALE, STATE: AZ, ZIP: 85304, PHONE: (623) 773-2266, FAX: (623) 773-2267, CAPACITY: 0, COUNTY: MARICOPA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED2968, LICENSE: NONE, NAME: MCDOWELL AMBULATORY SURGERY CENTER, LLC, LEGALLY: MCDOWWLL AMBULATORY SURGERY CENTER, LLC, ADDRESS: 1301 EAST MCDOWELL ROAD, SUITE 100, CITY: PHOENIX, STATE: AZ, ZIP: 85006, PHONE: (602) 265-8800, FAX: (602) 265-8151, CAPACITY: 0, COUNTY: MARICOPA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED2976, LICENSE: OSC4437, NAME: NORTHWEST TUCSON SURGERY CENTER, L P, LEGALLY: NORTHWEST TUCSON SURGERY CENTER, L P, ADDRESS: 6320 NORTH LA CHOLLA BOULEVARD, SUITE 100, CITY: TUCSON, STATE: AZ, ZIP: 85741, PHONE: (520) 229-6401, FAX: (520) 229-2221, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2993, LICENSE: OTC3733, NAME: DOBSON WOMENS CENTER, LEGALLY: DOBSON WOMENS CENTER, ADDRESS: 1133 SOUTH DOBSON ROAD, SUITE 113, CITY: MESA, STATE: AZ, ZIP: 85202, PHONE: (480) 964-4995, FAX: (480) 464-1462, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPITAL, SUBTYPE: SHORT TERM, ID: MED0228, LICENSE: H0112, NAME: PHOENIX BAPTIST HOSPITAL, LEGALLY: PHOENIX BAPTIST HOSPITAL, ADDRESS: 2000 WEST BETHANY HOME ROAD, CITY: PHOENIX, STATE: AZ, ZIP: 85015, PHONE: (602) 249-0212, FAX: (602) 246-5849, CAPACITY: 236, COUNTY: MARICOPA TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED2979, LICENSE: OTC3738, NAME: FRESENIUS MEDICAL CARE OF AVONDALE, LEGALLY: FRESENIUS MEDICAL CARE OF AVONDALE, ADDRESS: 10750 WEST MCDOWELL ROAD, BLDG E, CITY: AVONDALE, STATE: AZ, ZIP: 85323, PHONE: (623) 643-9334, FAX: (623) 643-9332, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: AZ HHA ONLY, ID: MED3027, LICENSE: HHA3734, NAME: MGA HOME HEALTHCARE, LLC -TUCSON, LEGALLY: MGA HOME HEALTHCARE, LLC-TUCSON, ADDRESS: 4400 EAST BROADWAY BOULEVARD, SUITE #414, CITY: TUCSON, STATE: AZ, ZIP: 85711, PHONE: (520) 323-1770, FAX: (520) 323-1760, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2990, LICENSE: OTC3742, NAME: HEART, LUNG & VASCULAR CENTER OF YUMA, LEGALLY: HEART, LUNG & VASCULAR CENTER OF YUMA, PLLC, ADDRESS: 2400 SOUTH AVENUE A, CITY: YUMA, STATE: AZ, ZIP: 85364, PHONE: (928) 314-3278, FAX: (928) 336-7487, CAPACITY: 0, COUNTY: YUMA TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED3045, LICENSE: HSPC3842, NAME: INFINITY HOSPICE CARE, LLC, LEGALLY: INFINITY HOSPICE CARE, LLC, ADDRESS: 5110 NORTH 40TH STREET, SUITE 107, CITY: PHOENIX, STATE: AZ, ZIP: 85018, PHONE: (602) 381-0375, FAX: (602) 381-0385, CAPACITY: 0, COUNTY: MARICOPA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED2992, LICENSE: OSC3737, NAME: NORTH VALLEY OUTPATIENT SURGERY CENTER, LEGALLY: NORTH VALLEY OUTPATIENT SURGERY CENTER, ADDRESS: 20950 NORTH TATUM BOULEVARD, SUITE 170, CITY: PHOENIX, STATE: AZ, ZIP: 85050, PHONE: (480) 991-6877, FAX: (480) 991-6615, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED2956, LICENSE: HSPC3739, NAME: VALOR HOSPICE CARE, LLC, LEGALLY: VALOR HOSPICE CARE, LLC, ADDRESS: 1860 EAST RIVER ROAD, SUITE 200, CITY: TUCSON, STATE: AZ, ZIP: 85718, PHONE: (520) 615-3996, FAX: (520) 615-3998, CAPACITY: 0, COUNTY: PIMA TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED2969, LICENSE: OTC4198, NAME: NRI-AVONDALE, LEGALLY: NRI-AVONDALE, ADDRESS: 13055 WEST MCDOWELL ROAD, SUITE F-101, CITY: AVONDALE, STATE: AZ, ZIP: 85323, PHONE: (623) 935-5460, FAX: (623) 935-5465, CAPACITY: 0, COUNTY: MARICOPA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED2966, LICENSE: OSC3616, NAME: ARIZONA DIGESTIVE CENTER, LEGALLY: ARIZONA DIGESTIVE CENTER, ADDRESS: 8761 EAST BELL ROAD, SUITE 105, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85260, PHONE: (480) 419-7500, FAX: (480) 419-2700, CAPACITY: 0, COUNTY: MARICOPA TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED2947, LICENSE: NONE, NAME: GILA RIVER DIALYSIS WEST, LEGALLY: GILA RIVER DIALYSIS WEST, ADDRESS: 9721 WEST PECOS ROAD, CITY: LAVEEN, STATE: AZ, ZIP: 85339, PHONE: (602) 271-7950, FAX: (480) 620-9206, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3031, LICENSE: OTC3985, NAME: ARIZONA SPECIALTY PHYSICIANS - BEMC, LEGALLY: ARIZONA SPECIALTY PHYSICIANS - BEMC, ADDRESS: 9305 WEST THOMAS ROAD, SUITE 380, CITY: PHOENIX, STATE: AZ, ZIP: 85037, PHONE: (623) 327-4144, FAX: (623) 327-4140, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3039, LICENSE: OTC4673, NAME: REM MEDICAL - MESA, LEGALLY: REM MEDICAL - MESA, ADDRESS: 215 SOUTH POWER ROAD, SUITE 205, CITY: MESA, STATE: AZ, ZIP: 85206, PHONE: (480) 981-0438, FAX: (480) 991-0439, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3040, LICENSE: OTC4120, NAME: REM MEDICAL - SCOTTSDALE, LEGALLY: REM MEDICAL - SCOTTSDALE, ADDRESS: 10611 NORTH HAYDEN ROAD, SUITE D-102, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85260, PHONE: (480) 991-0480, FAX: (480) 393-7372, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3042, LICENSE: OTC3760, NAME: BANNER ESTRELLA OCCUPATIONAL HEALTH CLINIC (URGENT, LEGALLY: BANNER ESTRELLA OCCUPATIONAL HEALTH CLINIC, ADDRESS: 9305 WEST THOMAS ROAD, SUITE 235, CITY: PHOENIX, STATE: AZ, ZIP: 85037, PHONE: (623) 327-4100, FAX: (623) 327-4170, CAPACITY: 0, COUNTY: MARICOPA TYPE: RURAL HEALTH CLINICS, SUBTYPE: MEDICARE, ID: MED3063, LICENSE: NONE, NAME: TRI-VALLEY MEDICAL CENTER, LEGALLY: TRI-VALLEY MEDICAL CENTER, ADDRESS: 39726 HARQUAHALA ROAD, BOX 85, CITY: SALOME, STATE: AZ, ZIP: 85348, PHONE: (928) 849-3460, FAX: (928) 669-7417, CAPACITY: 0, COUNTY: LA PAZ TYPE: FEDERALLY QUALIFIED HEALTH CENTER, SUBTYPE: FEDERALLY QUALIFIED HEALTH CENTER, ID: MED3024, LICENSE: OTC3743, NAME: SUN LIFE FAMILY HEALTH CTR INC-ORACLE SATELLITE, LEGALLY: SUN LIFE FAMILY HEALTH CENTER, INC. - ORACLE SATELLITE, ADDRESS: 1870 WEST AMERICAN WAY, CITY: ORACLE, STATE: AZ, ZIP: 85623, PHONE: (520) 896-2092, FAX: (520) 381-0307, CAPACITY: 0, COUNTY: PINAL TYPE: MED-UNCLASSIFIED, SUBTYPE: UNCLASSIFIED, ID: MED1368, LICENSE: UNC1216, NAME: CASA DE LOS NINOS ANGEL NURSERY, LEGALLY: CASA DE LOS NINOS ANGEL NURSERY, ADDRESS: 1138 NORTH 5TH AVENUE, CITY: TUCSON, STATE: AZ, ZIP: 85705, PHONE: (520) 624-5600, FAX: (520) 623-2443, CAPACITY: 10, COUNTY: PIMA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED2901, LICENSE: OSC4215, NAME: SEDONA SURGERY CENTER, LEGALLY: SEDONA SURGERY CENTER, ADDRESS: 95 SOLDIER PASS, SUITE A-2, CITY: SEDONA, STATE: AZ, ZIP: 86336, PHONE: (928) 203-1177, FAX: (602) 508-4744, CAPACITY: 0, COUNTY: COCONINO TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED2950, LICENSE: OSC3745, NAME: BANNER ESTRELLA SURGERY CENTER, LEGALLY: BANNER ESTRELLA SURGERY CENTER, ADDRESS: ESTRELLA MEDICAL PLAZA I, 9301 WEST THOMAS ROAD, CITY: PHOENIX, STATE: AZ, ZIP: 85037, PHONE: (623) 388-5701, FAX: (623) 478-7999, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPITAL, SUBTYPE: CRITICAL ACCESS HOSPITALS, ID: MED2277, LICENSE: RGH3505, NAME: WICKENBURG COMMUNITY HOSPITAL, LEGALLY: WICKENBURG COMMUNITY HOSPITAL, ADDRESS: 520 ROSE LANE, CITY: WICKENBURG, STATE: AZ, ZIP: 85390, PHONE: (928) 684-5421, FAX: (928) 684-5081, CAPACITY: 19, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3022, LICENSE: OTC3755, NAME: NEXTCARE URGENT CARE-DANA LANDING, LEGALLY: NEXTCARE URGENT CARE-DANA LANDING, ADDRESS: 3130 EAST BASELINE ROAD, SUITE 105, CITY: MESA, STATE: AZ, ZIP: 85204, PHONE: (480) 924-8382, FAX: (480) 924-8399, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3023, LICENSE: OTC3754, NAME: SUN LIFE FAMILY HEALTH CTR INC - MAMMOTH SATELLITE, LEGALLY: SUN LIFE FAMILY HEALTH CTR INC - MAMMOTH SATELLITE, ADDRESS: 110 MAIN STREET, CITY: MAMMOTH, STATE: AZ, ZIP: 85618, PHONE: (520) 487-0322, FAX: (520) 487-2463, CAPACITY: 0, COUNTY: PINAL TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2999, LICENSE: OTC3759, NAME: AHWATUKEE IMAGING, LEGALLY: AHWATUKEE IMAGING, ADDRESS: 15810 SOUTH 45TH STREET, SUITE 110, CITY: PHOENIX, STATE: AZ, ZIP: 85048, PHONE: (480) 753-6161, FAX: (480) 753-6162, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3000, LICENSE: OTC3811, NAME: CHANDLER IMAGING, LEGALLY: CHANDLER IMAGING, ADDRESS: 725 SOUTH DOBSON ROAD, SUITE 105, CITY: CHANDLER, STATE: AZ, ZIP: 85224, PHONE: (480) 812-1705, FAX: (480) 812-1706, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPITAL, SUBTYPE: NON-PARTICIPATING HOSPITALS, ID: MED3073, LICENSE: FED ONLY, NAME: FT APACHE P H S INDIAN HOSP, LEGALLY: FORT APACHE PHS INDIAN HOSPITAL, ADDRESS: UNKNOWN ADDRESS, CITY: WHITERIVER, STATE: AZ, ZIP: 85941, PHONE: (602) 444-4444, FAX: , CAPACITY: 0, COUNTY: NAVAJO TYPE: HOSPITAL, SUBTYPE: NON-PARTICIPATING HOSPITALS, ID: MED3078, LICENSE: FED ONLY, NAME: US AIR FORCE HOSP - CLOSED, LEGALLY: US AIR FORCE HOSPITAL-GLENDALE - CLOSED, ADDRESS: LUKE AFB, CITY: GLENDALE, STATE: AZ, ZIP: 85301, PHONE: (602) 111-1111, FAX: , CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPITAL, SUBTYPE: NON-PARTICIPATING HOSPITALS, ID: MED3079, LICENSE: FED ONLY, NAME: US AIR FORCE HOSP, LEGALLY: US AIR FORCE HOSPITAL-TUCSON, ADDRESS: DAVIS-MONTHAN AFB, CITY: TUCSON, STATE: AZ, ZIP: 85707, PHONE: (520) 111-1111, FAX: , CAPACITY: 0, COUNTY: PIMA TYPE: HOSPITAL, SUBTYPE: NON-PARTICIPATING HOSPITALS, ID: MED3080, LICENSE: FED ONLY, NAME: US AIR FORCE HOSP, LEGALLY: US AIR FORCE HOSPITAL-CHANDLER, ADDRESS: WILLIAMS AFB, CITY: CHANDLER, STATE: AZ, ZIP: 85224, PHONE: (000) 111-2222, FAX: , CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPITAL, SUBTYPE: NON-PARTICIPATING HOSPITALS, ID: MED3082, LICENSE: FED ONLY, NAME: US ARMY HOSP, LEGALLY: US ARMY HOSPITAL-FT HUACHUCA, ADDRESS: *, CITY: FORT HUACHUCA, STATE: AZ, ZIP: 85613, PHONE: (520) 444-4444, FAX: , CAPACITY: 0, COUNTY: COCHISE TYPE: HOSPITAL, SUBTYPE: NON-PARTICIPATING HOSPITALS, ID: MED3081, LICENSE: FED ONLY, NAME: US ARMY HOSP, LEGALLY: US ARMY HOSPITAL-YUMA, ADDRESS: YUMA PROVING GROUNDS, CITY: YUMA, STATE: AZ, ZIP: 85364, PHONE: (602) 333-3333, FAX: , CAPACITY: 0, COUNTY: YUMA TYPE: HOSPITAL, SUBTYPE: NON-PARTICIPATING HOSPITALS, ID: MED3083, LICENSE: FED ONLY, NAME: US PHS WINSLOW INDIAN HOSP, LEGALLY: US PHS WINSLOW INDIAN HOSPITAL, ADDRESS: *, CITY: WINSLOW, STATE: AZ, ZIP: 86047, PHONE: (602) 444-4444, FAX: , CAPACITY: 0, COUNTY: NAVAJO TYPE: HOSPITAL, SUBTYPE: NON-PARTICIPATING HOSPITALS, ID: MED3084, LICENSE: FED ONLY, NAME: VA HOSP, LEGALLY: VETERANS HOSPITAL-WHIPPLE, ADDRESS: *, CITY: PRESCOTT, STATE: AZ, ZIP: 86301, PHONE: (602) 555-5555, FAX: , CAPACITY: 0, COUNTY: YAVAPAI TYPE: HOSPITAL, SUBTYPE: NON-PARTICIPATING HOSPITALS, ID: MED3086, LICENSE: FED ONLY, NAME: VA HOSP CARL T HAYDEN VA MEDICAL CENTER, LEGALLY: HOSPITAL - INDIAN SCHOOL ROAD, ADDRESS: 650 EAST INDIAN SCHOOL RD, CITY: PHOENIX, STATE: AZ, ZIP: 85012, PHONE: (602) 277-5551, FAX: , CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPITAL, SUBTYPE: NON-PARTICIPATING HOSPITALS, ID: MED3085, LICENSE: FED ONLY, NAME: VA HOSP SOUTHERN ARIZONA HEALTHCARE SYSTEM, LEGALLY: HOSPITAL - 6TH AVENUE, ADDRESS: 3601 S 6TH AVE, CITY: TUCSON, STATE: AZ, ZIP: 85713, PHONE: (520) 792-1450, FAX: , CAPACITY: 0, COUNTY: PIMA TYPE: HOSPITAL, SUBTYPE: NON-PARTICIPATING HOSPITALS, ID: MED3087, LICENSE: FED ONLY, NAME: VA HOSPITAL NORTHERN ARIZONA HEALTHCARE SYSTEM, LEGALLY: HOSPITAL-PRESCOTT, ADDRESS: 500 HIGHWAY 89 NORTH, CITY: PRESCOTT, STATE: AZ, ZIP: 86313, PHONE: (520) 445-4860, FAX: , CAPACITY: 0, COUNTY: YAVAPAI TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2996, LICENSE: OTC3809, NAME: ARROWHEAD IMAGING, LEGALLY: ARROWHEAD IMAGING, ADDRESS: 6320 WEST UNION HILLS DRIVE, SUITE 120, CITY: GLENDALE, STATE: AZ, ZIP: 85308, PHONE: (623) 939-9919, FAX: (623) 537-0229, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2997, LICENSE: OTC3810, NAME: GOODYEAR IMAGING, LEGALLY: GOODYEAR IMAGING, ADDRESS: 13065 WEST MCDOWELL ROAD, SUITE B-108, CITY: AVONDALE, STATE: AZ, ZIP: 85392, PHONE: (623) 889-0999, FAX: (623) 889-0133, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: AZ HHA ONLY, ID: MED3020, LICENSE: HHA3767, NAME: ANGELS PRN, INC, LEGALLY: ANGELS PRN, INC, ADDRESS: 2755 SOUTH 4TH AVENUE, SUITE 101, CITY: YUMA, STATE: AZ, ZIP: 85364, PHONE: (928) 726-9163, FAX: (928) 726-1040, CAPACITY: 0, COUNTY: YUMA TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED3052, LICENSE: OTC4390, NAME: TEMPE DIALYSIS CENTER, LEGALLY: TEMPE DIALYSIS CENTER, ADDRESS: 2149 EAST WARNER ROAD, SUITE 110, CITY: TEMPE, STATE: AZ, ZIP: 85284, PHONE: (480) 610-6170, FAX: (480) 610-6179, CAPACITY: 0, COUNTY: MARICOPA TYPE: FEDERALLY QUALIFIED HEALTH CENTER, SUBTYPE: FEDERALLY QUALIFIED HEALTH CENTER, ID: MED3069, LICENSE: NONE, NAME: VERDE VALLEY WELLNESS CENTER, LEGALLY: YAVAPAI COUNTY COMMUNITY HEALTH SERVICES, ADDRESS: 10 SOUTH 6TH STREET, CITY: COTTONWOOD, STATE: AZ, ZIP: 86326, PHONE: (928) 639-8130, FAX: (928) 639-8179, CAPACITY: 0, COUNTY: YAVAPAI TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2970, LICENSE: OTC3788, NAME: CANYON PEDIATRICS, LEGALLY: CANYON PEDIATRICS, INC., ADDRESS: 2451 EAST BASELINE ROAD, SUITE 200, CITY: GILBERT, STATE: AZ, ZIP: 85234, PHONE: (480) 507-2199, FAX: (480) 686-6508, CAPACITY: 0, COUNTY: MARICOPA TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED2946, LICENSE: NONE, NAME: GILA RIVER DIALYSIS EAST, LEGALLY: GILA RIVER DIALYSIS EAST, ADDRESS: 565 WEST SEED FARM ROAD, CITY: SACATON, STATE: AZ, ZIP: 85247, PHONE: (602) 271-7900, FAX: (480) 602-6209, CAPACITY: 0, COUNTY: PINAL TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3060, LICENSE: OTC3792, NAME: CANYON FAMILY PHYSICIANS, LEGALLY: CANYON FAMILY PHYSICIANS, ADDRESS: 2451 EAST BASELINE ROAD, SUITE 130, CITY: GILBERT, STATE: AZ, ZIP: 85234, PHONE: (480) 507-2199, FAX: (480) 649-3416, CAPACITY: 0, COUNTY: MARICOPA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED3061, LICENSE: OSC3774, NAME: NORTH VALLEY SURGERY CENTER, LEGALLY: NORTH VALLEY SURGERY CENTER, ADDRESS: 9522 EAST SAN SALVADOR, SUITE 100, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85258, PHONE: (480) 767-2100, FAX: (480) 767-2117, CAPACITY: 0, COUNTY: MARICOPA TYPE: PORTABLE X-RAY SUPPLIERS, SUBTYPE: MEDICARE, ID: MED3109, LICENSE: NONE, NAME: SCHRYVER MEDICAL SALES & MARKETING, LEGALLY: SCHRYVER MEDICAL SALES & MARKETING, INC., ADDRESS: 3610 EAST SOUTHERN AVENUE, SUITE 4, CITY: PHOENIX, STATE: AZ, ZIP: 85040, PHONE: (800) 638-3240, FAX: (303) 785-9326, CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED3135, LICENSE: , NAME: 3T MRI, LEGALLY: 3T MRI, ADDRESS: 1485 NORTH TURQUOISE DRIVE, CITY: EAST FLAGSTAFF, STATE: AZ, ZIP: 86001, PHONE: (928) 774-7757, FAX: , CAPACITY: 0, COUNTY: COCONINO TYPE: HOSPITAL, SUBTYPE: SHORT TERM, ID: MED0251, LICENSE: H0152, NAME: NORTHWEST MEDICAL CENTER, LEGALLY: NORTHWEST MEDICAL CENTER, ADDRESS: 6200 NORTH LA CHOLLA BOULEVARD, CITY: TUCSON, STATE: AZ, ZIP: 85741, PHONE: (520) 742-9000, FAX: (520) 469-8101, CAPACITY: 300, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2898, LICENSE: OTC3628, NAME: INSIGHT IMAGING-THUNDERBIRD MRI & PET CENTER-D 2, LEGALLY: INSIGHT IMAGING-THUNDERBIRD MRI & PET CENTER-D 2, ADDRESS: 6591 WEST THUNDERBIRD ROAD, SUITE D 2, CITY: GLENDALE, STATE: AZ, ZIP: 85304, PHONE: (623) 412-9725, FAX: (623) 412-3830, CAPACITY: 0, COUNTY: MARICOPA TYPE: OUTPATIENT PHYSICAL THERAPY/SPEECH PATHOLOGY SERVICES, SUBTYPE: MEDICARE, ID: MED3058, LICENSE: OTC3796, NAME: CONCENTRA MEDICAL CENTER-SCOTTSDALE (URGENT CARE), LEGALLY: CONCENTRA MEDICAL CENTER SCOTTSDALE, ADDRESS: 14747 NORTH NORTHSIGHT, SUITE 100-105, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85260, PHONE: (480) 922-4776, FAX: (480) 922-4778, CAPACITY: 0, COUNTY: MARICOPA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED3062, LICENSE: OSC3807, NAME: DIGESTIVE HEALTH SPECIALISTS ENDOSCOPY CENTER-AZ, LEGALLY: DIGESTIVE HEALTH SPECIALISTS ENDOSCOPY CENTER-AZ, ADDRESS: 8573 EAST PRINCESS DRIVE, #117, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85255, PHONE: (480) 563-5757, FAX: (480) 563-5851, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3108, LICENSE: OTC3819, NAME: DIAGNOSTIC HEALTH SERVICES-THUNDERBIRD OFFICE, LEGALLY: DIAGNOSTIC HEALTH SERVICES-THUNDERBIRD OFFICE, ADDRESS: 7998 WEST THUNDERBIRD ROAD, SUITE 108, CITY: PEORIA, STATE: AZ, ZIP: 85381, PHONE: (602) 279-9375, FAX: (623) 878-5670, CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED2982, LICENSE: , NAME: PHOENIX CHILDREN'S OUTPATIENT SPECIALTY CARE CENTE, LEGALLY: PHOENIX CHILDREN'S OUTPATIENT SPECIALTY CARE CENTER, ADDRESS: 1919 EAST THOMAS ROAD, BUILDING B, CITY: PHOENIX, STATE: AZ, ZIP: 85016, PHONE: (602) 123-4567, FAX: (602) 546-0392, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3001, LICENSE: OTC4102, NAME: NORTHSIDE MEDICAL CLINIC WALK-IN (URGENT CARE), LEGALLY: NORTHSIDE MEDICAL CLINIC WALK-IN, ADDRESS: 1394 WEST 16TH STREET, CITY: YUMA, STATE: AZ, ZIP: 85364, PHONE: (928) 539-0055, FAX: (902) 539-0053, CAPACITY: 0, COUNTY: YUMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3017, LICENSE: OTC3719, NAME: PALM LANE WELLNESS CENTER (SCHOOL BASED), LEGALLY: PALM LANE WELLNESS CENTER, ADDRESS: 2043 NORTH 64TH DRIVE, NURSES OFFICE, CITY: PHOENIX, STATE: AZ, ZIP: 85035, PHONE: (623) 691-5515, FAX: (623) 691-5520, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3041, LICENSE: OTC3862, NAME: MODERN DIAGNOSTIC IMAGING, LEGALLY: MODERN DIAGNOSTIC IMAGING, ADDRESS: 600 SOUTH DOBSON, SUITE B-16, CITY: CHANDLER, STATE: AZ, ZIP: 85224, PHONE: (480) 445-9961, FAX: (480) 445-9972, CAPACITY: 0, COUNTY: MARICOPA TYPE: OUTPATIENT PHYSICAL THERAPY/SPEECH PATHOLOGY SERVICES, SUBTYPE: MEDICARE, ID: MED3048, LICENSE: OTC4565, NAME: SELECT PHYSICAL THERAPY-SOSSAMAN (EXT OF 036574), LEGALLY: SELECT PHYSICAL THERAPY-SOSSAMAN, ADDRESS: 2853 SOUTH SOSSAMAN, SUITE A 106, CITY: MESA, STATE: AZ, ZIP: 85212, PHONE: (480) 373-9700, FAX: (480) 373-9800, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3051, LICENSE: OTC3776, NAME: JCL NORTH PHOENIX MEDICAL CLINIC, LEGALLY: JCL NORTH PHOENIX MEDICAL CLINIC, ADDRESS: 9100 NORTH 2ND STREET, SUITE 121, CITY: PHOENIX, STATE: AZ, ZIP: 85020, PHONE: (602) 997-7331, FAX: (602) 870-4512, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3055, LICENSE: OTC3813, NAME: PASSPORT HEALTH-GLENDALE, LEGALLY: PASSPORT HEALTH-GLENDALE, ADDRESS: 5757 WEST THUNDERBIRD ROAD, SUITE E-359, CITY: GLENDALE, STATE: AZ, ZIP: 85306, PHONE: (480) 345-6800, FAX: (480) 345-6805, CAPACITY: 0, COUNTY: MARICOPA TYPE: OUTPATIENT PHYSICAL THERAPY/SPEECH PATHOLOGY SERVICES, SUBTYPE: MEDICARE, ID: MED3054, LICENSE: OTC4484, NAME: SELECT PHYSICAL THERAPY-AVONDALE (036560), LEGALLY: SELECT PHYSICAL THERAPY-AVONDALE (036560), ADDRESS: 10750 WEST MCDOWELL ROAD, SUITE B210, CITY: AVONDALE, STATE: AZ, ZIP: 85392, PHONE: (623) 907-0746, FAX: (623) 907-0756, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3067, LICENSE: OTC3801, NAME: REJUVENIGHT, LEGALLY: REJUVENIGHT, LLC, ADDRESS: 15640 NORTH 7TH STREET, SUITE 1, CITY: PHOENIX, STATE: AZ, ZIP: 85022, PHONE: (602) 942-3777, FAX: (602) 942-2722, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3133, LICENSE: OTC3826, NAME: PREMIER SPORTS IMAGING, LEGALLY: PREMIER SPORTS IMAGING, INC., ADDRESS: 7111 WEST BELL ROAD, SUITE 104, CITY: GLENDALE, STATE: AZ, ZIP: 85308, PHONE: (623) 533-4465, FAX: (623) 533-4467, CAPACITY: 0, COUNTY: MARICOPA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED3136, LICENSE: OSC3830, NAME: SUN CITY WEST AMBULATORY SURGERY CENTER, LEGALLY: SUN CITY WEST AMBULATORY SURGERY CENTER, ADDRESS: 14416 WEST MEEKER BOULEVARD, SUITE 103, CITY: SUN CITY WEST, STATE: AZ, ZIP: 85375, PHONE: (623) 583-5280, FAX: (623) 583-5277, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3140, LICENSE: OTC4278, NAME: PAYSON SLEEP SERVICES, LEGALLY: PAYSON SLEEP SERVICES, ADDRESS: 404 WEST MAIN STREET, SUITE A, CITY: PAYSON, STATE: AZ, ZIP: 85541, PHONE: (928) 474-5234, FAX: (928) 474-5235, CAPACITY: 0, COUNTY: GILA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3046, LICENSE: OTC3840, NAME: CAMBRIDGE MEDICAL CLINIC & URGENT CARE, LEGALLY: CAMBRIDGE MEDICAL GROUP, ADDRESS: 13624 WEST CAMINO DEL SOL, SUITE 100, CITY: SUN CITY WEST, STATE: AZ, ZIP: 85375, PHONE: (623) 214-1717, FAX: (623) 214-8496, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3132, LICENSE: OTC3828, NAME: SOUTHWEST AUTISM RESEARCH AND RESOURCE CENTER, LEGALLY: SOUTHWEST AUTISM RESEARCH AND RESOURCE CENTER, ADDRESS: 300 NORTH 18TH STREET, CITY: PHOENIX, STATE: AZ, ZIP: 85006, PHONE: (602) 340-8717, FAX: (602) 340-8720, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3153, LICENSE: OTC3822, NAME: SANDERS CLINIC, LEGALLY: SANDERS CLINIC, ADDRESS: SUN LANE, LOT 49, PARK ESTATES, CITY: SANDERS, STATE: AZ, ZIP: 86512, PHONE: (928) 688-3903, FAX: (928) 688-4471, CAPACITY: 0, COUNTY: APACHE TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3160, LICENSE: OTC3827, NAME: GOOD NIGHT PEDIATRICS-SOUTH MOUNTAIN (URGENT CARE), LEGALLY: GOOD NIGHT PEDIATRICS-SOUTH MOUNTAIN, ADDRESS: 325 EAST BASELINE ROAD, CITY: PHOENIX, STATE: AZ, ZIP: 85040, PHONE: (602) 476-0800, FAX: (602) 476-0801, CAPACITY: 0, COUNTY: MARICOPA TYPE: FEDERALLY QUALIFIED HEALTH CENTER, SUBTYPE: FEDERALLY QUALIFIED HEALTH CENTER, ID: MED3154, LICENSE: OTC3823, NAME: NORTH COUNTRY HEALTHCARE-GRAND CANYON CLC(URG CARE, LEGALLY: NORTH COUNTRY HEALTHCARE-GRAND CANYON CLINIC, ADDRESS: 1 CLINIC ROAD, CITY: GRAND CANYON, STATE: AZ, ZIP: 86023, PHONE: (928) 638-2551, FAX: (928) 638-2598, CAPACITY: 0, COUNTY: COCONINO TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3167, LICENSE: OTC3838, NAME: ADVANCED URGENT CARE-BAYWOOD (URGENT CARE), LEGALLY: ADVANCED URGENT CARE-BAYWOOD, ADDRESS: 6553 EAST BAYWOOD AVENUE, SUITE 103, CITY: MESA, STATE: AZ, ZIP: 85206, PHONE: (480) 985-6200, FAX: (480) 985-2951, CAPACITY: 0, COUNTY: MARICOPA TYPE: COMPREHENSIVE OUTPATIENT REHABILITATION FACILITIES, SUBTYPE: MEDICARE, ID: MED3068, LICENSE: OTC3834, NAME: ADVANCED MEDICAL THERAPY, LEGALLY: ADVANCED MEDICAL THERAPY, ADDRESS: 15640 NORTH 7TH STREET, SUITE 6, CITY: PHOENIX, STATE: AZ, ZIP: 85022, PHONE: (602) 439-3800, FAX: (602) 439-3802, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3124, LICENSE: OTC3844, NAME: GRANDVIEW TERRACE CLINIC, LEGALLY: GRANDVIEW TERRACE, ADDRESS: 14515 WEST GRANITE VALLEY DRIVE, CITY: SUN CITY WEST, STATE: AZ, ZIP: 85375, PHONE: (623) 975-8042, FAX: (623) 556-1068, CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED3134, LICENSE: , NAME: CARONDELET MEDICAL MALL AT GREEN VALLEY, LEGALLY: CARONDELET MEDICAL MALL AT GREEN VALLEY, ADDRESS: 400 WEST CAMINO CASA VERDE, SUITE 200, CITY: GREEN VALLEY, STATE: AZ, ZIP: 85614, PHONE: (520) 872-4555, FAX: (520) 872-4556, CAPACITY: 0, COUNTY: PIMA TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED3103, LICENSE: HSPC3855, NAME: HOSPICE OF THE VALLEY'S BRIGHTON GAR PCU (031517), LEGALLY: HOSPICE OF THE VALLEY'S BRIGHTON GARDENS PCU, ADDRESS: 6001 EAST THOMAS ROAD, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85251, PHONE: (480) 949-2400, FAX: (480) 423-3359, CAPACITY: 9, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3141, LICENSE: OTC3966, NAME: REGENT MEDICAL URGENT CARE, LEGALLY: REGENT MEDICAL URGENT CARE, ADDRESS: 16872 NORTH CAVE CREEK ROAD, CITY: PHOENIX, STATE: AZ, ZIP: 85032, PHONE: (602) 494-7700, FAX: (602) 494-3377, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: MED3184, LICENSE: HHA3957, NAME: AMEDISYS HOME HEALTH OF TUCSON, LEGALLY: TENDER LOVING CARE, ADDRESS: 326 SOUTH WILMOT ROAD, SUITE A100, CITY: TUCSON, STATE: AZ, ZIP: 85711, PHONE: (520) 514-2754, FAX: (520) 514-2228, CAPACITY: 0, COUNTY: PIMA TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED3128, LICENSE: HSPC4535, NAME: SOJOURN CARE OF ARIZONA, INC, LEGALLY: SOJOURN CARE OF ARIZONA, INC, ADDRESS: 7975 NORTH HAYDEN ROAD, SUITE A205, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85258, PHONE: (480) 315-1525, FAX: (480) 315-1526, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPITAL, SUBTYPE: SHORT TERM, ID: MED0222, LICENSE: H0077, NAME: JOHN C LINCOLN NORTH MOUNTAIN HOSPITAL, LEGALLY: JOHN C LINCOLN NORTH MOUNTAIN HOSPITAL, ADDRESS: 250 EAST DUNLAP AVENUE, CITY: PHOENIX, STATE: AZ, ZIP: 85020, PHONE: (602) 870-6060, FAX: (602) 944-9610, CAPACITY: 266, COUNTY: MARICOPA TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED2847, LICENSE: HSPC3847, NAME: AFFINITY HOSPICE OF LIFE, LEGALLY: AFFINITY HOSPICE OF LIFE, ADDRESS: 2501 WEST DUNLAP AVENUE, SUITE 125, CITY: PHOENIX, STATE: AZ, ZIP: 85021, PHONE: (602) 253-2273, FAX: (602) 253-1999, CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED3129, LICENSE: , NAME: CHC GENETICS PROGRAM, LEGALLY: CHC GENETICS PROGRAM, ADDRESS: 222 WEST THOMAS ROAD, SUITE 304, CITY: PHOENIX, STATE: AZ, ZIP: 85013, PHONE: (602) 406-3611, FAX: (602) 406-4343, CAPACITY: 0, COUNTY: MARICOPA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED3144, LICENSE: OSC3857, NAME: CARONDELET FOOTHILLS SURGERY CENTER, LEGALLY: CARONDELET FOOTHILLS SURGERY CENTER, ADDRESS: 2220 WEST ORANGE GROVE ROAD, CITY: TUCSON, STATE: AZ, ZIP: 85741, PHONE: (520) 877-5660, FAX: (520) 877-5669, CAPACITY: 0, COUNTY: PIMA TYPE: FEDERALLY QUALIFIED HEALTH CENTER, SUBTYPE: FEDERALLY QUALIFIED HEALTH CENTER, ID: MED3187, LICENSE: OTC3854, NAME: CANYONLANDS URGENT CARE, LEGALLY: CANYONLANDS COMMUNITY HEALTH CARE, ADDRESS: 440 NORTH NAVAJO BOULEVARD, CITY: PAGE, STATE: AZ, ZIP: 86040, PHONE: (928) 645-1700, FAX: (928) 645-1701, CAPACITY: 0, COUNTY: COCONINO TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3102, LICENSE: OTC4483, NAME: BANNER ARIZONA MEDICAL CLINIC-SUN CITY WEST, LEGALLY: BANNER ARIZONA MEDICAL CLINIC, ADDRESS: 14416 WEST MEEKER BOULEVARD, CITY: SUN CITY WEST, STATE: AZ, ZIP: 85375, PHONE: (623) 876-6815, FAX: (623) 972-9590, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2873, LICENSE: OTC3859, NAME: MBI OCCUPATIONAL HEALTHCARE, TUCSON (URGENT CARE), LEGALLY: MBI OCCUPATIONAL HEALTHCARE, TUCSON, ADDRESS: 1001 EAST PALMDALE STREET, CITY: TUCSON, STATE: AZ, ZIP: 85714, PHONE: (520) 807-1060, FAX: (520) 807-0990, CAPACITY: 0, COUNTY: PIMA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED3188, LICENSE: , NAME: NORTHWEST MEDICAL CENTER- CONTINENTAL RESERVE URGE, LEGALLY: NORTHWEST MEDICAL CENTER- CONTINENTAL RESERVE URGENT CARE, ADDRESS: 8333 NORTH SILVERBELL ROAD, SUITE 111, CITY: TUCSON, STATE: AZ, ZIP: 85743, PHONE: (520) 202-7700, FAX: (520) 202-7750, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3113, LICENSE: OTC3908, NAME: SUNSET COMMUNITY HEALTH CENTER, LEGALLY: SUNSET COMMUNITY HEALTH CENTER, INC., ADDRESS: 2060 WEST 24TH STREET, CITY: YUMA, STATE: AZ, ZIP: 85364, PHONE: (928) 819-8805, FAX: (928) 539-5579, CAPACITY: 0, COUNTY: YUMA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED3208, LICENSE: , NAME: NORTHWEST MEDICAL CENTER, OUTPATIENT THERAPY, LEGALLY: NORTHWEST MEDICAL CENTER, OUTPATIENT THERAPY, ADDRESS: 6060 NORTH FOUNTAIN PLAZA DRIVE, SUITE 150, CITY: TUCSON, STATE: AZ, ZIP: 85741, PHONE: (520) 469-8251, FAX: (520) 877-4071, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3166, LICENSE: OTC4307, NAME: ARIZONA SPECIALTY PHYSICIANS-EAST VALLEY, LEGALLY: ARIZONA SPECIALTY PHYSICIANS-EAST VALLEY, ADDRESS: 2940 EAST BANNER GATEWAY DRIVE, SUITE 450, CITY: GILBERT, STATE: AZ, ZIP: 85234, PHONE: (480) 543-6700, FAX: (480) 543-6725, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3181, LICENSE: OTC3863, NAME: URGENT CARE ASSOCIATES P C AT RITA RANCH, LEGALLY: URGENT CARE ASSOCIATES P C AT RITA RANCH, ADDRESS: 9348 EAST RITA ROAD, CITY: TUCSON, STATE: AZ, ZIP: 85747, PHONE: (520) 795-8888, FAX: (520) 795-8892, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3161, LICENSE: OTC3235, NAME: ARETE SLEEP - CENTRAL, LEGALLY: ARETE SLEEP - CENTRAL, ADDRESS: 926 EAST MCDOWELL ROAD, SUITE 112, CITY: PHOENIX, STATE: AZ, ZIP: 85006, PHONE: (480) 282-6500, FAX: (480) 282-6600, CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED3194, LICENSE: , NAME: CASA GRANDE REGIONAL MEDICAL CENTER URGENT CARE, LEGALLY: CASA GRANDE REGIONAL MEDICAL CENTER URGENT CARE, ADDRESS: 1676 EAST MCMURRAY BOULEVARD, CITY: CASA GRANDE, STATE: AZ, ZIP: 85222, PHONE: (520) 316-0688, FAX: (520) 381-6435, CAPACITY: 0, COUNTY: PINAL TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3189, LICENSE: OTC3234, NAME: DEXTER FAMILY RESOURCE CENTER (SCHOOL CLINIC), LEGALLY: DEXTER FAMILY RESOURCE CENTER, ADDRESS: 551 FIRST STREET, CITY: PRESCOTT, STATE: AZ, ZIP: 86301, PHONE: (928) 771-5662, FAX: (928) 771-5249, CAPACITY: 0, COUNTY: YAVAPAI TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: MED3157, LICENSE: HHA3865, NAME: SUN VALLEY HOME CARE, LLC, LEGALLY: SUN VALLEY HOME CARE, LLC, ADDRESS: 7227 EAST BASELINE ROAD, SUITE 127, CITY: MESA, STATE: AZ, ZIP: 85209, PHONE: (480) 633-1555, FAX: (480) 633-1556, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3158, LICENSE: OTC3866, NAME: ADVANCED CARDIAC SPECIALISTS OTC-IRONWOOD, LEGALLY: ADAVANCED CARDIAC SPECIALISTS OTC-IRONWOOD, ADDRESS: 2050 WEST SOUTHERN AVENUE, CITY: APACHE JUNCTION, STATE: AZ, ZIP: 85220, PHONE: (480) 545-1808, FAX: (480) 545-0824, CAPACITY: 0, COUNTY: PINAL TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3186, LICENSE: OTC3232, NAME: MARICOPA CO HEALTH CARE FOR THE HOMELESS (URGENT), LEGALLY: MARICOPA COUNTY HEALTH CARE FOR THE HOMELESS, ADDRESS: 220 SOUTH 12TH AVENUE, CITY: PHOENIX, STATE: AZ, ZIP: 85007, PHONE: (602) 372-2100, FAX: (602) 372-2120, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3227, LICENSE: OTC4498, NAME: ST ELIZABETH'S HEALTH CENTER AT ELLIE TOWNE FLOWIN, LEGALLY: ST. ELIZABETH'S HEALTH CENTER AT ELLIE TOWNE FLOWING WELLS COMMUNITY CENTER, ADDRESS: 1660 WEST RUTHRAUFF ROAD, CITY: TUCSON, STATE: AZ, ZIP: 85705, PHONE: (520) 888-0076, FAX: (520) 888-2836, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3149, LICENSE: OTC4620, NAME: APACHE CO PUBLIC HEALTH SERVICES DISTRICT-ST JOHNS, LEGALLY: APACHE COUNTY PUBLIC HEALTH SERVICES DISTRICT-ST JOHNS, ADDRESS: 1200 WEST CLEVELAND, SUITE 8, CITY: SAINT JOHNS, STATE: AZ, ZIP: 85936, PHONE: (928) 337-7525, FAX: (928) 337-7592, CAPACITY: 0, COUNTY: APACHE TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED3199, LICENSE: HSPC4269, NAME: HARMONY HOSPICE, LEGALLY: HARMONY HOSPICE, ADDRESS: 3080 NORTH CIVIC CENTER PLAZA, # 19, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85251, PHONE: (480) 970-5300, FAX: (480) 970-1003, CAPACITY: 0, COUNTY: APACHE TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED3205, LICENSE: HSPC3868, NAME: DESERT OASIS HOSPICE LLC, LEGALLY: DESERT OASIS HOSPICE LLC, ADDRESS: 20815 NORTH 25TH PLACE, SUITE A106, CITY: PHOENIX, STATE: AZ, ZIP: 85050, PHONE: (602) 424-4204, FAX: (602) 424-4208, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3163, LICENSE: OTC3874, NAME: U C R HEALTH CENTERS (URGENT CARE CENTER), LEGALLY: U C R HEALTH CENTERS, ADDRESS: 2815 SOUTH ALMA SCHOOL ROAD, SUITE 5, CITY: CHANDLER, STATE: AZ, ZIP: 85248, PHONE: (480) 855-7585, FAX: (480) 855-0912, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: AZ HHA ONLY, ID: MED3237, LICENSE: HHA4109, NAME: OPTIMUM HEALTHCARE, LEGALLY: OPTIMUM HEALTHCARE, ADDRESS: 1050 EAST UNIVERSITY DRIVE, SUITE #9, CITY: MESA, STATE: AZ, ZIP: 85203, PHONE: (480) 833-7514, FAX: (480) 733-2487, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2934, LICENSE: OTC3952, NAME: STI PHYSICAL THERAPY & REHAB-CENTRAL PHOENIX, LEGALLY: STI PHYSICAL THERAPY & REHAB-CENTRAL PHOENIX, ADDRESS: 444 WEST OSBORN ROAD, SUITE 303, CITY: PHOENIX, STATE: AZ, ZIP: 85013, PHONE: (602) 279-8022, FAX: (602) 279-8029, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2932, LICENSE: OTC4056, NAME: STI PHYSICAL THERAPY & REHAB-WEST PHOENIX, LEGALLY: STI PHYSICAL THERAPY & REHAB-WEST PHOENIX, ADDRESS: 9150 WEST INDIAN SCHOOL ROAD, CITY: PHOENIX, STATE: AZ, ZIP: 85037, PHONE: (602) 547-1836, FAX: (602) 547-0508, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: MED3147, LICENSE: HHA4187, NAME: CELEBRITY HOMECARE, INC, LEGALLY: CELEBRITY HOMECARE, INC, ADDRESS: 1801 SOUTH JEN TILLY LANE SUITE A-10, CITY: TEMPE, STATE: AZ, ZIP: 85281, PHONE: (480) 966-8888, FAX: (480) 966-8892, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED3173, LICENSE: HSPC3917, NAME: HOSPICE OF THE VALLEY'S SHERMAN HSPC HOME (031517), LEGALLY: HOSPICE OF THE VALLEY'S SHERMAN HOSPICE HOME, ADDRESS: 5801 EAST MAYO BOULEVARD, CITY: PHOENIX, STATE: AZ, ZIP: 85054, PHONE: (602) 530-6900, FAX: (480) 538-5779, CAPACITY: 12, COUNTY: MARICOPA TYPE: RURAL HEALTH CLINICS, SUBTYPE: MEDICARE, ID: MED3191, LICENSE: OTC4717, NAME: COMMUNITY HOSPITAL CLINIC, LEGALLY: COMMUNITY HOSPITAL CLINIC, ADDRESS: 1395 WEST WICKENBURG WAY, CITY: WICKENBURG, STATE: AZ, ZIP: 85390, PHONE: (928) 684-5421, FAX: (928) 684-5081, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3207, LICENSE: OTC3880, NAME: YAVAPAI COLLEGE HEALTH CENTER, LEGALLY: YAVAPAI COLLEGE HEALTH CENTER, ADDRESS: 1100 EAST SHELDON STREET, BLDG 3, RM 122, CITY: PRESCOTT, STATE: AZ, ZIP: 86301, PHONE: (928) 776-2318, FAX: (928) 717-7776, CAPACITY: 0, COUNTY: YAVAPAI TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3164, LICENSE: OTC3849, NAME: NOAH MOBILE HEALTH UNIT, LEGALLY: NEIGHBORHOOD OUTREACH ACTION FOR HEALTH- MOBILE HEALTH UNIT, ADDRESS: 7400 EAST OSBORN ROAD, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85251, PHONE: (480) 323-4681, FAX: (480) 323-4688, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: AZ HHA ONLY, ID: MED3168, LICENSE: HHA4146, NAME: CRDENTIA, LEGALLY: ARIZONA HOME AND HEALTH CARE, ADDRESS: 2025 NORTH 3RD STREET, SUITE 290, CITY: PHOENIX, STATE: AZ, ZIP: 85004, PHONE: (602) 248-9027, FAX: (602) 248-9331, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3182, LICENSE: OTC3872, NAME: DERMAHEALTH INSTITUTE OF GILBERT & MESA, LEGALLY: DERMAHEALTH INSTITUTE OF GILBERT & MESA, ADDRESS: 4140 EAST BASELINE ROAD, SUITE 110, CITY: MESA, STATE: AZ, ZIP: 85206, PHONE: (480) 539-0777, FAX: (480) 539-6054, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3193, LICENSE: OTC3951, NAME: TERRACES OF PHOENIX OUTPATIENT REHAB, THE, LEGALLY: TERRACES OF PHOENIX OUTPATIENT REHAB, THE, ADDRESS: 7550 NORTH 16TH STREET,THERAPY RM 8044, CITY: PHOENIX, STATE: AZ, ZIP: 85020, PHONE: (602) 944-4455, FAX: (602) 371-4130, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3196, LICENSE: OTC3884, NAME: SUN VALLEY PEDIATRIC URGENT CARE, LEGALLY: SUN VALLEY PEDIATRIC URGENT CARE, ADDRESS: 4045 WEST CHANDLER BOULEVARD, CITY: CHANDLER, STATE: AZ, ZIP: 85226, PHONE: (480) 355-5437, FAX: (480) 355-5436, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3197, LICENSE: OTC3871, NAME: COMPREHENSIVE SLEEP SOLUTIONS-NORTH, LEGALLY: COMPREHENSIVE SLEEP SOLUTIONS-NORTH, ADDRESS: 4045 EAST UNION HILLS, SUITE 124, CITY: PHOENIX, STATE: AZ, ZIP: 85050, PHONE: (602) 569-1735, FAX: (602) 569-1763, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3210, LICENSE: OTC3916, NAME: STAT CLINIX-SHOW LOW (URGENT CARE), LEGALLY: STAT CLINIX-SHOW LOW, ADDRESS: 680 EAST DEUCE OF CLUBS, SUITE B, CITY: SHOW LOW, STATE: AZ, ZIP: 85901, PHONE: (928) 537-2777, FAX: (928) 537-2787, CAPACITY: 0, COUNTY: NAVAJO TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3216, LICENSE: OTC3882, NAME: SCOTTSDALE ADVANCED IMAGING, LEGALLY: SCOTTSDALE ADVANCED IMAGING, ADDRESS: 9522 EAST SAN SALVADOR, SUITE 150, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85258, PHONE: (480) 767-2222, FAX: (480) 767-2289, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3219, LICENSE: OTC3887, NAME: SLEEP DISORDERS CENTER OF PRESCOTT VALLEY, LEGALLY: SLEEP DISORDERS CENTER OF PRESCOTT VALLEY, ADDRESS: 3259 NORTH WINDSONG DRIVE, SUITE A, CITY: PRESCOTT VALLEY, STATE: AZ, ZIP: 86314, PHONE: (928) 772-6422, FAX: (928) 772-6425, CAPACITY: 0, COUNTY: YAVAPAI TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3229, LICENSE: OTC3886, NAME: ARIZONA SPECIALTY PHYSICIANS-BTMC, LEGALLY: ARIZONA SPECIALTY PHYSICIANS-BTMC, ADDRESS: 5310 WEST THUNDERBIRD ROAD, SUITE 200, CITY: GLENDALE, STATE: AZ, ZIP: 85306, PHONE: (602) 439-6700, FAX: (602) 439-6730, CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED3230, LICENSE: , NAME: SUN HEALTH MRI CENTER-WEBB CAMPUS, LEGALLY: SUN HEALTH MRI CENTER-WEBB CAMPUS, ADDRESS: 14420 WEST MEEKER BOULEVARD, SUITE 102, CITY: SUN CITY WEST, STATE: AZ, ZIP: 85375, PHONE: (623) 214-4016, FAX: (623) 214-4111, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3240, LICENSE: OTC4066, NAME: NEXTCARE URGENT CARE-MC 59, LEGALLY: NEXTCARE URGENT CARE-MC 59, ADDRESS: 5920 WEST MCDOWELL ROAD, CITY: PHOENIX, STATE: AZ, ZIP: 85035, PHONE: (480) 924-8382, FAX: (480) 924-8399, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3215, LICENSE: OTC3873, NAME: SCOTTSDALE HEALTHCARE OCCUPATIONAL HEALTH-OSBORN, LEGALLY: SCOTTSDALE HEALTHCARE OCCUPATIONAL HEALTH, ADDRESS: 3501 NORTH SCOTTSDALE ROAD, SUITE 231, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85251, PHONE: (480) 882-4770, FAX: (480) 882-4391, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED3251, LICENSE: HSPC3962, NAME: SOLARI HOSPICE CARE, LLC, LEGALLY: SOLARI HOSPICE CARE, LLC, ADDRESS: 8712 EAST VIA DE COMMERCIO, SUITE 10, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85258, PHONE: (480) 634-4187, FAX: (480) 634-6039, CAPACITY: 0, COUNTY: MARICOPA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED3148, LICENSE: OSC3875, NAME: CAMP LOWELL SURGERY CENTER, LEGALLY: CAMP LOWELL SURGERY CENTER, ADDRESS: 4620 EAST CAMP LOWELL DRIVE, CITY: TUCSON, STATE: AZ, ZIP: 85712, PHONE: (520) 618-6058, FAX: (520) 618-5891, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3192, LICENSE: OTC4195, NAME: ARIS PHYSICAL THERAPY, LEGALLY: ARIS PHYSICAL THERAPY, ADDRESS: 17100 NORTH 67TH AVENUE, SUITE 100, CITY: GLENDALE, STATE: AZ, ZIP: 85308, PHONE: (623) 979-2747, FAX: (623) 979-3122, CAPACITY: 0, COUNTY: MARICOPA TYPE: COMPREHENSIVE OUTPATIENT REHABILITATION FACILITIES, SUBTYPE: MEDICARE, ID: MED3122, LICENSE: OTC3883, NAME: ACADIA REHABILITATION, LEGALLY: ACADIA REHABILITATION, ADDRESS: 13260 NORTH 94TH DRIVE, SUITE 205, CITY: PEORIA, STATE: AZ, ZIP: 85381, PHONE: (623) 583-6573, FAX: (623) 583-6571, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3203, LICENSE: OTC3885, NAME: CIGNA GILBERT SPECIALTY HEALTH CARE CENTER, LEGALLY: CIGNA GILBERT SPECIALTY HEALTH CARE CENTER, ADDRESS: 4001 EAST BASELINE ROAD, SUITE 103, CITY: GILBERT, STATE: AZ, ZIP: 85234, PHONE: (602) 371-2461, FAX: (602) 371-2625, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3238, LICENSE: OTC3891, NAME: SCOTTSDALE HLTHCARE OCCUPATIONAL HLTH-HEALTH & WEL, LEGALLY: SCOTTSDALE HEALTHCARE OCCUPATIONAL HEALTH-HEALTH & WELLNESS, ADDRESS: 3501 NORTH SCOTTSDALE ROAD, SUITE 344, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85251, PHONE: (480) 675-4327, FAX: (480) 882-4989, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED3106, LICENSE: HSPC3898, NAME: HOSPICE OF THE VALLEY'S PALM VALLEY PCU(031515), LEGALLY: HOSPICE OF THE VALLEY'S PALM VALLEY PCU, ADDRESS: 13575 WEST MCDOWELL ROAD, CITY: GOODYEAR, STATE: AZ, ZIP: 85395, PHONE: (623) 512-4980, FAX: (623) 512-4985, CAPACITY: 10, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3241, LICENSE: OTC3894, NAME: SCOTTSDALE HEALTHCARE CARDIAC REHAB CENTER, LEGALLY: SCOTTSDALE HEALTHCARE CARDIAC REHAB CENTER, ADDRESS: 9201 EAST MOUNTAIN VIEW, SUITE 150, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85260, PHONE: (480) 323-4600, FAX: (480) 323-4621, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: MED3267, LICENSE: HHA3973, NAME: KC'S HOME HEALTH CARE, LLC, LEGALLY: KC'S HOME HEALTH CARE, LLC, ADDRESS: 20612 NORTH CAVE CREEK ROAD, F151, CITY: PHOENIX, STATE: AZ, ZIP: 85024, PHONE: (602) 283-4089, FAX: (602) 283-4498, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2983, LICENSE: OTC3904, NAME: PUEBLO NORTE REHAB & HEALTHCARE, LEGALLY: PUEBLO NORTE REHAB & HEALTHCARE, ADDRESS: 7090 EAST MESCAL STREET, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85254, PHONE: (480) 951-7203, FAX: (480) 443-5117, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED3209, LICENSE: HSPC3896, NAME: EVERCARE HOSPICE AND PALLIATIVE CARE, LEGALLY: EVERCARE HOSPICE, INC., ADDRESS: 17 WEST WETMORE ROAD, SUITE 100, CITY: TUCSON, STATE: AZ, ZIP: 85705, PHONE: (520) 407-8000, FAX: (520) 407-8001, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3248, LICENSE: OTC3903, NAME: CONCENTRA MEDICAL CENTER-VAL VISTA (URGENT CARE), LEGALLY: CONCENTRA MEDICAL CENTER VAL VISTA, ADDRESS: 1959 SOUTH VAL VISTA ROAD, SUITE 106, CITY: MESA, STATE: AZ, ZIP: 85204, PHONE: (480) 545-1398, FAX: (480) 545-2706, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED2099, LICENSE: HSPC3015, NAME: HOSPICE OF THE VALLEY'S EAST MESA PALLI(031505), LEGALLY: HOSPICE OF THE VALLEY'S EAST MESA PALLIATIVE CARE UNIT, ADDRESS: 6063 EAST ARBOR AVENUE, BLDG C, CITY: MESA, STATE: AZ, ZIP: 85206, PHONE: (480) 654-6737, FAX: (480) 654-6736, CAPACITY: 10, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3066, LICENSE: OTC3905, NAME: REGIONAL CENTER FOR BORDER HEALTH MOBILE CLINIC, LEGALLY: REGIONAL CENTER FOR BORDER HEALTH MOBILE CLINIC, ADDRESS: 1896 EAST BABBIT LANE, CITY: SAN LUIS, STATE: AZ, ZIP: 85349, PHONE: (928) 627-9222, FAX: (928) 627-8773, CAPACITY: 0, COUNTY: YUMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2875, LICENSE: OTC3910, NAME: MBI INDUSTRIAL MEDICINE- EAST (URGENT CARE), LEGALLY: MBI INDUSTRIAL MEDICINE INC-EAST, ADDRESS: 4100 EAST BROADWAY ROAD, CITY: PHOENIX, STATE: AZ, ZIP: 85040, PHONE: (602) 437-0234, FAX: (602) 437-2525, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2876, LICENSE: OTC3912, NAME: MBI INDUSTRIAL MEDICINE-WEST (URGENT CARE), LEGALLY: MBI INDUSTRIAL MEDICINE-WEST, ADDRESS: 3501 WEST OSBORN ROAD, CITY: PHOENIX, STATE: AZ, ZIP: 85019, PHONE: (602) 272-7676, FAX: (602) 272-5638, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3260, LICENSE: OTC3913, NAME: AMERICAN SLEEP DISORDERS FACILITY, LEGALLY: AMERICAN SLEEP DISORDERS FACILITY, ADDRESS: 1110 EAST ROUTE 66, SUITE 202, CITY: FLAGSTAFF, STATE: AZ, ZIP: 86001, PHONE: (928) 214-7400, FAX: (928) 214-7401, CAPACITY: 0, COUNTY: COCONINO TYPE: HOSPITAL, SUBTYPE: CHILDRENS, ID: MED2170, LICENSE: SH3107, NAME: PHOENIX CHILDREN'S HOSPITAL, LEGALLY: PHOENIX CHILDREN'S HOSPITAL, INC., ADDRESS: 1919 EAST THOMAS ROAD, CITY: PHOENIX, STATE: AZ, ZIP: 85016, PHONE: (602) 546-1959, FAX: (602) 546-1965, CAPACITY: 235, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2917, LICENSE: OTC3658, NAME: NEXTCARE URGENT CARE-TATUM, LEGALLY: NEXTCARE URGENT CARE-TATUM, ADDRESS: 20950 NORTH TATUM BOULEVARD, SUITE 190, CITY: PHOENIX, STATE: AZ, ZIP: 85050, PHONE: (480) 776-0021, FAX: (480) 776-0026, CAPACITY: 0, COUNTY: MARICOPA TYPE: FEDERALLY QUALIFIED HEALTH CENTER, SUBTYPE: FEDERALLY QUALIFIED HEALTH CENTER, ID: MED3185, LICENSE: OTC3915, NAME: UNITED COMMUNITY HEALTH CENTER AT PRESIDIO POINTE, LEGALLY: UNITED COMMUNITY HEALTH CENTER AT PRESIDIO POINTE, ADDRESS: 275 WEST CONTINENTAL ROAD, SUITE 141, CITY: GREEN VALLEY, STATE: AZ, ZIP: 85614, PHONE: (520) 625-4401, FAX: (520) 625-8504, CAPACITY: 0, COUNTY: PIMA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: AZ HHA ONLY, ID: MED3211, LICENSE: HHA3953, NAME: SPECTRUM HOME HEALTH CARE, LEGALLY: SPECTRUM HOME HEALTH CARE, ADDRESS: 840 WEST UNIVERSITY AVE, #3, CITY: MESA, STATE: AZ, ZIP: 85201, PHONE: (480) 649-6455, FAX: (480) 452-1811, CAPACITY: 0, COUNTY: MARICOPA TYPE: RURAL HEALTH CLINICS, SUBTYPE: MEDICARE, ID: MED3246, LICENSE: OTC4031, NAME: COMMUNITY HEALTHCARE OF DOUGLAS CLINIC, LEGALLY: COMMUNITY HEALTHCARE OF DOUGLAS CLINIC, ADDRESS: 2174 WEST OAK AVENUE, CITY: DOUGLAS, STATE: AZ, ZIP: 85607, PHONE: (520) 805-5880, FAX: (520) 805-4187, CAPACITY: 0, COUNTY: COCHISE TYPE: FEDERALLY QUALIFIED HEALTH CENTER, SUBTYPE: FEDERALLY QUALIFIED HEALTH CENTER, ID: MED3247, LICENSE: OTC3892, NAME: FLOWING WELLS FAMILY HEALTH CENTER, LEGALLY: MARANA HEALTH CENTER, INC., ADDRESS: 1323 WEST PRINCE ROAD, CITY: TUCSON, STATE: AZ, ZIP: 85705, PHONE: (520) 887-0800, FAX: (520) 887-1393, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3239, LICENSE: OTC3994, NAME: NEXTCARE URGENT CARE-THOMAS, LEGALLY: NEXTCARE URGENT CARE-THOMAS, ADDRESS: 1701 EAST THOMAS ROAD, SUITE A 104, CITY: PHOENIX, STATE: AZ, ZIP: 85050, PHONE: (480) 924-8382, FAX: (480) 924-8399, CAPACITY: 0, COUNTY: MARICOPA TYPE: OUTPATIENT PHYSICAL THERAPY/SPEECH PATHOLOGY SERVICES, SUBTYPE: MEDICARE, ID: MED3261, LICENSE: OTC3954, NAME: SOUTHWEST CENTER FOR COMMUNICATION DISORDERS, LEGALLY: SOUTHWEST CENTER FOR COMMUNICATION DISORDERS, ADDRESS: 802 AINSWORTH DRIVE, SUITE C, CITY: PRESCOTT, STATE: AZ, ZIP: 86301, PHONE: (928) 777-0172, FAX: (928) 777-0174, CAPACITY: 0, COUNTY: YAVAPAI TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3263, LICENSE: OTC3934, NAME: URGENT CARE EXPRESS-MESA, LEGALLY: URGENT CARE EXPRESS-MESA, ADDRESS: 415 NORTH VAL VISTA DRIVE, SUITE 101, CITY: MESA, STATE: AZ, ZIP: 85213, PHONE: (480) 654-5661, FAX: (480) 654-5663, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3262, LICENSE: OTC3933, NAME: SEVILLE FAMILY PHYSICIANS, LEGALLY: SEVILLE FAMILY PHYSICIANS, ADDRESS: 3336 EAST CHANDLER HEIGHTS ROAD, SUITE A-101, CITY: GILBERT, STATE: AZ, ZIP: 85298, PHONE: (480) 512-5900, FAX: (480) 890-2997, CAPACITY: 0, COUNTY: MARICOPA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED3264, LICENSE: OSC4020, NAME: SURGICAL ELITE OF AVONDALE, LLC, LEGALLY: SURGICAL ELITE OF AVONDALE, LLC, ADDRESS: 10815 WEST MCDOWELL ROAD, SUITE101, CITY: AVONDALE, STATE: AZ, ZIP: 85323, PHONE: (602) 432-4661, FAX: (623) 433-0111, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3268, LICENSE: OTC3926, NAME: URGENT CARE +, LEGALLY: URGENT CARE +, ADDRESS: 1002 EAST MC DOWELL ROAD, SUITE 120, CITY: PHOENIX, STATE: AZ, ZIP: 85006, PHONE: (602) 256-2273, FAX: (602) 258-5638, CAPACITY: 0, COUNTY: MARICOPA TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED3270, LICENSE: OTC3944, NAME: RENAL CARE GROUP-SOUTHEAST VALLEY, LEGALLY: RENAL CARE GROUP-SOUTHEAST VALLEY, ADDRESS: 22715 SOUTH ELLSWORTH, BLDG D, CITY: QUEEN CREEK, STATE: AZ, ZIP: 85242, PHONE: (480) 677-2463, FAX: (480) 677-2453, CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED3273, LICENSE: , NAME: SIERRA VISTA REGIONAL HEALTH CENTER REHAB SERVICES, LEGALLY: SIERRA VISTA REGIONAL HEALTH CENTER REHABITATION SERVICES, ADDRESS: 4996 MEDITERRANEAN AVENUE, SUITES B/C, CITY: SIERRA VISTA, STATE: AZ, ZIP: 85635, PHONE: (520) 417-3000, FAX: (520) 417-3297, CAPACITY: 0, COUNTY: COCHISE TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3281, LICENSE: OTC3943, NAME: VALLEY OXIMETRY SLEEP DISORDERS CENTER, LEGALLY: VALLEY OXIMETRY SLEEP DISORDERS CENTER, ADDRESS: 4141 NORTH 32ND STREET, SUITE 104, CITY: PHOENIX, STATE: AZ, ZIP: 85018, PHONE: (602) 667-5951, FAX: (480) 247-5391, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3280, LICENSE: OTC3938, NAME: SCOTTSDALE HEALTHCARE OCCUPATIONAL HEALTH-GATEWAY, LEGALLY: SCOTTSDALE HEALTHCARE OCCUPATIONAL HEALTH-GATEWAY, ADDRESS: 9201 EAST MOUNTAIN VIEW ROAD, SUITE 120, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85258, PHONE: (480) 323-4680, FAX: (480) 323-4688, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: MED3172, LICENSE: HHA3923, NAME: VALLEY HOME CARE, LLC, LEGALLY: VALLEY HOME CARE, LLC, ADDRESS: 8636 NORTH 59TH AVENUE, SUITE A, CITY: GLENDALE, STATE: AZ, ZIP: 85302, PHONE: (623) 842-0900, FAX: (623) 842-0123, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3284, LICENSE: OTC3930, NAME: OPEN MRI OF LAKE HAVASU, LEGALLY: OPEN MRI OF LAKE HAVASU, ADDRESS: 2082 MESQUITE AVENUE, SUITE 114, CITY: LAKE HAVASU CITY, STATE: AZ, ZIP: 86403, PHONE: (928) 505-1511, FAX: (928) 505-1541, CAPACITY: 0, COUNTY: MOHAVE TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3287, LICENSE: OTC4017, NAME: MARIPOSA COMMUNITY HEALTH CENTER AT RIO RICO, LEGALLY: MARIPOSA COMMUNITY HEALTH CENTER AT RIO RICO, ADDRESS: 1103 CIRCULO MERCADO, SUITE E, CITY: RIO RICO, STATE: AZ, ZIP: 85648, PHONE: (520) 281-1550, FAX: (520) 281-1112, CAPACITY: 0, COUNTY: SANTA CRUZ TYPE: MED-OUTPATIENT SURGERY CENTER, SUBTYPE: OUTPATIENT SURGERY CENTER, ID: MED3114, LICENSE: OSC3922, NAME: ARIZONA ADVANCED SURGERY CENTER, LLC, LEGALLY: ARIZONA ADVANCED SURGERY CENTER, ADDRESS: 9819 NORTH 95TH STREET, SUITE 110, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85258, PHONE: (480) 874-2229, FAX: (480) 874-2231, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: MED3297, LICENSE: HHA4059, NAME: HEALTHSOUTH HOME HEALTH OF PHOENIX, LEGALLY: HEALTHSOUTH VALLEY OF THE SUN REHABILITATION HOSPITAL LP, ADDRESS: 13460 NORTH 67TH AVENUE, SUITE 3 & 4, CITY: GLENDALE, STATE: AZ, ZIP: 85304, PHONE: (623) 334-5454, FAX: (623) 334-5485, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3225, LICENSE: OTC4253, NAME: BANNER ARIZONA MEDICAL CLINIC-PEORIA CLINIC, LEGALLY: BANNER ARIZONA MEDICAL CLINIC-PEORIA CLINIC, ADDRESS: 13640 NORTH PLAZA DEL RIO BOULEVARD, CITY: PEORIA, STATE: AZ, ZIP: 85381, PHONE: (623) 876-6915, FAX: (623) 972-9590, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED2874, LICENSE: OTC3935, NAME: MBI OCCUP HEALTH CARE, CASA GRANDE (URGENT CARE), LEGALLY: MBI OCCUPATIONAL HEALTH CARE, CASA GRANDE, ADDRESS: 177 WEST COTTONWOOD LANE, CITY: CASA GRANDE, STATE: AZ, ZIP: 85222, PHONE: (520) 836-3800, FAX: (520) 836-1298, CAPACITY: 0, COUNTY: PINAL TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3224, LICENSE: OTC4251, NAME: BANNER ARIZONA MEDICAL CLINIC- THUNDERBIRD BLDG, LEGALLY: BANNER ARIZONA MEDICAL CLINIC-THUNDERBIRD BUILDING, ADDRESS: 13760 NORTH 93RD AVENUE, SUITE 100, CITY: PEORIA, STATE: AZ, ZIP: 85381, PHONE: (623) 876-6915, FAX: (623) 972-9590, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3223, LICENSE: OTC4255, NAME: BANNER ARIZONA MEDICAL CLINIC-MOHS DERMATOLOGY, LEGALLY: BANNER ARIZONA MEDICAL CLINIC-MOHS DERMATOLOGY, ADDRESS: 14420 WEST MEEKER BOULEVARD, SUITE 104, CITY: SUN CITY WEST, STATE: AZ, ZIP: 85375, PHONE: (623) 876-6815, FAX: (623) 972-9590, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3226, LICENSE: OTC4250, NAME: BANNER ARIZONA MEDICAL CLINIC-SCW PHYSICAL THERAPY, LEGALLY: BANNER ARIZONA MEDICAL CLINIC-SCW PHYSICAL THERAPY, ADDRESS: 14418 WEST MEEKER BOULEVARD, SUITE 103, CITY: SUN CITY WEST, STATE: AZ, ZIP: 85375, PHONE: (623) 876-6815, FAX: (623) 972-9590, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: MED3252, LICENSE: HHA3941, NAME: QUALITY STAFFING SERVICES, LEGALLY: QUALITY STAFFING SERVICES, LLC, ADDRESS: 1500 EAST BETHANY HOME ROAD #140, CITY: PHOENIX, STATE: AZ, ZIP: 85014, PHONE: (602) 266-2203, FAX: (602) 266-2215, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3290, LICENSE: OTC4104, NAME: ARIZONA STATE UNIVERSITY HEALTH CENTER, LEGALLY: ARIZONA STATE UNIVERSITY HEALTH CENTER, ADDRESS: 500 NORTH 3RD STREET, SUITE 155, CITY: PHOENIX, STATE: AZ, ZIP: 85004, PHONE: (602) 496-0721, FAX: (602) 496-0675, CAPACITY: 0, COUNTY: MARICOPA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED3236, LICENSE: OSC3929, NAME: CENTER FOR PAIN MANAGEMENT, LEGALLY: CENTER FOR PAIN MANAGEMENT, ADDRESS: 4745 EAST CAMP LOWELL DRIVE, CITY: TUCSON, STATE: AZ, ZIP: 85712, PHONE: (520) 731-5540, FAX: (520) 731-5541, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3295, LICENSE: OTC4084, NAME: ARCADIA URGENT CARE, LEGALLY: ARCADIA URGENT CARE, ADDRESS: 4730 EAST INDIAN SCHOOL ROAD, SUITE 211, CITY: PHOENIX, STATE: AZ, ZIP: 85018, PHONE: (602) 466-1763, FAX: (602) 466-1767, CAPACITY: 0, COUNTY: MARICOPA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED3218, LICENSE: OSC3940, NAME: CATALINA SURGERY CENTER, L L C, LEGALLY: CATALINA SURGERY CENTER, L L C, ADDRESS: 7508 NORTH LA CHOLLA BOULEVARD, CITY: TUCSON, STATE: AZ, ZIP: 85741, PHONE: (520) 547-7450, FAX: (520) 547-7455, CAPACITY: 0, COUNTY: PIMA TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED3299, LICENSE: OTC4430, NAME: PHOENIX DIALYSIS CENTER, LEGALLY: PHOENIX DIALYSIS CENTER, ADDRESS: 337 EAST CORONADO ROAD, SUITE 101, CITY: PHOENIX, STATE: AZ, ZIP: 85004, PHONE: (615) 341-5894, FAX: (615) 341-5894, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: MED3293, LICENSE: HHA4052, NAME: HEALTHSOUTH HOME HEALTH OF TUCSON, LEGALLY: HEALTHSOUTH REHABILITATION INSTITUTE OF TUCSON, LLC, ADDRESS: 2650 NORTH WYATT DRIVE, CITY: TUCSON, STATE: AZ, ZIP: 85712, PHONE: (520) 320-6578, FAX: (520) 327-4045, CAPACITY: 0, COUNTY: PIMA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: AZ HHA ONLY, ID: MED3302, LICENSE: HHA4118, NAME: THOROUGHCARE HOME HEALTH, LEGALLY: THOROUGHCARE HOME HEALTH, ADDRESS: 6164 SOUTH HIGHWAY 92, CITY: HEREFORD, STATE: AZ, ZIP: 85615, PHONE: (520) 803-1234, FAX: (520) 458-2444, CAPACITY: 0, COUNTY: COCHISE TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3291, LICENSE: OTC3949, NAME: CANYON FAMILY PHYSICIANS-EAST, LEGALLY: CANYON FAMILY PHYSICIANS-EAST, ADDRESS: 3031 EAST UNIVERSITY DRIVE, CITY: MESA, STATE: AZ, ZIP: 85213, PHONE: (480) 507-2199, FAX: (480) 649-3416, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPITAL, SUBTYPE: CRITICAL ACCESS HOSPITALS, ID: MED3242, LICENSE: H0098, NAME: COPPER QUEEN COMMUNITY HOSPITAL, LEGALLY: COPPER QUEEN COMMUNITY HOSPITAL, ADDRESS: 101 COLE AVENUE, CITY: BISBEE, STATE: AZ, ZIP: 85603, PHONE: (520) 432-5383, FAX: (520) 432-1724, CAPACITY: 14, COUNTY: COCHISE TYPE: FEDERALLY QUALIFIED HEALTH CENTER, SUBTYPE: FEDERALLY QUALIFIED HEALTH CENTER, ID: MED3198, LICENSE: OTC3955, NAME: MARANA HEALTH CENTER - OB/GYN - NORTHWEST OFFICE, LEGALLY: MARANA HEALTH CENTER, INC., ADDRESS: 2055 WEST HOSPITAL DRIVE, SUITE 115, CITY: TUCSON, STATE: AZ, ZIP: 85704, PHONE: (520) 797-0011, FAX: (520) 797-7550, CAPACITY: 0, COUNTY: PIMA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED3312, LICENSE: , NAME: UNIVERSITY PHYSICIANS HEALTHCARE CLINICS AT KINO, LEGALLY: UNIVERSITY PHYSICIANS HEALTHCARE HOSPITAL AT KINO, ADDRESS: 2800 EAST AJO WAY SUITES 100,101,102,103,104&105, CITY: TUCSON, STATE: AZ, ZIP: 85713, PHONE: (520) 874-2000, FAX: (520) 874-4042, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3313, LICENSE: OTC3969, NAME: SAN LUIS WALK-IN CLINIC URGENT CARE & FAMILY CENTE, LEGALLY: SAN LUIS WALK-IN CLINIC URGENT CARE & FAMILY CENTER, ADDRESS: 214 WEST MAIN STREET, CITY: SOMERTON, STATE: AZ, ZIP: 85350, PHONE: (928) 627-1120, FAX: (928) 627-8773, CAPACITY: 0, COUNTY: YUMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3314, LICENSE: OTC4030, NAME: ARETE SLEEP-ESTRELLA, LEGALLY: ARETE SLEEP-ESTRELLA, ADDRESS: 9305 WEST THOMAS ROAD, SUITE 465, CITY: GLENDALE, STATE: AZ, ZIP: 85307, PHONE: (480) 282-6567, FAX: (480) 282-6667, CAPACITY: 0, COUNTY: MARICOPA TYPE: FEDERALLY QUALIFIED HEALTH CENTER, SUBTYPE: FEDERALLY QUALIFIED HEALTH CENTER, ID: MED3319, LICENSE: OTC4015, NAME: MOUNTAIN PARK HEALTH CENTER TEMPE, LEGALLY: MOUNTAIN PARK HEALTH CENTER, ADDRESS: 1492 SOUTH MILL AVENUE, SUITE 311, CITY: TEMPE, STATE: AZ, ZIP: 85281, PHONE: (602) 286-6090, FAX: (602) 286-0808, CAPACITY: 0, COUNTY: MARICOPA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED3283, LICENSE: OSC3960, NAME: NORTH VALLEY ENDOSCOPY CENTER, LEGALLY: NORTH VALLEY ENDOSCOPY CENTER, ADDRESS: 15255 N 40TH STREET, BUILDING 8, SUITE 157, CITY: PHOENIX, STATE: AZ, ZIP: 85032, PHONE: (602) 482-1001, FAX: (602) 482-0024, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3320, LICENSE: OTC3965, NAME: VILLA MARIA CARE CENTER-OUTPATIENT THERAPY CENTER, LEGALLY: VILLA MARIA CARE CENTER, ADDRESS: 4310 EAST GRANT ROAD, CITY: TUCSON, STATE: AZ, ZIP: 85712, PHONE: (520) 323-9351, FAX: (520) 323-6857, CAPACITY: 0, COUNTY: PIMA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED3321, LICENSE: , NAME: BANNER THUNDERBIRD WOUND CARE CLINIC, LEGALLY: BANNER THUNDERBIRD WOUND CARE CLINIC, ADDRESS: 5601 WEST EUGIE STREET, SUITE 212, CITY: GLENDALE, STATE: AZ, ZIP: 85304, PHONE: (602) 865-2230, FAX: (602) 865-5668, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3322, LICENSE: OTC4028, NAME: SOUTHWEST PET/CT INSTITUTE-YUMA, LEGALLY: SOUTHWEST PET/CT INSTITUTE, ADDRESS: 1951 WEST 25TH STREET, SUITE G, CITY: YUMA, STATE: AZ, ZIP: 85364, PHONE: (928) 314-4800, FAX: (928) 314-4833, CAPACITY: 0, COUNTY: YUMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3323, LICENSE: OTC3982, NAME: SUN VALLEY WEIGHT MANAGEMENT CLINIC, LEGALLY: SUN VALLEY WEIGHT MANAGEMENT CLINIC, ADDRESS: 604 WEST WARNER ROAD, SUITE C-2, CITY: CHANDLER, STATE: AZ, ZIP: 85225, PHONE: (480) 855-0425, FAX: (480) 855-0564, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3325, LICENSE: OTC4063, NAME: HANDMAKER JEWISH SERVICES FOR THE AGING, LEGALLY: HANDMAKER JEWISH SERVICES FOR THE AGING, ADDRESS: 2221 NORTH ROSEMONT BOULEVARD, CITY: TUCSON, STATE: AZ, ZIP: 85712, PHONE: (520) 881-2323, FAX: (520) 322-3620, CAPACITY: 0, COUNTY: PIMA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: AZ HHA ONLY, ID: MED3326, LICENSE: HHA4134, NAME: ALTRUISTIX NURSING SERVICES, INC, LEGALLY: ALTRUISTIX NURSING SERVICES, INC, ADDRESS: 2410 WEST RUTHRAUFF SUITE 110 -I, CITY: TUCSON, STATE: AZ, ZIP: 85705, PHONE: (520) 797-2574, FAX: (520) 888-3023, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3329, LICENSE: OTC4050, NAME: URGENT CARE ASSOCIATES, LEGALLY: URGENT CARE ASSOCIATES, ADDRESS: 1622 NORTH SWAN ROAD, CITY: TUCSON, STATE: AZ, ZIP: 85712, PHONE: (520) 795-8888, FAX: (520) 795-8892, CAPACITY: 0, COUNTY: PIMA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: MED3337, LICENSE: HHA4034, NAME: INTEGRITY HOME HEALTH CARE SERVICES, LLC, LEGALLY: INTEGRITY HOME HEALTH CARE SERVICES, LLC, ADDRESS: 2432 WEST PEORIA AVENUE, SUITE 1243, CITY: PHOENIX, STATE: AZ, ZIP: 85029, PHONE: (602) 997-4932, FAX: (602) 997-4934, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPITAL, SUBTYPE: SHORT TERM, ID: MED0262, LICENSE: H0097, NAME: YUMA REGIONAL MEDICAL CENTER, LEGALLY: YUMA REGIONAL MEDICAL CENTER, ADDRESS: 2400 SOUTH AVENUE A, CITY: YUMA, STATE: AZ, ZIP: 85364, PHONE: (928) 336-7275, FAX: (928) 336-7337, CAPACITY: 333, COUNTY: YUMA TYPE: MED-OUTPATIENT SURGERY CENTER, SUBTYPE: OUTPATIENT SURGERY CENTER, ID: MED3341, LICENSE: OSC4075, NAME: PARADISE VALLEY OUTPATIENT SURGERY CENTER, LEGALLY: PARADISE VALLEY OUTPATIENT SURGERY CENTER, ADDRESS: 5410 NORTH SCOTTSDALE ROAD SUITE A-510, CITY: PARADISE VALLEY, STATE: AZ, ZIP: 85253, PHONE: (480) 423-1973, FAX: (480) 423-1977, CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED3345, LICENSE: , NAME: VERDE VALLEY AMBULATORY SURGERY CENTER, LEGALLY: VERDE VALLEY AMBULATORY SURGERY CENTER, ADDRESS: 300 WEST HIGHWAY 89A, CITY: COTTONWOOD, STATE: AZ, ZIP: 86326, PHONE: (928) 639-5200, FAX: (928) 639-6070, CAPACITY: 0, COUNTY: YAVAPAI TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3346, LICENSE: OTC4032, NAME: BOSTON MEDICAL GROUP-ARIZONA, LEGALLY: BOSTON MEDICAL GROUP-ARIZONA, ADDRESS: 3877 NORTH 7TH STREET, SUITE 230, CITY: PHOENIX, STATE: AZ, ZIP: 85014, PHONE: (407) 834-6611, FAX: (407) 834-2502, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3348, LICENSE: OTC3977, NAME: PASSPORT HEALTH-SCOTTSDALE, LEGALLY: PASSPORT HEALTH-SCOTTSDALE, ADDRESS: 8585 EAST HARTFORD DRIVE, SUITE 105, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85255, PHONE: (480) 345-6800, FAX: (480) 345-6805, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3349, LICENSE: OTC4127, NAME: PARADISE VALLEY PAIN MANAGEMENT, LEGALLY: PARADISE VALLEY PAIN MANAGEMENT, ADDRESS: 5410 NORTH SCOTTSDALE ROAD, SUITE B-100, CITY: PARADISE VALLEY, STATE: AZ, ZIP: 85253, PHONE: (602) 262-8903, FAX: (602) 262-8890, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3269, LICENSE: OTC3975, NAME: CORNERSTONE PEDIATRIC URGENT CARE, LEGALLY: CORNERSTONE PEDIATRIC URGENT CARE, LLC, ADDRESS: 1430 NORTH COOPER ROAD, SUITE 101, CITY: GILBERT, STATE: AZ, ZIP: 85233, PHONE: (480) 633-1111, FAX: (480) 633-6611, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPITAL, SUBTYPE: REHABILITATION, ID: MED3289, LICENSE: SH3974, NAME: MOUNTAIN VALLEY REGIONAL REHABILITATION HOSPITAL, LEGALLY: MOUNTAIN VALLEY REGIONAL REHABILITATION HOSPITAL, ADDRESS: 3700 NORTH WINDSONG DRIVE, CITY: PRESCOTT VALLEY, STATE: AZ, ZIP: 86314, PHONE: (928) 759-8800, FAX: (928) 759-8806, CAPACITY: 40, COUNTY: YAVAPAI TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED3156, LICENSE: NONE, NAME: ADVANCED PLASTIC SURGERY CENTER, LEGALLY: ADVANCED PLASTIC SURGERY CENTER, ADDRESS: 1615 PETROGLYPH POINTE DRIVE, CITY: PRESCOTT, STATE: AZ, ZIP: 86301, PHONE: (928) 777-0200, FAX: (928) 443-1117, CAPACITY: 0, COUNTY: YAVAPAI TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3300, LICENSE: OTC4009, NAME: CHRIS RIDGE PREMIER OUTPATIENT TREATMENT CENTER, LEGALLY: CHRIS RIDGE PREMIER OUTPATIENT TREATMENT CENTER, ADDRESS: 6246 NORTH 19TH AVENUE, CITY: PHOENIX, STATE: AZ, ZIP: 85015, PHONE: (602) 433-6482, FAX: (602) 433-6457, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3355, LICENSE: OTC4091, NAME: SOUTHWEST PET/CT INSTITUTE, LEGALLY: SOUTHWEST PET/CT INSTITUTE, ADDRESS: 3503 NORTH CAMPBELL AVENUE, SUITE 155, CITY: TUCSON, STATE: AZ, ZIP: 85719, PHONE: (520) 321-4057, FAX: (520) 321-4061, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3356, LICENSE: OTC4073, NAME: CARONDELET ST JOSEPH'S SLEEP DISORDERS LAB, LEGALLY: CARONDELET ST. JOSEPH'S SLEEP DISORDERS LAB, ADDRESS: 6296 EAST GRANT ROAD, CITY: TUCSON, STATE: AZ, ZIP: 85712, PHONE: (520) 886-6347, FAX: (520) 546-0560, CAPACITY: 0, COUNTY: PIMA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED3359, LICENSE: OSC4024, NAME: AESTHETIC SURGERY AT HACIENDA DEL SOL, L L C, LEGALLY: AESTHETIC SURGERY AT HACIENDA DEL SOL, LLC, ADDRESS: 2490 EAST RIVER ROAD, CITY: TUCSON, STATE: AZ, ZIP: 85718, PHONE: (520) 751-1225, FAX: (520) 751-2008, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3357, LICENSE: OTC4092, NAME: MARICOPA URGENT CARE, LEGALLY: MARICOPA URGENT CARE, ADDRESS: 21300 NORTH JOHN WAYNE PARKWAY, SUITE 112, CITY: MARICOPA, STATE: AZ, ZIP: 85239, PHONE: (520) 381-3811, FAX: (520) 381-3816, CAPACITY: 0, COUNTY: PINAL TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED3296, LICENSE: , NAME: UNIVERSITY MEDICAL CENTER AT GREEN VALLEY, LEGALLY: UNIVERSITY MEDICAL CENTER AT GREEN VALLEY, ADDRESS: 1141 SOUTH LA CANADA DRIVE, CITY: GREEN VALLEY, STATE: AZ, ZIP: 85614, PHONE: (520) 694-3030, FAX: (520) 694-3055, CAPACITY: 0, COUNTY: PIMA TYPE: HOSPITAL, SUBTYPE: SHORT TERM, ID: MED2787, LICENSE: SH3571, NAME: ARIZONA ORTHOPEDIC SURGICAL HOSPITAL, LEGALLY: ARIZONA ORTHOPEDIC SURGICAL HOSPITAL, ADDRESS: 2905 WEST WARNER ROAD, CITY: CHANDLER, STATE: AZ, ZIP: 85225, PHONE: (480) 603-9000, FAX: (480) 603-9107, CAPACITY: 24, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3303, LICENSE: OTC4256, NAME: BANNER ARIZONA MEDICAL CLINIC-PEORIA PHYSL THRPY, LEGALLY: BANNER ARIZONA MEDICAL CLINIC-PEORIA PHYSICAL THERAPY, ADDRESS: 13760 NORTH 93RD AVENUE, SUITE 107, CITY: PEORIA, STATE: AZ, ZIP: 85381, PHONE: (623) 876-6815, FAX: (623) 972-9590, CAPACITY: 0, COUNTY: MARICOPA TYPE: FEDERALLY QUALIFIED HEALTH CENTER, SUBTYPE: FEDERALLY QUALIFIED HEALTH CENTER, ID: MED3363, LICENSE: OTC4021, NAME: RITA RANCH HEALTH CENTER, LEGALLY: MARANA HEALTH CENTER, INC., ADDRESS: 8045 SOUTH RITA ROAD, CITY: TUCSON, STATE: AZ, ZIP: 85747, PHONE: (520) 682-4560, FAX: (520) 682-4570, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3364, LICENSE: OTC4022, NAME: NORTH TEMPE HEALTH CENTER, LEGALLY: NORTH TEMPE HEALTH CENTER, ADDRESS: 1555 NORTH BRIDALWREATH STREET, CITY: TEMPE, STATE: AZ, ZIP: 85281, PHONE: (480) 858-6527, FAX: (602) 496-0921, CAPACITY: 0, COUNTY: MARICOPA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED3366, LICENSE: OSC4036, NAME: ORTHOPEDIC SURGERY CENTER OF ARIZONA, THE, LEGALLY: ORTHOPEDIC SURGERY CENTER OF ARIZONA, THE, ADDRESS: 2262 EAST ROSE GARDEN LANE, CITY: PHOENIX, STATE: AZ, ZIP: 85024, PHONE: (602) 424-4408, FAX: (602) 424-4409, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPITAL, SUBTYPE: CRITICAL ACCESS HOSPITALS, ID: MED3310, LICENSE: H0090, NAME: CARONDELET HOLY CROSS HOSPITAL, LEGALLY: CARONDELET HOLY CROSS HOSPITAL, ADDRESS: 1171 WEST TARGET RANGE ROAD, CITY: NOGALES, STATE: AZ, ZIP: 85621, PHONE: (520) 285-3000, FAX: (520) 285-8015, CAPACITY: 25, COUNTY: SANTA CRUZ TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3367, LICENSE: OTC3989, NAME: EAST VALLEY URGENT CARE-HIGLEY, LEGALLY: EAST VALLEY URGENT CARE-HIGLEY, ADDRESS: 1355 SOUTH HIGLEY ROAD, SUITE 104, CITY: HIGLEY, STATE: AZ, ZIP: 85236, PHONE: (420) 471-6404, FAX: (480) 219-4915, CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED3131, LICENSE: , NAME: PEDIATRIC AMBULATORY CARE CLINIC, LEGALLY: PEDIATRIC AMBULATORY CARE CLINIC, ADDRESS: 222 WEST THOMAS ROAD SUITE 200, CITY: PHOENIX, STATE: AZ, ZIP: 85013, PHONE: (602) 406-3520, FAX: (602) 406-6162, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3304, LICENSE: OTC3993, NAME: MAYO CLINIC SPECIALTY BUILDING, LEGALLY: MAYO CLINIC SPECIALTY BUILDING, ADDRESS: 5779 EAST MAYO BOULEVARD, CITY: PHOENIX, STATE: AZ, ZIP: 85054, PHONE: (480) 342-2000, FAX: (480) 342-2525, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3368, LICENSE: OTC4062, NAME: NORTH WEST IMAGING AT CONTINETAL RESERVE, LEGALLY: NORTHWEST MEDICAL CENTER CT/MRI AT MARANA, ADDRESS: 8333 NORTH SILVERBELL ROAD, SUITE #121, CITY: TUCSON, STATE: AZ, ZIP: 85743, PHONE: (520) 209-7790, FAX: (520) 300-0409, CAPACITY: 0, COUNTY: PIMA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED3369, LICENSE: , NAME: CHW URGENT CARE-QUEEN CREEK, LEGALLY: CHW URGENT CARE-QUEEN CREEK, ADDRESS: 7205 SOUTH POWER ROAD, SUITE 101, CITY: QUEEN CREEK, STATE: AZ, ZIP: 85242, PHONE: (480) 123-4567, FAX: (480) 728-9600, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: MED3370, LICENSE: HHA4068, NAME: ALARYS HOME HEALTH, INC, LEGALLY: ALARYS HOME HEALTH, INC, ADDRESS: 4250 NORTH DRINKWATER BLVD SUITE 165, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85251, PHONE: (480) 444-7800, FAX: (480) 444-7799, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3275, LICENSE: OTC3990, NAME: SOUTHWEST URGENT CARE, LEGALLY: SOUTHWEST URGENT CARE, ADDRESS: 535 EAST MC KELLIPS ROAD, #101, CITY: MESA, STATE: AZ, ZIP: 85203, PHONE: (480) 844-7400, FAX: (602) 443-6751, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3339, LICENSE: OTC3992, NAME: BANNER ALZHEIMER'S INSTITUTE, LEGALLY: BANNER ALZHEIMER'S INSTITUTE, ADDRESS: 901 EAST WILLETTA STREET, 3RD FLOOR, CITY: PHOENIX, STATE: AZ, ZIP: 85006, PHONE: (602) 239-6901, FAX: (602) 239-6253, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED3374, LICENSE: HSPC4126, NAME: SACRED HEART HOSPICE LLC, LEGALLY: SACRED HEART HOSPICE LLC, ADDRESS: 15255 NORTH 40TH STREET, SUITE 125, CITY: PHOENIX, STATE: AZ, ZIP: 85032, PHONE: (602) 476-2047, FAX: (602) 253-0535, CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED3375, LICENSE: , NAME: WESTERN ARIZONA REGIONAL MEDICAL CENTER A S C, LEGALLY: WESTERN ARIZONA REGIONAL MEDICAL CENTER AMBULATORY SURGERY CENTER, ADDRESS: 1225 EAST HANCOCK ROAD, SUITE F/100, CITY: BULLHEAD CITY, STATE: AZ, ZIP: 86429, PHONE: (928) 763-9555, FAX: (928) 763-6169, CAPACITY: 0, COUNTY: MOHAVE TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3331, LICENSE: OTC4086, NAME: MINUTECLINIC - #17 (STORE CLINIC), LEGALLY: MINUTECLINIC - #17, ADDRESS: 18591 NORTH 59TH AVENUE, CITY: GLENDALE, STATE: AZ, ZIP: 85308, PHONE: (612) 659-7111, FAX: (612) 225-1592, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3332, LICENSE: OTC4072, NAME: MINUTECLINIC - #187 (STORE CLINIC), LEGALLY: MINUTECLINIC - #187, ADDRESS: 765 SOUTH LINDSAY ROAD, CITY: GILBERT, STATE: AZ, ZIP: 85296, PHONE: (480) 635-0113, FAX: , CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3333, LICENSE: OTC4065, NAME: MINUTECLINIC - #4795 (STORE CLINIC), LEGALLY: MINUTECLINIC - #4795, ADDRESS: 6015 EAST BROWN ROAD, CITY: MESA, STATE: AZ, ZIP: 85205, PHONE: (612) 659-7111, FAX: (612) 225-1592, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3334, LICENSE: OTC4184, NAME: MINUTECLINIC - #3749 (STORE CLINIC), LEGALLY: MINUTECLINIC - #3749, ADDRESS: 2840 NORTH DYSART ROAD, CITY: GOODYEAR, STATE: AZ, ZIP: 85338, PHONE: (623) 536-5309, FAX: (612) 659-7101, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3335, LICENSE: OTC4168, NAME: MINUTECLINIC - #7852 (STORE CLINIC), LEGALLY: MINUTECLINIC - #7852, ADDRESS: 28138 NORTH TATUM BOULEVARD, CITY: CAVE CREEK, STATE: AZ, ZIP: 85331, PHONE: (612) 659-7111, FAX: (612) 225-1592, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3377, LICENSE: OTC4129, NAME: ALLIANCE URGENT CARE-TOLLESON, LEGALLY: ALLIANCE URGENT CARE-TOLLESON, ADDRESS: 9897 WEST MCDOWELL ROAD, SUITE 100, CITY: TOLLESON, STATE: AZ, ZIP: 85353, PHONE: (623) 474-2300, FAX: (623) 474-2306, CAPACITY: 0, COUNTY: APACHE TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3376, LICENSE: OTC4248, NAME: ALLIANCE URGENT CARE-PEORIA, LEGALLY: ALLIANCE URGENT CARE-PEORIA, ADDRESS: 8422 WEST THUNDERBIRD ROAD, SUITE 103, CITY: PEORIA, STATE: AZ, ZIP: 85381, PHONE: (623) 334-2818, FAX: (623) 334-2814, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3317, LICENSE: OTC4005, NAME: AMERICAN MEDICAL DIAGNOSTICS-MESA, LEGALLY: AMERICAN MEDICAL DIAGNOSTICS-MESA, ADDRESS: 1450 SOUTH DOBSON ROAD, SUITE A-305, CITY: MESA, STATE: AZ, ZIP: 85202, PHONE: (602) 424-4450, FAX: (602) 424-4451, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3318, LICENSE: OTC4006, NAME: AMERICAN MEDICAL DIAGNOSTICS-PHOENIX, LEGALLY: AMERICAN MEDICAL DIAGNOSTICS-PHOENIX, ADDRESS: 6036 NORTH 19TH AVENUE, SUITE 405, CITY: PHOENIX, STATE: AZ, ZIP: 85015, PHONE: (602) 424-4450, FAX: (602) 424-4451, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: MED3379, LICENSE: HHA4058, NAME: MERIDIAN HEALTH CARE PROVIDERS, INC, LEGALLY: MERIDIAN HEALTH CARE PROVIDERS, INC, ADDRESS: 575 WEST CHANDLER BOULEVARD, SUITE 129, CITY: CHANDLER, STATE: AZ, ZIP: 85225, PHONE: (480) 857-0037, FAX: (480) 857-1098, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3365, LICENSE: OTC4010, NAME: ARIZONA RADIOLOGY-HIGHLAND, LEGALLY: ARIZONA RADIOLOGY-HIGHLAND, ADDRESS: 2222 EAST HIGHLAND, SUITE 120, CITY: PHOENIX, STATE: AZ, ZIP: 85016, PHONE: (602) 977-1177, FAX: (602) 977-2410, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPITAL, SUBTYPE: SHORT TERM, ID: MED0235, LICENSE: H0107, NAME: SCOTTSDALE HEALTHCARE-OSBORN MEDICAL CENTER, LEGALLY: SCOTTSDALE HEALTHCARE HSOPITALS, ADDRESS: 7400 EAST OSBORN ROAD, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85251, PHONE: (480) 882-4000, FAX: (480) 882-4989, CAPACITY: 337, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3338, LICENSE: OTC4012, NAME: NOW CARE URGENT CARE, LEGALLY: NOW CARE URGENT CARE, ADDRESS: 8631 WEST UNION HILLS AVENUE, SUITE 206, CITY: PEORIA, STATE: AZ, ZIP: 85382, PHONE: (623) 875-7900, FAX: (623) 875-7919, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3389, LICENSE: OTC4254, NAME: BANNER AZ MEDICAL CLINIC-PLAZA BLDG (URGENT CARE), LEGALLY: BANNER ARIZONA MEDICAL CLINIC-PLAZA BUILDING, ADDRESS: 9165 WEST THUNDERBIRD ROAD, CITY: PEORIA, STATE: AZ, ZIP: 85381, PHONE: (623) 876-3800, FAX: (623) 972-9590, CAPACITY: 0, COUNTY: MARICOPA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED3350, LICENSE: OSC4023, NAME: TRI-CITY SURGERY CENTER, LEGALLY: TRI-CITY SURGERY CENTER, ADDRESS: 5430 DISTINCTION WAY, CITY: PRESCOTT, STATE: AZ, ZIP: 86301, PHONE: (928) 445-1919, FAX: (928) 445-5672, CAPACITY: 0, COUNTY: YAVAPAI TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED3386, LICENSE: OSC4105, NAME: PINNACLE SURGERY CENTER OF PEORIA, LLC, LEGALLY: PINNACLE SURGERY CENTER OF PEORIA, LLC, ADDRESS: 6790 WEST THUNDERBIRD ROAD, CITY: PEORIA, STATE: AZ, ZIP: 85381, PHONE: (623) 979-1717, FAX: (623) 979-1707, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPITAL, SUBTYPE: SHORT TERM, ID: MED2863, LICENSE: H3577, NAME: UNIVERSITY PHYSICIANS HEALTHCARE HOSPITAL AT KINO, LEGALLY: UNIVERSITY PHYSICIANS HEALTHCARE HOSPITAL AT KINO CAMPUS, ADDRESS: 2800 EAST AJO WAY, CITY: TUCSON, STATE: AZ, ZIP: 85713, PHONE: (520) 294-4471, FAX: (520) 741-4042, CAPACITY: 197, COUNTY: PIMA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED3394, LICENSE: , NAME: CAMP VERDE HEALTH CENTER, LEGALLY: CAMP VERDE HEALTH CENTER, ADDRESS: 460 FINNIE FLATS, CITY: CAMP VERDE, STATE: AZ, ZIP: 86322, PHONE: (928) 567-5257, FAX: (928) 567-0080, CAPACITY: 0, COUNTY: YAVAPAI TYPE: HOSPITAL, SUBTYPE: PSYCHIATRIC, ID: MED3301, LICENSE: SH4018, NAME: AURORA BEHAVIORAL HEALTH SYSTEM, LEGALLY: AURORA BEHAVIORAL HEALTH SYSTEM, ADDRESS: 6015 WEST PEORIA AVENUE, CITY: GLENDALE, STATE: AZ, ZIP: 85302, PHONE: (623) 344-4400, FAX: (623) 776-0343, CAPACITY: 90, COUNTY: MARICOPA TYPE: HOSPITAL, SUBTYPE: SHORT TERM, ID: MED1864, LICENSE: SH3773, NAME: SURGICAL SPECIALTY HOSPITAL OF ARIZONA, LEGALLY: SURGICAL SPECIALTY HOSPITAL OF ARIZONA, LLC, ADDRESS: 6501 NORTH 19TH AVENUE, CITY: PHOENIX, STATE: AZ, ZIP: 85015, PHONE: (602) 795-6020, FAX: (602) 795-6022, CAPACITY: 33, COUNTY: MARICOPA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED3396, LICENSE: OSC4093, NAME: CENTRAL ARIZONA ENDOSCOPY, LEGALLY: CENTRAL ARIZONA ENDOSCOPY, LLC, ADDRESS: 2158 NORTH GILBERT ROAD, BLDG 1, SUITE 103, CITY: MESA, STATE: AZ, ZIP: 85203, PHONE: (480) 751-3002, FAX: (480) 751-3003, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPITAL, SUBTYPE: CRITICAL ACCESS HOSPITALS, ID: MED0193, LICENSE: H2530, NAME: WHITE MOUNTAIN REGIONAL MEDICAL CENTER, LEGALLY: WHITE MOUNTAIN REGIONAL MEDICAL CENTER, ADDRESS: 118 SOUTH MOUNTAIN AVE, CITY: SPRINGERVILLE, STATE: AZ, ZIP: 85938, PHONE: (928) 333-4368, FAX: (928) 333-4369, CAPACITY: 20, COUNTY: APACHE TYPE: OUTPATIENT PHYSICAL THERAPY/SPEECH PATHOLOGY SERVICES, SUBTYPE: MEDICARE, ID: MED3392, LICENSE: OTC4100, NAME: INNOVATIVE SENIOR CARE AT FREEDOM INN AT VENTANA C, LEGALLY: INNOVATIVE SENIOR CARE AT FREEDOM INN AT VENTANA CANYON, ADDRESS: 5660 NORTH KOLB ROAD, CITY: TUCSON, STATE: AZ, ZIP: 85750, PHONE: (520) 577-6940, FAX: (520) 615-1844, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3390, LICENSE: OTC4182, NAME: SILVER CREEK OPEN MRI, LEGALLY: SILVER CREEK OPEN MRI, ADDRESS: 1245 B EAST HANCOCK ROAD, CITY: BULLHEAD CITY, STATE: AZ, ZIP: 86442, PHONE: (928) 763-2585, FAX: (928) 763-2735, CAPACITY: 0, COUNTY: MOHAVE TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED3399, LICENSE: OTC4396, NAME: ESTRELLA DIALYSIS CENTER, LEGALLY: ESTRELLA DIALYSIS CENTER, ADDRESS: 8410 WEST THOMAS ROAD, BLDG 1, SUITE 100, CITY: PHOENIX, STATE: AZ, ZIP: 85037, PHONE: (623) 247-0808, FAX: (623) 247-9757, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3401, LICENSE: OTC4082, NAME: OASIS REHAB CENTERS-D, LEGALLY: OASIS REHAB CENTERS-D, ADDRESS: 1016 NORTH 32ND STREET, BLDG D, CITY: PHOENIX, STATE: AZ, ZIP: 85008, PHONE: (602) 914-1332, FAX: (602) 914-3312, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPITAL, SUBTYPE: SHORT TERM, ID: MED3378, LICENSE: H3964, NAME: YAVAPAI REGIONAL MEDICAL CENTER-EAST, LEGALLY: YAVAPAI REGIONAL MEDICAL CENTER-EAST, ADDRESS: 7700 EAST FLORENTINE ROAD, CITY: PRESCOTT VALLEY, STATE: AZ, ZIP: 86314, PHONE: (928) 442-8165, FAX: (928) 442-8161, CAPACITY: 50, COUNTY: YAVAPAI TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3404, LICENSE: OTC4085, NAME: GOOD NIGHT PEDIATRICS-EAST VALLEY (URGENT CARE), LEGALLY: GOOD NIGHT PEDIATRICS-EAST VALLEY, ADDRESS: 1452 NORTH HIGLEY ROAD, BUILDING #2, CITY: GILBERT, STATE: AZ, ZIP: 85234, PHONE: (480) 813-9600, FAX: (480) 813-9601, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3403, LICENSE: OTC4090, NAME: PAIN SOLUTIONS CENTER, LEGALLY: PAIN SOLUTIONS CENTER, ADDRESS: 9460 WEST PEORIA AVENUE, SUITE C, CITY: PEORIA, STATE: AZ, ZIP: 85345, PHONE: (623) 486-1510, FAX: (623) 486-1529, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: MED3409, LICENSE: HHA4061, NAME: LEGACY HOME HEALTHCARE, LLC, LEGALLY: LEGACY HOME HEALTHCARE LLC, ADDRESS: 3636 CROSSINGS DRIVE, SUITE C, CITY: PRESCOTT, STATE: AZ, ZIP: 86305, PHONE: (928) 443-9331, FAX: (928) 443-9332, CAPACITY: 0, COUNTY: YAVAPAI TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED3412, LICENSE: , NAME: TUCSON MEDICAL OUTPATIENT PROCEDURE CENTER, LEGALLY: TUCSON MEDICAL OUTPATIENT PROCEDURE CENTER, ADDRESS: 1400 NORTH WILMOT ROAD, CITY: TUCSON, STATE: AZ, ZIP: 85712, PHONE: (520) 324-5090, FAX: (520) 324-2443, CAPACITY: 0, COUNTY: PIMA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED3414, LICENSE: , NAME: TUCSON MEDICAL CENTER SLEEP DIAGNOSTIC LABORATORY, LEGALLY: TUCSON MEDICAL CENTER SLEEP DIAGNOSTIC LABORATORY SERVICES, ADDRESS: 2100 NORTH ROSEMONT, SUITE 110, CITY: TUCSON, STATE: AZ, ZIP: 85712, PHONE: (520) 324-3318, FAX: (520) 324-2443, CAPACITY: 0, COUNTY: PIMA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED3415, LICENSE: , NAME: TUCSON MEDICAL CENTER PRE-ADMISSION TESTING SVCS, LEGALLY: TUCSON MEDICAL CENTER PRE-ADMISSION TESTING SVCS, ADDRESS: 5335 EAST ERICKSON, CITY: TUCSON, STATE: AZ, ZIP: 85712, PHONE: (520) 324-1446, FAX: (520) 324-2443, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3417, LICENSE: OTC4069, NAME: HEALING TOUCH URGENT CARE, LEGALLY: HEALING TOUCH URGENT CARE, ADDRESS: 2919 SOUTH ELLSWORTH ROAD, SUITE 124, CITY: MESA, STATE: AZ, ZIP: 85212, PHONE: (480) 361-9311, FAX: (480) 361-2525, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED3400, LICENSE: HSPC4038, NAME: HEARTS FOR HOSPICE - AZ, LEGALLY: HEARTS FOR HOSPICE, LLC, ADDRESS: 5225 NORTH CENTRAL, SUITE 100, CITY: PHOENIX, STATE: AZ, ZIP: 85012, PHONE: (602) 265-3333, FAX: (602) 264-2868, CAPACITY: 0, COUNTY: MARICOPA TYPE: COMPREHENSIVE OUTPATIENT REHABILITATION FACILITIES, SUBTYPE: MEDICARE, ID: MED3418, LICENSE: OTC4169, NAME: REHAB ARIZONA NEURO REHABILITATION, LEGALLY: REHAB ARIZONA NEURO REHABILITATION, ADDRESS: 2919 SOUTH ELLSWORTH ROAD, SUITE 111, CITY: MESA, STATE: AZ, ZIP: 85212, PHONE: (480) 358-6767, FAX: (480) 358-6885, CAPACITY: 0, COUNTY: MARICOPA TYPE: FEDERALLY QUALIFIED HEALTH CENTER, SUBTYPE: FEDERALLY QUALIFIED HEALTH CENTER, ID: MED3419, LICENSE: OTC4103, NAME: CLINICA DEL ALMA, LEGALLY: MARANA HEALTH CENTER, INC., ADDRESS: 3690 SOUTH PARK AVENUE, SUITE 805, CITY: TUCSON, STATE: AZ, ZIP: 85713, PHONE: (520) 616-6760, FAX: (520) 682-4560, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3420, LICENSE: OTC4226, NAME: CARONDELET MEDICAL MALL AT RITA RANCH, LEGALLY: CARONDELET MEDICAL MALL AT RITA RANCH, ADDRESS: 8290 SOUTH HOUGHTON ROAD, CITY: TUCSON, STATE: AZ, ZIP: 85747, PHONE: (520) 873-6528, FAX: (520) 873-3731, CAPACITY: 0, COUNTY: PIMA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED3422, LICENSE: , NAME: SIERRA VISTA REGIONAL HEALTH CENTER / MRI, LEGALLY: SIERRA VISTA REGIONAL HEALTH CENTER / MRI, ADDRESS: 302 EL CAMINO REAL, CITY: SIERRA VISTA, STATE: AZ, ZIP: 85635, PHONE: (520) 417-3106, FAX: (520) 417-3108, CAPACITY: 0, COUNTY: COCHISE TYPE: HOSPITAL, SUBTYPE: SHORT TERM, ID: MED0230, LICENSE: H0167, NAME: JOHN C LINCOLN DEER VALLEY HOSPITAL, LEGALLY: JOHN C LINCOLN DEER VALLEY HOSPITAL, ADDRESS: 19829 NORTH 27TH AVENUE, CITY: PHOENIX, STATE: AZ, ZIP: 85027, PHONE: (623) 879-5574, FAX: (623) 879-5400, CAPACITY: 174, COUNTY: MARICOPA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: MED3424, LICENSE: HHA4238, NAME: INNOVATIVE SENIOR CARE HOME HEALTH, LEGALLY: INNOVATIVE SENIOR CARE HOME HEALTH, ADDRESS: 7500 NORTH CALLE SIN ENVIDIA, CITY: TUCSON, STATE: AZ, ZIP: 85718, PHONE: (520) 219-1649, FAX: (520) 219-2390, CAPACITY: 0, COUNTY: PIMA TYPE: RURAL HEALTH CLINICS, SUBTYPE: MEDICARE, ID: MED3425, LICENSE: , NAME: BOUSE MEDICAL CLINIC, LEGALLY: BOUSE MEDICAL CLINIC, ADDRESS: 44031 EAST PLUMOSA ROAD, CITY: BOUSE, STATE: AZ, ZIP: 85325, PHONE: (928) 851-2177, FAX: (928) 851-1825, CAPACITY: 0, COUNTY: LA PAZ TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: AZ HHA ONLY, ID: MED3428, LICENSE: HHA4345, NAME: PHOENIX HOME HEALTH-TUCSON, LEGALLY: PHOENIX HOME HEALTH-TUCSON, ADDRESS: 622 NORTH COUNTRY CLUB, SUITE D, CITY: TUCSON, STATE: AZ, ZIP: 85716, PHONE: (602) 789-8282, FAX: (602) 789-1989, CAPACITY: 0, COUNTY: PIMA TYPE: FEDERALLY QUALIFIED HEALTH CENTER, SUBTYPE: FEDERALLY QUALIFIED HEALTH CENTER, ID: MED3429, LICENSE: OTC4146, NAME: WESLEY COMMUNITY CENTERS CENTRO DE SALUD, LEGALLY: WESLEY COMMUNITY CENTERS CENTRO DE SALUD, ADDRESS: 1300 SOUTH 10TH STREET, BLDG 1, CITY: PHOENIX, STATE: AZ, ZIP: 85034, PHONE: (602) 252-5609, FAX: (602) 252-5768, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPITAL, SUBTYPE: SHORT TERM, ID: MED0261, LICENSE: H0115, NAME: YAVAPAI REGIONAL MEDICAL CENTER, LEGALLY: YAVAPAI REGIONAL MEDICAL CENTER, ADDRESS: 1003 WILLOW CREEK ROAD, CITY: PRESCOTT, STATE: AZ, ZIP: 86301, PHONE: (928) 445-2700, FAX: (928) 771-5509, CAPACITY: 136, COUNTY: YAVAPAI TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3430, LICENSE: OTC4145, NAME: OPTIMUM MOBILE IMAGING, LEGALLY: OPTIMUM MOBILE IMAGING, ADDRESS: 5020 SOUTH ASH AVENUE, SUITE 101, CITY: TEMPE, STATE: AZ, ZIP: 85282, PHONE: (480) 755-3555, FAX: (480) 755-1333, CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-OUTPATIENT SURGERY CENTER, SUBTYPE: OUTPATIENT SURGERY CENTER, ID: MED3431, LICENSE: OSC4141, NAME: RAAD TAKI MD, LEGALLY: RAAD TAKI MD, ADDRESS: 4580 EAST CAMP LOWELL DRIVE, CITY: TUCSON, STATE: AZ, ZIP: 85712, PHONE: (520) 881-3232, FAX: (520) 881-3535, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3432, LICENSE: OTC3474, NAME: ARETE SLEEP, LLC, LEGALLY: ARETE SLEEP, LLC, ADDRESS: 7384 NORTH LA CHOLLA BLVD, CITY: TUCSON, STATE: AZ, ZIP: 85741, PHONE: (520) 742-1173, FAX: (480) 282-6600, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3433, LICENSE: OTC4101, NAME: CIGNA CMG CARE TODAY-AVONDALE (URGENT CARE), LEGALLY: CIGNA CMG CARE TODAY-AVONDALE, ADDRESS: 1473 NORTH DYSART ROAD, SUITE 100, CITY: AVONDALE, STATE: AZ, ZIP: 85323, PHONE: (623) 925-4931, FAX: (623) 882-0839, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPITAL, SUBTYPE: SHORT TERM, ID: MED0201, LICENSE: H0169, NAME: FLAGSTAFF MEDICAL CENTER, LEGALLY: FLAGSTAFF MEDICAL CENTER, ADDRESS: 1200 NORTH BEAVER STREET, CITY: FLAGSTAFF, STATE: AZ, ZIP: 86001, PHONE: (928) 773-2009, FAX: (928) 773-2315, CAPACITY: 271, COUNTY: COCONINO TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED3436, LICENSE: , NAME: COTTONWOOD DAY SURGERY CENTER, DOCTOR DAVIS, LEGALLY: COTTONWOOD DAY SURGERY CENTER, ADDRESS: 55 SOUTH SIXTH STREET, CITY: COTTONWOOD, STATE: AZ, ZIP: 86326, PHONE: (480) 473-2060, FAX: , CAPACITY: 0, COUNTY: YAVAPAI TYPE: FEDERALLY QUALIFIED HEALTH CENTER, SUBTYPE: FEDERALLY QUALIFIED HEALTH CENTER, ID: MED3438, LICENSE: OTC4121, NAME: NORTH COUNTRY HEALTHCARE-HOLBROOK, LEGALLY: NORTH COUNTRY HEALTHCARE-HOLBROOK, ADDRESS: 1401 WEST FLORIDA STREET, CITY: HOLBROOK, STATE: AZ, ZIP: 86025, PHONE: (928) 524-2851, FAX: (928) 524-2171, CAPACITY: 0, COUNTY: NAVAJO TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3437, LICENSE: OTC4230, NAME: HOPE COMMUNITY HEALTH CENTER, LEGALLY: HOPE COMMUNITY HEALTH CENTER, ADDRESS: 312 NORTH ALMA SCHOOL ROAD, SUITE 9 C, CITY: CHANDLER, STATE: AZ, ZIP: 85224, PHONE: (480) 963-2720, FAX: (480) 857-0468, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPITAL, SUBTYPE: CRITICAL ACCESS HOSPITALS, ID: MED0205, LICENSE: H0126, NAME: COBRE VALLEY COMMUNITY HOSPITAL, LEGALLY: COBRE VALLEY COMMUNITY HOSPITAL, ADDRESS: 5880 SOUTH HOSPITAL DRIVE, CITY: GLOBE, STATE: AZ, ZIP: 85501, PHONE: (928) 425-3261, FAX: (928) 425-7903, CAPACITY: 25, COUNTY: GILA TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED3439, LICENSE: HSPC4150, NAME: ALLEGIANCE HOSPICE CARE AGENCY, LEGALLY: ALLEGIANCE HOSPICE CARE AGENCY, ADDRESS: 761 EAST UNIVERSITY DRIVE, SUITE A, CITY: MESA, STATE: AZ, ZIP: 85203, PHONE: (480) 834-4325, FAX: (480) 834-4396, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3441, LICENSE: OTC4124, NAME: COMPREHENSIVE SLEEP SOLUTIONS-AVONDALE, LEGALLY: COMPREHENSIVE SLEEP SOLUTIONS-AVONDALE, ADDRESS: 12725 WEST INDIAN SCHOOL ROAD, SUITE F-102, CITY: AVONDALE, STATE: AZ, ZIP: 85323, PHONE: (480) 603-0615, FAX: (480) 603-0620, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: MED3442, LICENSE: HHA4151, NAME: ACE HOME HEALTH, LEGALLY: ALLIANCE HOME HEALTH, LLC, ADDRESS: 6040 NORTH 7TH STREET, SUITE 205, CITY: PHOENIX, STATE: AZ, ZIP: 85014, PHONE: (602) 682-6380, FAX: (602) 682-6384, CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED3445, LICENSE: , NAME: BANNER DESERT FETAL ASSESSMENT CENTER, LEGALLY: BANNER DESERT FETAL ASSESSMENT CENTER, ADDRESS: 1520 SOUTH DOBSON ROAD, SUITE 217, CITY: MESA, STATE: AZ, ZIP: 85202, PHONE: (480) 512-6363, FAX: (480) 512-8737, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: MED3450, LICENSE: HHA4180, NAME: CARE PARTNERS HEALTH SERVICES, INC, LEGALLY: CARE PARTNERS HEALTH SERVICES, INC, ADDRESS: 14122 WEST MCDOWELL ROAD, SUITE 104, CITY: GOODYEAR, STATE: AZ, ZIP: 85338, PHONE: (623) 535-9607, FAX: (623) 535-4387, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3451, LICENSE: OTC4211, NAME: SUN VALLEY URGENT CARE, LEGALLY: SUN VALLEY URGENT CARE, ADDRESS: 2910 NORTH LITCHFIELD ROAD, CITY: GOODYEAR, STATE: AZ, ZIP: 85338, PHONE: (623) 218-6907, FAX: (623) 225-7126, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: AZ HHA ONLY, ID: MED3452, LICENSE: HHA4148, NAME: ALL N ONE HOME HEALTH AGENCY, LLC, LEGALLY: ALL N ONE HOME HEALTH AGENCY, LLC, ADDRESS: 3006 NORTH 7TH AVENUE, CITY: PHOENIX, STATE: AZ, ZIP: 85013, PHONE: (602) 368-3471, FAX: (602) 368-3482, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: MED3453, LICENSE: HHA4713, NAME: MAXIM HEALTHCARE SERVICES, INC-GLENDALE, LEGALLY: MAXIM HEALTHCARE SERVICES, INC, ADDRESS: 5800 WEST GLENN DRIVE, SUITE 255, CITY: GLENDALE, STATE: AZ, ZIP: 85301, PHONE: (623) 937-0225, FAX: (623) 939-3438, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED3454, LICENSE: HSPC4181, NAME: HOSPICE OF THE VALLEY SURPRISE PCU (031515), LEGALLY: HOSPICE OF THE VALLEY SURPRISE PCU, ADDRESS: 14066 NORTH LITCHFIELD ROAD, CITY: SURPRISE, STATE: AZ, ZIP: 85379, PHONE: (602) 530-6900, FAX: (602) 530-6904, CAPACITY: 18, COUNTY: MARICOPA TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED3447, LICENSE: HSPC4172, NAME: RTA HOSPICE & PALLIATIVE CARE, LEGALLY: RTA HOSPICE, INC., ADDRESS: 1025 WEST 24TH STREET SUITE 15, CITY: YUMA, STATE: AZ, ZIP: 85364, PHONE: (928) 344-6100, FAX: (928) 317-0311, CAPACITY: 0, COUNTY: YUMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3455, LICENSE: OTC4137, NAME: EZ SLEEP LAB, LEGALLY: ARIZONA GRAND MEDICAL CENTER DBA -EZ SLEEP LAB, ADDRESS: 14973 WEST BELL ROAD, CITY: SURPRISE, STATE: AZ, ZIP: 85374, PHONE: (623) 398-6222, FAX: (602) 863-3343, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3457, LICENSE: OTC4122, NAME: WEST VALLEY PAIN TREATMENT CENTER, LEGALLY: WEST VALLEY PAIN TREATMENT CENTER, ADDRESS: 6760 WEST THUNDERBIRD ROAD, SUITE 1, CITY: PEORIA, STATE: AZ, ZIP: 85381, PHONE: (602) 242-5040, FAX: (602) 595-2470, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: MED3460, LICENSE: HHA4214, NAME: ACE HEALTH CARE SERVICES, INC, LEGALLY: ACE HEALTH CARE SERVICES, INC, ADDRESS: 1037 SOUTH ALVERNON WAY, SUITE 250, CITY: TUCSON, STATE: AZ, ZIP: 85711, PHONE: (520) 245-3055, FAX: (520) 721-1925, CAPACITY: 0, COUNTY: PIMA TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED3462, LICENSE: HSPC4115, NAME: SUNRISE HEALTH AND HOSPICE, LEGALLY: SUNRISE HEALTH AND HOSPICE, ADDRESS: 1840 EAST UNIVERSITY DRIVE, SUITE 2, CITY: MESA, STATE: AZ, ZIP: 85203, PHONE: (480) 246-3500, FAX: (480) 246-3510, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3461, LICENSE: OTC4704, NAME: VERDE VALLEY URGENT CARE & OCCUPATIONAL MEDICINE, LEGALLY: VERDE VALLEY URGENT CARE & OCCUPATIONAL MEDICINE, ADDRESS: 450 SOUTH WILLARD STREET, SUITE 120, CITY: COTTONWOOD, STATE: AZ, ZIP: 86326, PHONE: (928) 634-2574, FAX: (928) 634-2841, CAPACITY: 0, COUNTY: YAVAPAI TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED3467, LICENSE: , NAME: TMC WOMEN'S HEALTH, LEGALLY: TMC WOMEN'S HEALTH, ADDRESS: 2100 NORTH ROSEMONT BLVD, SUITE #100, CITY: TUCSON, STATE: AZ, ZIP: 85712, PHONE: (520) 324-1286, FAX: (520) 324-2443, CAPACITY: 0, COUNTY: PIMA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED3468, LICENSE: , NAME: TMC RADIOLOGY AT RINCON MEDICAL PLAZA, LEGALLY: TMC RADIOLOGY AT RINCON MEDICAL PLAZA, ADDRESS: 9348 EAST RITA ROAD, SUITE 120, CITY: TUCSON, STATE: AZ, ZIP: 85748, PHONE: (520) 574-3273, FAX: (520) 324-2443, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3469, LICENSE: OTC4132, NAME: CIGNA MEDICAL GROUP-CMG CARE TODAY-GILBERT-URGENT, LEGALLY: CIGNA MEDICAL GROUP-CMG CARE TODAY-GILBERT, ADDRESS: 2483 SOUTH MARKET STREET, SUITE 103, CITY: GILBERT, STATE: AZ, ZIP: 85296, PHONE: (602) 371-2461, FAX: (602) 371-2625, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3342, LICENSE: OTC4113, NAME: MINUTECLINIC - #3965 (STORE CLINIC), LEGALLY: MINUTECLINIC - #3965, ADDRESS: 5975 WEST CHANDLER BOULEVARD, CITY: CHANDLER, STATE: AZ, ZIP: 85226, PHONE: (480) 321-7654, FAX: , CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3330, LICENSE: OTC4114, NAME: MINUTECLINIC - #3264 (STORE CLINIC), LEGALLY: MINUTECLINIC - #3264, ADDRESS: 3210 EAST UNION HILLS DRIVE, CITY: PHOENIX, STATE: AZ, ZIP: 85050, PHONE: (602) 788-4793, FAX: , CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3463, LICENSE: OTC4116, NAME: AZ PAIN CENTERS, LEGALLY: AZ PAIN CENTERS, ADDRESS: 1076 WEST CHANDLER BLVD, SUITE 109, CITY: CHANDLER, STATE: AZ, ZIP: 85224, PHONE: (480) 786-4644, FAX: (480) 732-9948, CAPACITY: 0, COUNTY: MARICOPA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED3459, LICENSE: OSC4133, NAME: DESERT RIDGE OUTPATIENT SURGERY CENTER, LEGALLY: DESERT RIDGE OUTPATIENT SURGERY CENTER, ADDRESS: 20940 NORTH TATUM BOULEVARD, SUITE 100, CITY: PHOENIX, STATE: AZ, ZIP: 85050, PHONE: (480) 502-4000, FAX: (480) 502-4050, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3471, LICENSE: OTC4130, NAME: BANNER CREIGHTON SCHOOL BASED WELLNESS CLINIC, LEGALLY: BANNER CREIGHTON SCHOOL BASED WELLNESS CLINIC, ADDRESS: 2802 EAST MCDOWELL ROAD, ROOM 303, CITY: PHOENIX, STATE: AZ, ZIP: 85008, PHONE: (602) 319-3747, FAX: , CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3475, LICENSE: OTC4135, NAME: ABRAZO ADVANCED IMAGING - SCOTTSDALE, LEGALLY: ABRAZO ADVANCED IMAGING - SCOTTSDALE, ADDRESS: 9449 NORTH 90TH STREET, SUITE 103, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85258, PHONE: (480) 614-5424, FAX: (480) 614-5729, CAPACITY: 0, COUNTY: MARICOPA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED3476, LICENSE: OSC4147, NAME: ARROWHEAD ENDOSCOPY & PAIN MANAGEMENT CENTER LLC, LEGALLY: ARROWHEAD ENDOSCOPY & PAIN MANAGEMENT CENTER LLC, ADDRESS: 18699 NORTH 67TH AVENUE, SUITE 140, CITY: GLENDALE, STATE: AZ, ZIP: 85308, PHONE: (623) 376-8600, FAX: (623) 321-1166, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3477, LICENSE: OTC4142, NAME: REM MEDICAL-WEST PHOENIX, LEGALLY: REM MEDICAL-WEST PHOENIX, ADDRESS: 9305 WEST THOMAS ROAD, SUITE 305, CITY: PHOENIX, STATE: AZ, ZIP: 85037, PHONE: (623) 271-9323, FAX: (623) 321-6588, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3478, LICENSE: OTC4139, NAME: ABRAZO ADVANCED IMAGING - PALM VALLEY, LEGALLY: ABRAZO ADVANCED IMAGING - PALM VALLEY, ADDRESS: 1616 NORTH LITCHFIELD ROAD, SUITE 140, CITY: GOODYEAR, STATE: AZ, ZIP: 85338, PHONE: (623) 536-2000, FAX: (623) 536-9090, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3479, LICENSE: OTC4138, NAME: ABRAZO ADVANCED IMAGING - CHANDLER, LEGALLY: ABRAZO ADVANCED IMAGING - CHANDLER, ADDRESS: 1351 NORTH ALMA SCHOOL ROAD, SUITE 115, CITY: CHANDLER, STATE: AZ, ZIP: 85224, PHONE: (480) 899-4661, FAX: (480) 899-0177, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3480, LICENSE: OTC4136, NAME: ABRAZO ADVANCED IMAGING - TEMPE, LEGALLY: ABRAZO ADVANCED IMAGING - TEMPE, ADDRESS: 2501 EAST SOUTHERN AVENUE, SUITE 8, CITY: TEMPE, STATE: AZ, ZIP: 85282, PHONE: (480) 820-2021, FAX: (480) 345-7080, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3481, LICENSE: OTC4140, NAME: ABRAZO ADVANCED IMAGING - ARROWHEAD, LEGALLY: ABRAZO ADVANCED IMAGING - ARROWHEAD, ADDRESS: 18555 NORTH 79TH AVENUE, SUITE C-104, CITY: GLENDALE, STATE: AZ, ZIP: 85308, PHONE: (623) 334-2500, FAX: (623) 334-3240, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPITAL, SUBTYPE: REHABILITATION, ID: MED0225, LICENSE: SH0176, NAME: HEALTHSOUTH SCOTTSDALE REHABILITATION HOSPITAL, LEGALLY: HEALTHSOUTH SCOTTSDALE REHABILITATION HOSPITAL, ADDRESS: 9630 EAST SHEA BOULEVARD, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85260, PHONE: (480) 551-5400, FAX: (480) 614-2155, CAPACITY: 50, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3487, LICENSE: OTC4173, NAME: 21ST CENTURY ONCOLOGY, LLC, LEGALLY: ARIZONA RADIATION THERAPY MANAGEMENT SERVICES INC. DBA 21ST CENTURY ONCOLOGY,, ADDRESS: 1281 EAST COTTONWOOD LANE, CITY: CASA GRANDE, STATE: AZ, ZIP: 85222, PHONE: (520) 876-5770, FAX: (239) 931-7380, CAPACITY: 0, COUNTY: PINAL TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED3496, LICENSE: HSPC4174, NAME: SUN VALLEY HOSPICE, LEGALLY: SUN VALLEY HOSPICE, ADDRESS: 7227 EAST BASELINE ROAD, SUITE 129, CITY: MESA, STATE: AZ, ZIP: 85209, PHONE: (480) 558-2002, FAX: (480) 633-1556, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3492, LICENSE: OTC4200, NAME: CAMELBACK SPECIALTY IMAGING, LEGALLY: CAMELBACK SPECIALTY IMAGING, ADDRESS: 6501 NORTH 19TH AVENUE, SUITE A, CITY: PHOENIX, STATE: AZ, ZIP: 85015, PHONE: (602) 249-2146, FAX: (602) 314-4289, CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED3497, LICENSE: , NAME: BANNER GOOD SAMARITAN OB/GYN-THE WOMEN'S CENTER, LEGALLY: BANNER GOOD SAMARITAN OB/GYN-THE WOMEN'S CENTER, ADDRESS: 1300 NORTH 12TH STREET, SUITE 407, CITY: PHOENIX, STATE: AZ, ZIP: 85006, PHONE: (602) 329-4915, FAX: (602) 239-2359, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: AZ HHA ONLY, ID: MED3499, LICENSE: HHA4501, NAME: BRIGHTSTAR HEALTHCARE, LEGALLY: BRIGHTSTAR HEALTHCARE, ADDRESS: 1911 SOUTH LINDSAY ROAD, SUITE 101, CITY: MESA, STATE: AZ, ZIP: 85204, PHONE: (480) 898-0880, FAX: (480) 898-0990, CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED3502, LICENSE: , NAME: KRMC IMAGING AND LABORATORY, LEGALLY: KRMC IMAGING AND LABORATORY, ADDRESS: 4995 HIGHWAY 68 SUITE 1, CITY: GOLDEN VALLEY, STATE: AZ, ZIP: 86413, PHONE: (928) 681-8502, FAX: (928) 757-0604, CAPACITY: 0, COUNTY: MOHAVE TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED3503, LICENSE: , NAME: KRMC IMAGING CENTER, LEGALLY: KRMC IMAGING CENTER, ADDRESS: 1330 SYCAMORE, CITY: KINGMAN, STATE: AZ, ZIP: 86409, PHONE: (928) 681-8600, FAX: (928) 757-0604, CAPACITY: 0, COUNTY: MOHAVE TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3506, LICENSE: OTC4170, NAME: ARETE SLEEP-RAY, LEGALLY: ARETE SLEEP-RAY, ADDRESS: 2350 WEST RAY ROAD, SUITE L-101, CITY: CHANDLER, STATE: AZ, ZIP: 85224, PHONE: (480) 855-1947, FAX: (480) 282-6600, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3507, LICENSE: OTC4212, NAME: QUICK VISIT URGENT CARE CENTER & WALK IN CLINIC, LEGALLY: QUICK VISIT URGENT CARE CENTER & WALK IN CLINIC INC., ADDRESS: 1930 WEST THUNDERBIRD ROAD, SUITE 102, CITY: PHOENIX, STATE: AZ, ZIP: 85023, PHONE: (602) 850-0000, FAX: (602) 346-9999, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3508, LICENSE: OTC4233, NAME: LITTLE CLINIC- PEORIA, THE (STORE CLINIC), LEGALLY: LITTLE CLINIC- PEORIA, THE, ADDRESS: 9043 WEST OLIVE AVENUE, CITY: PEORIA, STATE: AZ, ZIP: 85345, PHONE: (623) 776-2065, FAX: (623) 776-2052, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3491, LICENSE: OTC4175, NAME: ABRAZO ADVANCED IMAGING - TEMPE, LEGALLY: ABRAZO ADVANCED IMAGING - TEMPE, ADDRESS: 2501 EAST SOUTHERN AVENUE, SUITE 11, CITY: TEMPE, STATE: AZ, ZIP: 85282, PHONE: (480) 820-2021, FAX: (480) 345-7080, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: MED3510, LICENSE: HHA4274, NAME: INNOVATIVE SENIOR CARE HOME HEALTH, LEGALLY: INNOVATIVE SENIOR CARE HOME HEALTH, ADDRESS: 2555 NORTH PRICE ROAD, BUILDING 2, SUITE 2A, CITY: CHANDLER, STATE: AZ, ZIP: 85224, PHONE: (480) 730-0601, FAX: (480) 730-0600, CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED3277, LICENSE: , NAME: PHOENIX CHILDRENS HOSPITAL ROSENBERG CENTER, LEGALLY: PHOENIX CHILDRENS HOSPITAL ROSENBERG CENTER, ADDRESS: 1920 EAST CAMBRIDGE AVENUE, SUITE 304, CITY: PHOENIX, STATE: AZ, ZIP: 85006, PHONE: (602) 546-0200, FAX: (602) 546-2697, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPITAL, SUBTYPE: TRANSPLANT HOSPITAL, ID: AZTH00004, LICENSE: NONE, NAME: MAYO CLINIC HOSPITAL, LEGALLY: MAYO CLINIC HOSPITAL, ADDRESS: 5777 EAST MAYO BOULEVARD, CITY: PHOENIX, STATE: AZ, ZIP: 85054, PHONE: (480) 342-1900, FAX: (480) 342-2525, CAPACITY: 0, COUNTY: MARICOPA TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED3504, LICENSE: OTC4676, NAME: FRESENIUS MEDICAL CARE SAN TAN, LEGALLY: FRESENIUS MEDICAL CARE SAN TAN, ADDRESS: 300 WEST HIGHWAY 287, SUITE 300, CITY: FLORENCE, STATE: AZ, ZIP: 85232, PHONE: (520) 868-1144, FAX: (520) 868-5983, CAPACITY: 0, COUNTY: PINAL TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED3512, LICENSE: , NAME: UNIVERISTY PHYSICIANS HEALTHCARE- SPORTS MEDICINE, LEGALLY: UPH HOSPITAL AND CLINICS AT KINO CAMPUS- SPORTS ME, ADDRESS: 2800 EAST AJO WAY SUITE 200, CITY: TUCSON, STATE: AZ, ZIP: 85745, PHONE: (520) 874-2000, FAX: (520) 874-4042, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3514, LICENSE: OTC4188, NAME: ARIZONA MEDICAL SLEEP INSTITUTE, LEGALLY: ARIZONA MEDICAL SLEEP INSTITUTE, LLC, ADDRESS: 13203 NORTH 103RD AVENUE, SUITE I-1 B, CITY: SUN CITY, STATE: AZ, ZIP: 85351, PHONE: (623) 876-6676, FAX: (623) 972-9590, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3515, LICENSE: OTC4275, NAME: CHOICE MEDICAL IMAGING INC, LEGALLY: CHOICE MEDICAL IMAGING INC, ADDRESS: 2919 SOUTH ELLSWORTH ROAD, SUITE 101, CITY: MESA, STATE: AZ, ZIP: 85212, PHONE: (480) 305-1000, FAX: (480) 305-1099, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED3518, LICENSE: FED ONLY, NAME: TOHONO O'ODHAM HOSPICE, LEGALLY: TOHONO O'ODHAM NURSING CARE AUTHORITY, ADDRESS: FEDERAL ROUTE 15, MILE POST 9, CITY: SELLS, STATE: AZ, ZIP: 85634, PHONE: (520) 383-1893, FAX: , CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3519, LICENSE: OTC4112, NAME: CANYON PEDIATRICS- UNIVERSITY, LEGALLY: CANYON PEDIATRICS- UNIVERSITY, ADDRESS: 815 EAST UNIVERSITY DRIVE, CITY: MESA, STATE: AZ, ZIP: 85203, PHONE: (480) 507-2199, FAX: (480) 649-3416, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3520, LICENSE: OTC4234, NAME: MINUTECLINIC - #9210 (STORE CLINIC), LEGALLY: MINUTECLINIC - #9210, ADDRESS: 10653 NORTH SCOTTSDALE ROAD, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85254, PHONE: (612) 659-7111, FAX: (612) 225-1592, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: MED3501, LICENSE: HHA4186, NAME: ZION HOME HEALTH CARE AGENCY, LEGALLY: ZION HOME HEALTH CARE AGENCY, ADDRESS: 29 WEST THOMAS ROAD, SUITE # 205, CITY: PHOENIX, STATE: AZ, ZIP: 85013, PHONE: (602) 273-9222, FAX: (602) 275-2093, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: MED3446, LICENSE: HHA4584, NAME: ATLANTIC HOME HEALTH CARE LLC, LEGALLY: ATLANTIC HOME HEALTH CARE LLC, ADDRESS: 10505 NORTH 69 STREET, SUITE 300, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85253, PHONE: (480) 948-9900, FAX: (480) 948-9911, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: MED3489, LICENSE: HHA4204, NAME: ANGEL CARE HEALTH SERVICES, INC, LEGALLY: ANGEL CARE HEALTH SERVICES, INC, ADDRESS: 11240 NORTH 19TH AVENUE, SUITE 13, CITY: PHOENIX, STATE: AZ, ZIP: 85029, PHONE: (602) 331-3888, FAX: (602) 861-8014, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3509, LICENSE: OTC4191, NAME: WEST VALLEY URGENT CARE III, LEGALLY: WEST VALLEY URGENT CARE III, ADDRESS: 4110 NORTH 108TH AVENUE, A-101-102, CITY: PHOENIX, STATE: AZ, ZIP: 85037, PHONE: (623) 334-8670, FAX: (623) 218-0786, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED3527, LICENSE: HSPC4245, NAME: EAST VALLEY HOSPICE, PLC, LEGALLY: EAST VALLEY HOSPICE, PLC, ADDRESS: 1351 NORTH ALMA SCHOOL ROAD, SUITE 250, CITY: CHANDLER, STATE: AZ, ZIP: 85225, PHONE: (480) 895-5434, FAX: (480) 305-5782, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: AZ HHA ONLY, ID: MED3526, LICENSE: HHA4273, NAME: PRIVATE NURSING INC, LEGALLY: PRIVATE NURSING INC, ADDRESS: 2034 EAST SOUTHERN AVENUE, SUITE V, CITY: TEMPE, STATE: AZ, ZIP: 85282, PHONE: (480) 755-8888, FAX: (480) 730-9797, CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED3523, LICENSE: , NAME: SEVENTH AVENUE WALK IN CLINIC, LEGALLY: SEVENTH AVENUE WALK IN CLINIC, ADDRESS: 1201 SOUTH 7TH AVENUE, CITY: PHOENIX, STATE: AZ, ZIP: 85007, PHONE: (602) 344-5011, FAX: (602) 344-1130, CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED3524, LICENSE: , NAME: MIHS RADIOLOGY, LEGALLY: MIHS RADIOLOGY, ADDRESS: 12O1 SOUTH 7TH AVENUE, CITY: PHOENIX, STATE: AZ, ZIP: 85007, PHONE: (602) 344-5011, FAX: (602) 344-1130, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPITAL, SUBTYPE: SHORT TERM, ID: MED0241, LICENSE: H4436, NAME: BANNER BOSWELL MEDICAL CENTER, LEGALLY: BANNER BOSWELL MEDICAL CENTER, ADDRESS: 10401 WEST THUNDERBIRD BOULEVARD, CITY: SUN CITY, STATE: AZ, ZIP: 85351, PHONE: (623) 977-7211, FAX: (623) 876-5795, CAPACITY: 430, COUNTY: MARICOPA TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED3529, LICENSE: OTC4202, NAME: FRESENIUS MEDICAL CARE NORTHWEST TUCSON DIALYSIS, LEGALLY: BIO MEDICAL APPLICATIONS OF ARIZONA, LLC, ADDRESS: 6261 NORTH LA CHOLLA BLVD, SUITE #181, CITY: TUCSON, STATE: AZ, ZIP: 85741, PHONE: (520) 297-1490, FAX: (520) 624-4786, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3530, LICENSE: OTC4379, NAME: ARIZONA SPECIALTY PHYSICIANS-BAYWOOD NEUROLOGY, LEGALLY: ARIZONA SPECIALTY PHYSICIANS-BAYWOOD NEUROLOGY, ADDRESS: 6553 EAST BAYWOOD AVENUE, SUITE 210, CITY: MESA, STATE: AZ, ZIP: 85206, PHONE: (480) 543-6750, FAX: (480) 543-5907, CAPACITY: 0, COUNTY: MARICOPA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED3517, LICENSE: OSC4286, NAME: BANNER CANYON SPRINGS SURGERY CENTER, LEGALLY: BANNER CANYON SPRINGS SURGERY CENTER, ADDRESS: 2940 EAST BANNER GATEWAY DRIVE, SUITE 100, CITY: GILBERT, STATE: AZ, ZIP: 85234, PHONE: (480) 641-9292, FAX: (480) 830-5524, CAPACITY: 0, COUNTY: MARICOPA TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED3536, LICENSE: OTC4509, NAME: MOUNTAIN VISTA DIALYSIS CENTER, LEGALLY: MOUNTAIN VISTA DIALYSIS CENTER, ADDRESS: 10238 EAST HAMPTON AVENUE, SUITE 108, CITY: MESA, STATE: AZ, ZIP: 85209, PHONE: (480) 357-0366, FAX: (480) 357-0372, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3537, LICENSE: OTC4236, NAME: NEXTCARE URGENT CARE-SCOTTSDALE, LEGALLY: NEXTCARE URGENT CARE- SCOTTSDALE, ADDRESS: 914 NORTH SCOTTSDALE ROAD, SUITE 104, CITY: TEMPE, STATE: AZ, ZIP: 85281, PHONE: (480) 924-8382, FAX: (480) 924-8399, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3539, LICENSE: OTC4264, NAME: PAYSON CHRISTIAN CLINIC, LEGALLY: PAYSON CHRISTIAN CLINIC, ADDRESS: 701 SOUTH PONDEROSA, SUITE D, CITY: PAYSON, STATE: AZ, ZIP: 85541, PHONE: (928) 468-2209, FAX: (928) 468-8034, CAPACITY: 0, COUNTY: GILA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED3541, LICENSE: , NAME: PHOENIX CHILDREN'S HOSPITAL ROSENBERG CTR DERMATOL, LEGALLY: PHOENIX CHILDREN'S HOSPITAL ROSENBERG CTR DERMATOLOGY, NEPHROLOGY, RHEUMATOLOGY, ADDRESS: 1920 EAST CAMBRIDGE, SUITE 200, CITY: PHOENIX, STATE: AZ, ZIP: 85006, PHONE: (602) 546-4700, FAX: (602) 546-4701, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPITAL, SUBTYPE: SHORT TERM, ID: MED0243, LICENSE: H0156, NAME: WESTERN ARIZONA REGIONAL MEDICAL CTR, LEGALLY: WESTERN ARIZONA REGIONAL MEDICAL CENTER, ADDRESS: 2735 SILVER CREEK ROAD, CITY: BULLHEAD CITY, STATE: AZ, ZIP: 86442, PHONE: (928) 763-2273, FAX: (928) 704-6785, CAPACITY: 139, COUNTY: MOHAVE TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED3559, LICENSE: HSPC4260, NAME: GOOD SAMARITAN SOCIETY-PRESCOTT HOSPICE, LEGALLY: GOOD SAMARITAN SOCIETY-PRESCOTT HOSPICE, ADDRESS: 1065 RUTH STREET, SUITE 108-109, CITY: PRESCOTT, STATE: AZ, ZIP: 86301, PHONE: (928) 778-5655, FAX: (928) 445-2497, CAPACITY: 0, COUNTY: YAVAPAI TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3543, LICENSE: OTC4213, NAME: UNIVERSITY IMAGING, LEGALLY: UNIVERSITY IMAGING, ADDRESS: 2076 EAST UNIVERSITY DRIVE, CITY: TEMPE, STATE: AZ, ZIP: 85281, PHONE: (480) 736-2991, FAX: (480) 736-1263, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3546, LICENSE: OTC4217, NAME: YRMC WOUND CARE CENTER, LEGALLY: YRMC WOUND CARE CENTER, ADDRESS: 1501 WEST 24TH STREET, CITY: YUMA, STATE: AZ, ZIP: 85364, PHONE: (928) 336-2080, FAX: (928) 726-0345, CAPACITY: 0, COUNTY: YUMA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED3547, LICENSE: NONE, NAME: EYE CLINIC, THE, LEGALLY: EYE CLINIC, THE, ADDRESS: 401 CALVARY WAY, SUITE D, CITY: COTTONWOOD, STATE: AZ, ZIP: 86326, PHONE: (928) 649-2600, FAX: , CAPACITY: 0, COUNTY: YAVAPAI TYPE: HOSPITAL, SUBTYPE: SHORT TERM, ID: MED0256, LICENSE: H0012, NAME: TUCSON MEDICAL CENTER, LEGALLY: TUCSON MEDICAL CENTER, ADDRESS: 5301 EAST GRANT ROAD, CITY: TUCSON, STATE: AZ, ZIP: 85712, PHONE: (520) 327-5461, FAX: (520) 324-1999, CAPACITY: 676, COUNTY: PIMA TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED3548, LICENSE: OTC4246, NAME: DOUGLAS DIALYSIS CENTER, LEGALLY: DOUGLAS DIALYSIS CENTER, ADDRESS: 99 16TH STREET, CITY: DOUGLAS, STATE: AZ, ZIP: 85607, PHONE: (520) 634-2204, FAX: (520) 364-2296, CAPACITY: 0, COUNTY: COCHISE TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED3549, LICENSE: , NAME: YRMC DIAGNOSTIC IMAGING DEPT/WOMEN'S HEALTH SPEC, LEGALLY: YRMC DIAGNOSTIC IMAGING DEPARTMENT/WOMEN'S HEALTH SPECIALIST, ADDRESS: 2911 SOUTH 8TH AVENUE, CITY: YUMA, STATE: AZ, ZIP: 85364, PHONE: (928) 336-2080, FAX: (928) 726-0345, CAPACITY: 0, COUNTY: YUMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3551, LICENSE: OTC4271, NAME: EL DORADO URGENT CARE, LEGALLY: EL DORADO URGENT CARE, ADDRESS: 1400 NORTH WILMOT ROAD, CITY: TUCSON, STATE: AZ, ZIP: 85712, PHONE: (520) 884-4999, FAX: (520) 300-6669, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3552, LICENSE: OTC4221, NAME: SAN TAN URGENT CARE HEALTH CENTER, LEGALLY: SAN TAN URGENT CARE HEALTH CENTER, ADDRESS: 21321 EAST OCOTILLO ROAD SUITE 118, CITY: QUEEN CREEK, STATE: AZ, ZIP: 85242, PHONE: (480) 458-5135, FAX: (480) 458-5241, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3554, LICENSE: OTC4283, NAME: PET SCAN ARIZONA-PEORIA, LEGALLY: PET SCAN ARIZONA-PEORIA, ADDRESS: 13460 NORTH 94TH DRIVE, SUITE J-1, CITY: PEORIA, STATE: AZ, ZIP: 85381, PHONE: (623) 566-3777, FAX: (623) 566-1216, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3553, LICENSE: OTC4282, NAME: PET SCAN ARIZONA-PHOENIX, LEGALLY: PET SCAN ARIZONA-PHOENIX, ADDRESS: 6036 NORTH 19TH AVENUE, SUITE 305, CITY: PHOENIX, STATE: AZ, ZIP: 85015, PHONE: (602) 589-7226, FAX: (602) 589-0816, CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED3558, LICENSE: , NAME: BANNER GATEWAY OUTPATIENT TREATMENT CENTER, LEGALLY: BANNER GATEWAY OUTPATIENT TREATMENT CENTER, ADDRESS: 2940 EAST BANNER GATEWAY DRIVE, SUITE 400, CITY: GILBERT, STATE: AZ, ZIP: 85234, PHONE: (480) 543-2606, FAX: (480) 543-2672, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3560, LICENSE: OTC4218, NAME: GOOD NIGHT SLEEP WELLNESS CENTER, LEGALLY: GOOD NIGHT SLEEP WELLNESS CENTER, ADDRESS: 14535 WEST INDIAN SCHOOL ROAD SUITE 120, CITY: GOODYEAR, STATE: AZ, ZIP: 85395, PHONE: (623) 792-5427, FAX: (623) 792-5428, CAPACITY: 0, COUNTY: APACHE TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3564, LICENSE: OTC4235, NAME: UNIVERSITY MEDICAL IMAGING, LEGALLY: UNIVERSITY MEDICAL IMAGING, ADDRESS: 4291 NORTH CAMPBELL, CITY: TUCSON, STATE: AZ, ZIP: 85719, PHONE: (520) 425-8900, FAX: (520) 425-8990, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3565, LICENSE: OTC4266, NAME: CANCER TREATMENT SERVICES-ARIZONA, LLC, LEGALLY: CANCER TREATMENT SERVICES-ARIZONA, LLC, ADDRESS: 1876 EAST SABIN DRIVE, CITY: CASA GRANDE, STATE: AZ, ZIP: 85222, PHONE: (520) 836-9800, FAX: (520) 836-1510, CAPACITY: 0, COUNTY: PINAL TYPE: HOSPITAL, SUBTYPE: SHORT TERM, ID: MED2124, LICENSE: H3002, NAME: CHANDLER REGIONAL MEDICAL CENTER, LEGALLY: CHANDLER REGIONAL MEDICAL CENTER, ADDRESS: 475 SOUTH DOBSON ROAD, CITY: CHANDLER, STATE: AZ, ZIP: 85224, PHONE: (480) 963-4561, FAX: (480) 899-5548, CAPACITY: 225, COUNTY: MARICOPA TYPE: HOSPITAL, SUBTYPE: SHORT TERM, ID: MED3488, LICENSE: H4208, NAME: MOUNTAIN VISTA MEDICAL CENTER, LP, LEGALLY: MOUNTAIN VISTA MEDICAL CENTER, LP, ADDRESS: 1301 SOUTH CRISMON ROAD, CITY: MESA, STATE: AZ, ZIP: 85209, PHONE: (480) 358-6100, FAX: (480) 354-2678, CAPACITY: 178, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3567, LICENSE: OTC4292, NAME: LITTLE CLINIC-WEST BELL ROAD, THE (STORE CLINIC), LEGALLY: LITTLE CLINIC WEST BELL ROAD, THE, ADDRESS: 2727 WEST BELL ROAD, CITY: PHOENIX, STATE: AZ, ZIP: 85053, PHONE: (602) 680-2386, FAX: (602) 680-2387, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3568, LICENSE: OTC4295, NAME: LITTLE CLINIC-MERCADO, THE (STORE CLINIC), LEGALLY: LITTLE CLINIC MERCADO, THE, ADDRESS: 4230 WEST MCDOWELL ROAD, CITY: PHOENIX, STATE: AZ, ZIP: 85009, PHONE: (602) 218-3073, FAX: (602) 218-3074, CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED3569, LICENSE: , NAME: ARROWHEAD HOSPITAL CARDIAC REHABILITATION SERVICES, LEGALLY: ARROWHEAD HOSPITAL CARDIAC REHABILITATION SERVICES, ADDRESS: ARROWHD MED OFC BLDG II, STE 105, 18700 N 64TH DR, CITY: GLENDALE, STATE: AZ, ZIP: 85308, PHONE: (623) 561-7489, FAX: (623) 572-4583, CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED3570, LICENSE: , NAME: ARROWHEAD HOSPITAL REHABILITATION SERVICES, LEGALLY: ARROWHEAD HOSPITAL REHABILITATION SERVICES, ADDRESS: ARROWHD MED OFC BLDG I, STE 302, 6525 W SACK DRIVE, CITY: GLENDALE, STATE: AZ, ZIP: 85308, PHONE: (623) 561-7106, FAX: (623) 561-7178, CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED3572, LICENSE: , NAME: PARADISE VALLEY HOSPITAL REHABILITATION SERVICES, LEGALLY: PARADISE VALLEY HOSPITAL REHABILITATION SERVICES, ADDRESS: 3811 EAST BELL ROAD, SUITE 100, CITY: PHOENIX, STATE: AZ, ZIP: 85032, PHONE: (602) 923-5648, FAX: (602) 923-5755, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3576, LICENSE: OTC4263, NAME: TROYER URGENT CARE, LEGALLY: TROYER URGENT CARE, ADDRESS: 1810 MESQUITE AVENUE, SUITE B, CITY: LAKE HAVASU CITY, STATE: AZ, ZIP: 86403, PHONE: (928) 453-4600, FAX: (928) 453-4606, CAPACITY: 0, COUNTY: MOHAVE TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED3579, LICENSE: , NAME: PHOENIX CHILDREN'S SPECIALTY&URGENT CARE,E VLY CTR, LEGALLY: PHOENIX CHILDREN'S SPECIALTY AND URGENT CARE, EAST VALLEY CENTER, ADDRESS: 5131 EAST SOUTHERN AVENUE, CITY: MESA, STATE: AZ, ZIP: 85205, PHONE: (602) 546-1000, FAX: (602) 546-5243, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3580, LICENSE: OTC4231, NAME: PHOENIX CHILDREN'S HOSPITAL CREWS 'N CLINIC #3, LEGALLY: PHOENIX CHILDREN'S HOSPITAL CREWS 'N CLINIC #3, ADDRESS: 1301 EAST ALMERIA, CITY: PHOENIX, STATE: AZ, ZIP: 85006, PHONE: (602) 538-1435, FAX: (602) 651-1888, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: AZ HHA ONLY, ID: MED3595, LICENSE: HHA4402, NAME: VIRGIN VALLEY HOME CARE, LEGALLY: VIRGIN VALLEY HOME CARE, ADDRESS: 355 WEST MESQUITE BLVD, SUITE B-50, CITY: MESQUITE, STATE: NV, ZIP: 89027, PHONE: (702) 346-7565, FAX: (702) 346-7566, CAPACITY: 0, COUNTY: CLARK TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3581, LICENSE: OTC4341, NAME: SUMMIT HEALTHCARE HEBER-OVERGAARD COMMUNITY CLINIC, LEGALLY: SUMMIT HEALTHCARE HEBER-OVERGAARD COMMUNITY CLINIC, ADDRESS: 2931 SOUTH HIGHWAY 260, CITY: OVERGAARD, STATE: AZ, ZIP: 85933, PHONE: (928) 535-3616, FAX: (928) 535-3615, CAPACITY: 0, COUNTY: NAVAJO TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3582, LICENSE: OTC4343, NAME: SUMMIT HEALTHCARE SNOWFLAKE, LEGALLY: SUMMIT HEALTHCARE SNOWFLAKE, ADDRESS: 1121 SOUTH MAIN STREET, CITY: SNOWFLAKE, STATE: AZ, ZIP: 85937, PHONE: (928) 536-5000, FAX: (928) 537-8839, CAPACITY: 0, COUNTY: NAVAJO TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3583, LICENSE: OTC4342, NAME: SUMMIT HEALTHCARE CUB LAKE, LEGALLY: SUMMIT HEALTHCARE CUB LAKE, ADDRESS: 5171 CUB LAKE ROAD, CITY: SHOW LOW, STATE: AZ, ZIP: 85901, PHONE: (928) 928-9288, FAX: (928) 537-8839, CAPACITY: 0, COUNTY: NAVAJO TYPE: HOSPITAL, SUBTYPE: PSYCHIATRIC, ID: MED0211, LICENSE: SH0147, NAME: BANNER BEHAVIORAL HEALTH HOSPITAL, LEGALLY: BANNER BEHAVIORAL HEALTH HOSPITAL, ADDRESS: 7575 EAST EARLL DRIVE, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85251, PHONE: (480) 941-7500, FAX: (480) 994-5558, CAPACITY: 78, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3586, LICENSE: OTC4227, NAME: BANNER PHOENIX INTERNAL MEDICINE PHYSICIANS, LEGALLY: BANNER PHOENIX INTERNAL MEDICINE PHYSICIANS, ADDRESS: 4400 NORTH 32ND STREET, SUITE 140, CITY: PHOENIX, STATE: AZ, ZIP: 85018, PHONE: (602) 254-4424, FAX: (602) 254-6036, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3587, LICENSE: OTC4296, NAME: BANNER GATEWAY OCCUPATIONAL HEALTH SERVICES, LEGALLY: BANNER GATEWAY OCCUPATIONAL HEALTH SERVICES, ADDRESS: 2940 EAST BANNER GATEWAY DRIVE, SUITE 375, CITY: GILBERT, STATE: AZ, ZIP: 85234, PHONE: (480) 543-2690, FAX: (480) 543-2689, CAPACITY: 0, COUNTY: MARICOPA TYPE: RURAL HEALTH CLINICS, SUBTYPE: MEDICARE, ID: MED3588, LICENSE: , NAME: PALOMINAS / HEREFORD RURAL HEALTH CLINIC, LEGALLY: PALOMINAS/HEREFORD RURAL HEALTH CLINIC, ADDRESS: 10524 EAST HIGHWAY 92, CITY: PALOMINAS, STATE: AZ, ZIP: 85615, PHONE: (520) 366-0300, FAX: (520) 432-1724, CAPACITY: 0, COUNTY: COCHISE TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3590, LICENSE: OTC4289, NAME: CHRIS TOWN YMCA COMMUNITY HEALTH CENTER, LEGALLY: CHRIS TOWN YMCA COMMUNITY HEALTH CENTER, ADDRESS: 5517 NORTH 17TH AVENUE, CITY: PHOENIX, STATE: AZ, ZIP: 85015, PHONE: (602) 246-5853, FAX: (602) 246-5852, CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED3592, LICENSE: , NAME: BANNER GATEWAY MEDICAL CENTER- WOMEN'S IMAGING CEN, LEGALLY: BANNER GATEWAY MEDICAL CENTER- WOMEN'S IMAGING CENTER, ADDRESS: 2940 EAST BANNER GATEWAY DRIVE, SUITE 150, CITY: GILBERT, STATE: AZ, ZIP: 85234, PHONE: (480) 543-6900, FAX: (480) 543-6947, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3593, LICENSE: OTC4247, NAME: OPEN MRI SOLUTIONS LLC, LEGALLY: OPEN MRI SOLUTIONS LLC, ADDRESS: 1020 EAST PALMDALE STREET, SUITE 150, CITY: TUCSON, STATE: AZ, ZIP: 85714, PHONE: (520) 434-0404, FAX: (520) 889-4241, CAPACITY: 0, COUNTY: PIMA TYPE: COMPREHENSIVE OUTPATIENT REHABILITATION FACILITIES, SUBTYPE: MEDICARE, ID: MED3594, LICENSE: OTC4239, NAME: SAGUARO REHABILITATION AND AQUATIC THERAPY, LEGALLY: SAGUARO REHABILITATION AND AQUATIC THERAPY, ADDRESS: 305 NORTH PLAZA DRIVE, CITY: APACHE JUNCTION, STATE: AZ, ZIP: 85220, PHONE: (480) 982-7794, FAX: (480) 982-0747, CAPACITY: 0, COUNTY: PINAL TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3599, LICENSE: OTC4533, NAME: 21ST CENTURY ONCOLOGY OF ARIZONA-SUN CITY, LEGALLY: ARIZONA RADIATION THERAPY MANAGEMENT SERVICES INC. DBA 21ST CENTURY ONCOLOGY, ADDRESS: 13184 NORTH 103RD DRIVE, CITY: SUN CITY, STATE: AZ, ZIP: 85351, PHONE: (623) 815-3384, FAX: (623) 815-3382, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3600, LICENSE: OTC4531, NAME: 21ST CENTURY ONCOLOGY OF ARIZONA-PHOENIX, LEGALLY: ARIZONA RADIATION THERAPY MANAGEMENT SERVICES INC. DBA 21ST CENTURY ONCOLOGY,, ADDRESS: 334 EAST HATCHER ROAD, CITY: PHOENIX, STATE: AZ, ZIP: 85020, PHONE: (623) 815-3384, FAX: (623) 815-3382, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3601, LICENSE: OTC4532, NAME: 21ST CENTURY ONCOLOGY OF ARIZONA-SUN CITY WEST, LEGALLY: ARIZONA RADIATION THERAPY MANAGEMENT SERVICES INC. DBA 21ST CENTURY ONCOLOGY, ADDRESS: 14506 MEEKER BOULEVARD, CITY: SUN CITY WEST, STATE: AZ, ZIP: 85375, PHONE: (623) 815-3384, FAX: (623) 815-3382, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3602, LICENSE: OTC4407, NAME: STAT CLINIX-PAYSON, LEGALLY: STAT CLINIX-PAYSON, ADDRESS: 101 EAST HIGHWAY 260, SUITE G, CITY: PAYSON, STATE: AZ, ZIP: 85541, PHONE: (480) 374-7303, FAX: (602) 926-2628, CAPACITY: 0, COUNTY: GILA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3607, LICENSE: OTC4244, NAME: MINUTECLINIC - #9302 (STORE CLINIC), LEGALLY: MINUTECLINIC - #9302, ADDRESS: 8920 EAST TANQUE VERDE, CITY: TUCSON, STATE: AZ, ZIP: 85749, PHONE: (612) 659-7111, FAX: (612) 225-1592, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3606, LICENSE: OTC4243, NAME: MINUTECLINIC - #7855 (STORE CLINIC), LEGALLY: MINUTECLINIC - #7855, ADDRESS: 2601 SOUTH HOUGHTON ROAD, CITY: TUCSON, STATE: AZ, ZIP: 85730, PHONE: (612) 659-7111, FAX: (612) 225-1592, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3605, LICENSE: OTC4240, NAME: MINUTECLINIC - #9374 (STORE CLINIC), LEGALLY: MINUTECLINIC - #9374, ADDRESS: 1900 WEST VALENCIA ROAD, CITY: TUCSON, STATE: AZ, ZIP: 85746, PHONE: (612) 659-7111, FAX: (612) 225-1592, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3604, LICENSE: OTC4242, NAME: MINUTECLINIC - #7876 (STORE CLINIC), LEGALLY: MINUTECLINIC - #7876, ADDRESS: 3832 EAST SPEEDWAY, CITY: TUCSON, STATE: AZ, ZIP: 85716, PHONE: (612) 659-7111, FAX: (612) 225-1592, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3603, LICENSE: OTC4241, NAME: MINUTECLINIC - #9273 (STORE CLINIC), LEGALLY: MINUTECLINIC - #9273, ADDRESS: 3785 WEST INA ROAD, CITY: TUCSON, STATE: AZ, ZIP: 85741, PHONE: (612) 659-7111, FAX: (612) 225-1592, CAPACITY: 0, COUNTY: PIMA TYPE: HOSPICE, SUBTYPE: HOSPICE - OUTOFSTATE, ID: MED3608, LICENSE: HSPC4401, NAME: VIRGIN VALLEY HOSPICE, LEGALLY: VIRGIN VALLEY HOSPICE, ADDRESS: 355 WEST MESQUITE BOULEVARD, SUITE B40, CITY: MESQUITE, STATE: NV, ZIP: 89027, PHONE: (702) 346-7565, FAX: (702) 346-7566, CAPACITY: 0, COUNTY: CLARK TYPE: HOSPITAL, SUBTYPE: SHORT TERM, ID: MED0239, LICENSE: H0155, NAME: BANNER BAYWOOD MEDICAL CENTER, LEGALLY: BANNER BAYWOOD MEDICAL CENTER, ADDRESS: 6644 EAST BAYWOOD AVENUE, CITY: MESA, STATE: AZ, ZIP: 85206, PHONE: (480) 321-2000, FAX: (480) 981-4198, CAPACITY: 340, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3610, LICENSE: OTC4346, NAME: ALLIANCE URGENT CARE - GILBERT, LEGALLY: ALLIANCE URGENT CARE - GILBERT, ADDRESS: 1660 NORTH HIGLEY ROAD #104, CITY: GILBERT, STATE: AZ, ZIP: 85234, PHONE: (602) 430-7911, FAX: (623) 474-2306, CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED3611, LICENSE: , NAME: UNIVERSITY PHYSICIANS HEALTHCARE FAMILY MEDICINE, LEGALLY: UNIVERSITY PHYSICIANS HEALTHCARE FAMILY MEDICINE CENTER AT ALVERNON, ADDRESS: 707 NORTH ALVERNON, SUITE 101, CITY: TUCSON, STATE: AZ, ZIP: 85711, PHONE: (520) 694-1611, FAX: (520) 694-1640, CAPACITY: 0, COUNTY: PIMA TYPE: FEDERALLY QUALIFIED HEALTH CENTER, SUBTYPE: FEDERALLY QUALIFIED HEALTH CENTER, ID: MED3614, LICENSE: OTC4413, NAME: NORTH COUNTRY HEALTHCARE-KINGMAN, LEGALLY: NORTH COUNTRY HEALTHCARE-KINGMAN, ADDRESS: 1510 STOCKTON HILL ROAD, CITY: KINGMAN, STATE: AZ, ZIP: 86401, PHONE: (928) 753-1177, FAX: (928) 753-1178, CAPACITY: 0, COUNTY: MOHAVE TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: AZ HHA ONLY, ID: MED3616, LICENSE: HHA4404, NAME: VITAL WELLNESS HOME HEALTH, INC, LEGALLY: VITAL WELLNESS HOME HEALTH, INC., ADDRESS: 10451 WEST PALMERAS DRIVE, SUITE 115 E, CITY: SUN CITY, STATE: AZ, ZIP: 85373, PHONE: (623) 933-1896, FAX: (623) 933-4015, CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED3617, LICENSE: , NAME: BANNER GOOD SAMARITAN SURGICAL ASSOCIATES, LEGALLY: BANNER GOOD SAMARITAN SURGICAL ASSOCIATES, ADDRESS: 925 EAST MCDOWELL ROAD, 3RD FLOOR, CITY: PHOENIX, STATE: AZ, ZIP: 85006, PHONE: (602) 239-4777, FAX: (602) 239-5806, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3620, LICENSE: OTC4268, NAME: MEDICAL RESOURCES IMAGING, LLC, LEGALLY: MEDICAL RESOURCES IMAGING, LLC, ADDRESS: 1510 NORTH TUCSON BOULEVARD, CITY: TUCSON, STATE: AZ, ZIP: 85716, PHONE: (520) 795-2057, FAX: (520) 795-1949, CAPACITY: 0, COUNTY: PIMA TYPE: HOSPICE, SUBTYPE: HOSPICE - OUTOFSTATE, ID: MED3613, LICENSE: HSPC4380, NAME: SERENITY HOUSE AT REFLECTION BAY, LEGALLY: SERENITY HOUSE AT REFLECTION BAY, ADDRESS: 4122 NORTH 17TH STREET, CITY: PHOENIX, STATE: AZ, ZIP: 85016, PHONE: (602) 265-4663, FAX: (602) 265-6079, CAPACITY: 18, COUNTY: MARICOPA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: MED3635, LICENSE: HHA4392, NAME: AHC HOME HEALTH OF ARIZONA LLC, LEGALLY: AHC HOME HEALTH OF ARIZONA LLC, ADDRESS: 5755 EAST MAIN STREET, CITY: MESA, STATE: AZ, ZIP: 85205, PHONE: (480) 214-2400, FAX: (480) 214-2450, CAPACITY: 0, COUNTY: MARICOPA TYPE: OUTPATIENT PHYSICAL THERAPY/SPEECH PATHOLOGY SERVICES, SUBTYPE: MEDICARE, ID: MED3623, LICENSE: OTC4332, NAME: ACTIVE LIFE PHYSICAL THERAPY, LEGALLY: ACTIVE LIFE PHYSICAL THERAPY, ADDRESS: 957 BLACK DRIVE, SUITE A, CITY: PRESCOTT, STATE: AZ, ZIP: 86305, PHONE: (928) 778-2227, FAX: (928) 771-9159, CAPACITY: 0, COUNTY: YAVAPAI TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED3624, LICENSE: HSPC4398, NAME: SOULISTIC HOSPICE, LEGALLY: SOULISTIC HOSPICE, ADDRESS: 29 TUBAC PLAZA SUITE #1, CITY: TUBAC, STATE: AZ, ZIP: 85646, PHONE: (520) 398-2333, FAX: (520) 398-2944, CAPACITY: 0, COUNTY: SANTA CRUZ TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3626, LICENSE: OTC4284, NAME: SAMC CLINIC, LEGALLY: SAMC CLINIC, ADDRESS: 1906 11TH STREET, CITY: DOUGLAS, STATE: AZ, ZIP: 85607, PHONE: (520) 364-1120, FAX: (520) 364-6417, CAPACITY: 0, COUNTY: COCHISE TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3632, LICENSE: OTC4449, NAME: BEN-ORA, HANSEN & VANESIAN IMAGING, LEGALLY: BEN-ORA, HANSEN & VANESIAN IMAGING, ADDRESS: 1313 EAST OSBORN ROAD, SUITE 213, CITY: PHOENIX, STATE: AZ, ZIP: 85004, PHONE: (512) 370-8100, FAX: (512) 370-8198, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3574, LICENSE: OTC4262, NAME: CIGNA MESA HEALTH CARE CENTER, LEGALLY: CIGNA MESA HEALTH CARE CENTER, ADDRESS: 4360 EAST BROWN ROAD, SUITE 113, CITY: MESA, STATE: AZ, ZIP: 85205, PHONE: (602) 861-6330, FAX: (602) 861-6331, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3629, LICENSE: OTC4287, NAME: CIGNA CMG CARE TODAY-ARROWHEAD, LEGALLY: CIGNA CMG CARE TODAY-ARROWHEAD, ADDRESS: 20165 NORTH 67TH AVENUE, SUITE 107, CITY: GLENDALE, STATE: AZ, ZIP: 85308, PHONE: (602) 861-6330, FAX: (602) 861-6331, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3630, LICENSE: OTC4339, NAME: KINO JUNIOR HIGH WELLNESS CENTER, LEGALLY: KINO JUNIOR HIGH WELLNESS CENTER, ADDRESS: 848 NORTH HORNE, CITY: MESA, STATE: AZ, ZIP: 85203, PHONE: (480) 472-2420, FAX: (480) 472-2549, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3634, LICENSE: OTC4276, NAME: 21ST CENTURY ONCOLOGY OF ARIZONA, LEGALLY: 21ST CENTURY ONCOLOGY OF ARIZONA, ADDRESS: 7337 EAST THOMAS ROAD, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85251, PHONE: (480) 945-6896, FAX: (480) 945-7287, CAPACITY: 0, COUNTY: MARICOPA TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED3637, LICENSE: OTC4393, NAME: WESTBROOK DIALYSIS CENTER, LEGALLY: WESTBROOK DIALYSIS CENTER, ADDRESS: 13907 WEST CAMINO DEL SOL, SUITE 103, CITY: SUN CITY WEST, STATE: AZ, ZIP: 85375, PHONE: (623) 214-7088, FAX: , CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3627, LICENSE: OTC4265, NAME: SAMC DRAW STATION, LEGALLY: SAMC DRAW STATION, ADDRESS: 1932 11TH STREET, CITY: DOUGLAS, STATE: AZ, ZIP: 85607, PHONE: (520) 805-9685, FAX: (850) 805-9682, CAPACITY: 0, COUNTY: COCHISE TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED3631, LICENSE: OTC4348, NAME: DESERT DIALYSIS SAHUARITA, LEGALLY: DESERT DIALYSIS SAHUARITA, ADDRESS: 1700 WEST COMMERCE POINT PLACE, CITY: SAHUARITA, STATE: AZ, ZIP: 85629, PHONE: (520) 625-0103, FAX: (520) 625-0107, CAPACITY: 0, COUNTY: PIMA TYPE: FEDERALLY QUALIFIED HEALTH CENTER, SUBTYPE: FEDERALLY QUALIFIED HEALTH CENTER, ID: MED3639, LICENSE: OTC4303, NAME: CONTINENTAL SCHOOL WELLNESS CENTER, LEGALLY: UNITED COMMUNITY HEALTH CENTER, ADDRESS: 1991 EAST WHITEHOUSE CANYON ROAD, CITY: GREEN VALLEY, STATE: AZ, ZIP: 85614, PHONE: (520) 625-4581, FAX: (520) 625-8504, CAPACITY: 0, COUNTY: PIMA TYPE: FEDERALLY QUALIFIED HEALTH CENTER, SUBTYPE: FEDERALLY QUALIFIED HEALTH CENTER, ID: MED3640, LICENSE: OTC4381, NAME: WEST SIDE HEALTH CENTER, LEGALLY: MARANA HEALTH CENTER, INC, ADDRESS: 2202 WEST ANKLAN, CITY: TUCSON, STATE: AZ, ZIP: 85709, PHONE: (520) 682-3777, FAX: (520) 682-2333, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3643, LICENSE: OTC4298, NAME: MINUTECLINIC - #9252 (STORE CLINIC), LEGALLY: MINUTECLINIC - #9252, ADDRESS: 14672 NORTH FRANK LLOYD WRIGHT BLVD, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85260, PHONE: (612) 659-7111, FAX: (612) 659-7101, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3644, LICENSE: OTC4291, NAME: MINUTECLINIC - #5891 (STORE CLINIC), LEGALLY: MINUTECLINIC - #5891, ADDRESS: 3170 SOUTH HIGLEY ROAD, CITY: GILBERT, STATE: AZ, ZIP: 85236, PHONE: (612) 659-7111, FAX: (612) 659-7010, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3645, LICENSE: OTC4299, NAME: MINUTECLINIC - #9264 (STORE CLINIC), LEGALLY: MINUTECLINIC - #9264, ADDRESS: 23215 NORTH PIMA ROAD, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85255, PHONE: (612) 659-7111, FAX: (612) 225-1592, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3646, LICENSE: OTC4728, NAME: GLENDALE FAMILY HEALTHCARE, LEGALLY: GLENDALE FAMILY HEALTHCARE, ADDRESS: 7725 NORTH 43RD AVENUE, STE 510, CITY: PHOENIX, STATE: AZ, ZIP: 85051, PHONE: (623) 537-9698, FAX: (602) 843-1560, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPITAL, SUBTYPE: PSYCHIATRIC, ID: MED0233, LICENSE: SH0149, NAME: ST LUKES BEHAVIORAL HOSPITAL, LEGALLY: ST LUKES BEHAVIORAL HOSPITAL, LP, ADDRESS: 1800 EAST VAN BUREN, CITY: PHOENIX, STATE: AZ, ZIP: 85006, PHONE: (602) 251-8535, FAX: (602) 251-8156, CAPACITY: 124, COUNTY: MARICOPA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED3647, LICENSE: , NAME: BANNER GOOD SAMARITAN NEUROSCIENCE CENTER, LEGALLY: BANNER GOOD SAMARITAN NEUROSCIENCE CENTER, ADDRESS: 1012 EAST WILLETTA AVENUE, 1ST FLOOR, CITY: PHOENIX, STATE: AZ, ZIP: 85006, PHONE: (602) 239-3593, FAX: (602) 239-6533, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3649, LICENSE: OTC4290, NAME: EAST VALLEY URGENT CARE-CHANDLER, LEGALLY: EAST VALLEY URGENT CARE-CHANDLER, ADDRESS: 3200 SOUTH GILBERT ROAD, CITY: CHANDLER, STATE: AZ, ZIP: 85286, PHONE: (480) 471-6404, FAX: (480) 219-4915, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPITAL, SUBTYPE: SHORT TERM, ID: MED3513, LICENSE: H4267, NAME: SCOTTSDALE HEALTHCARE-THOMPSON PEAK HOSPITAL, LEGALLY: SCOTTSDALE HEALTHCARE HOSPITALS, ADDRESS: 7400 EAST THOMPSON PEAK PARKWAY, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85255, PHONE: (480) 324-7004, FAX: (480) 324-7010, CAPACITY: 64, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3656, LICENSE: OTC4319, NAME: TAKE CARE HEALTH AZ-STORE #4103 (STORE CLINIC), LEGALLY: TAKE CARE HEALTH ARIZONA-STORE #4103, ADDRESS: 10405 LA CANADA, CITY: TUCSON, STATE: AZ, ZIP: 85737, PHONE: (484) 351-3291, FAX: (484) 351-3800, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3655, LICENSE: OTC4300, NAME: TAKE CARE HEALTH AZ-STORE #4266 (STORE CLINIC), LEGALLY: TAKE CARE HEALTH ARIZONA-STORE #4266, ADDRESS: 2150 WEST ORANGE GROVE ROAD, CITY: TUCSON, STATE: AZ, ZIP: 85741, PHONE: (866) 825-3227, FAX: (484) 351-3800, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3654, LICENSE: OTC4280, NAME: TAKE CARE HEALTH AZ-STORE #5750 (STORE CLINIC), LEGALLY: TAKE CARE HEALTH ARIZONA-STORE #5750, ADDRESS: 10315 EAST BROADWAY BOULEVARD, CITY: TUCSON, STATE: AZ, ZIP: 85748, PHONE: (484) 351-3291, FAX: (484) 351-3800, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3653, LICENSE: OTC4281, NAME: TAKE CARE HEALTH AZ-STORE #5892 (STORE CLINIC), LEGALLY: TAKE CARE HEALTH ARIZONA-STORE #5892, ADDRESS: 3910 EAST 22ND STREET, CITY: TUCSON, STATE: AZ, ZIP: 85711, PHONE: (484) 351-3591, FAX: (484) 351-3800, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3651, LICENSE: OTC4305, NAME: TAKE CARE HEALTH AZ-STORE #6571 (STORE CLINIC), LEGALLY: TAKE CARE HEALTH ARIZONA-STORE #6571, ADDRESS: 2180 WEST GRANT ROAD, CITY: TUCSON, STATE: AZ, ZIP: 85745, PHONE: (866) 825-3227, FAX: (484) 351-3800, CAPACITY: 0, COUNTY: PIMA TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED3657, LICENSE: HSPC4331, NAME: PRIME CARE HOSPICE, LLC, LEGALLY: PRIME CARE HOSPICE, LLC, ADDRESS: 4225 WEST GLENDALE AVENUE, SUITE A-200, CITY: PHOENIX, STATE: AZ, ZIP: 85051, PHONE: (623) 847-2323, FAX: (623) 847-2626, CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-HOSPITAL, SUBTYPE: SPECIAL HOSPITAL, ID: MED1576, LICENSE: SH3764, NAME: SIERRA TUCSON L L C, LEGALLY: SIERRA TUCSON, LLC, ADDRESS: 39580 SOUTH LAGO DEL ORO PARKWAY, CITY: TUCSON, STATE: AZ, ZIP: 85739, PHONE: (520) 624-4000, FAX: (520) 823-3523, CAPACITY: 139, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3563, LICENSE: OTC4272, NAME: UMC AT ORANGE GROVE, LEGALLY: UMC AT ORANGE GROVE, ADDRESS: 1891 WEST ORANGE GROVE ROAD, CITY: TUCSON, STATE: AZ, ZIP: 85704, PHONE: (520) 742-4183, FAX: (520) 742-4110, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3661, LICENSE: OTC4314, NAME: ARIZONA HEART INSTITUTE-TRC IMAGING CENTER, LEGALLY: ARIZONA HEART INSTITUTE-TRC IMAGING CENTER, ADDRESS: 1910 EAST THOMAS ROAD, CITY: PHOENIX, STATE: AZ, ZIP: 85016, PHONE: (602) 602-6002, FAX: (602) 240-6160, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3662, LICENSE: OTC4313, NAME: BANNER CARDIO-THORACIC & VASCULAR SPECIALISTS, LEGALLY: BANNER CARDIO-THORACIC & VASCULAR SPECIALISTS, ADDRESS: 6750 EAST BAYWOOD AVENUE, SUITE 504, CITY: MESA, STATE: AZ, ZIP: 85206, PHONE: (480) 835-5416, FAX: (480) 827-0764, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3663, LICENSE: OTC4324, NAME: EXPRESS MEDICAL CARE (URGENT CARE), LEGALLY: EXPRESS MEDICAL CARE, ADDRESS: 2002 STOCKTON HILL ROAD, SUITE 102, CITY: KINGMAN, STATE: AZ, ZIP: 86401, PHONE: (928) 718-4375, FAX: (928) 718-0348, CAPACITY: 0, COUNTY: MOHAVE TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3664, LICENSE: OTC4311, NAME: MINUTECLINIC - #7860 (STORE CLINIC), LEGALLY: MINUTECLINIC - #7860, ADDRESS: 1615 EAST BASELINE ROAD, CITY: PHOENIX, STATE: AZ, ZIP: 85042, PHONE: (612) 659-7111, FAX: (612) 659-7101, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3665, LICENSE: OTC4310, NAME: MINUTECLINIC - #9290 (STORE CLINIC), LEGALLY: MINUTECLINIC - #9290, ADDRESS: 4430 EAST RAY ROAD, CITY: PHOENIX, STATE: AZ, ZIP: 85044, PHONE: (612) 659-7111, FAX: (612) 225-1592, CAPACITY: 0, COUNTY: MARICOPA TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED3667, LICENSE: OTC4340, NAME: NORTHWEST TUCSON DIALYSIS, LEGALLY: NORTHWEST TUCSON DIALYSIS LLC, ADDRESS: 2945 WEST INA ROAD, SUITE #105, CITY: TUCSON, STATE: AZ, ZIP: 85741, PHONE: (520) 797-0049, FAX: (520) 229-8957, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3669, LICENSE: OTC4458, NAME: 21ST CENTURY ONCOLOGY OF ARIZONA, LEGALLY: ARIZONA RADIATION THERAPY MANAGEMENT SERVICES INC. DBA 21ST CENTURY ONCOLOGY, ADDRESS: 9159 WEST THUNDERBIRD ROAD, SUITE F, CITY: PEORIA, STATE: AZ, ZIP: 85381, PHONE: (623) 815-3380, FAX: (623) 815-3381, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3668, LICENSE: OTC4315, NAME: SCOTTSDALE HEALTHCARE CORPORATE HEALTH, LEGALLY: SCOTTSDALE HEALTHCARE CORPORATE HEALTH, ADDRESS: 16101 NORTH 82ND STREET, SUITE A-8, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85260, PHONE: (480) 323-1880, FAX: (480) 905-1136, CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED3671, LICENSE: , NAME: BANNER BOSWELL MEDICAL CENTER - WOUND CENTER, LEGALLY: BANNER BOSWELL MEDICAL CENTER - WOUND CENTER, ADDRESS: 13203 NORTH 103RD AVENUE, SUITE I-1, CITY: SUN CITY, STATE: AZ, ZIP: 85351, PHONE: (623) 875-6580, FAX: (623) 974-8413, CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED3672, LICENSE: , NAME: BANNER BOSWELL MEDICAL CENTER - PAIN CENTER, LEGALLY: BANNER BOSWELL MEDICAL CENTER - PAIN CENTER, ADDRESS: 13203 NORTH 103RD AVENUE, SUITE H-5, CITY: SUN CITY, STATE: AZ, ZIP: 85351, PHONE: (623) 875-7246, FAX: (623) 972-0049, CAPACITY: 0, COUNTY: MARICOPA TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED3674, LICENSE: OTC4394, NAME: GRAND HOME DIALYSIS, LEGALLY: GRAND HOME DIALYSIS, ADDRESS: 14674 WEST MOUNTAIN VIEW BLVD, SUITE 204, CITY: SURPRISE, STATE: AZ, ZIP: 85374, PHONE: (623) 546-6120, FAX: (623) 546-2693, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3659, LICENSE: OTC4327, NAME: MINUTECLINIC - 9211 (STORE CLINIC), LEGALLY: MINUTECLINIC - #9211, ADDRESS: 6484 NORTH ORACLE, CITY: TUCSON, STATE: AZ, ZIP: 85704, PHONE: (612) 659-7111, FAX: (612) 225-1592, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3675, LICENSE: OTC4328, NAME: MINUTECLINIC - 7841 (STORE CLINIC), LEGALLY: MINUTECLINIC - #7841, ADDRESS: 4365 NORTH ORACLE ROAD, CITY: TUCSON, STATE: AZ, ZIP: 85705, PHONE: (612) 659-7111, FAX: (612) 225-1592, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3676, LICENSE: OTC4329, NAME: MINUTECLINIC - 9277 (STORE CLINIC), LEGALLY: MINUTECLINIC - #9277, ADDRESS: 6895 EAST SUNRISE, CITY: TUCSON, STATE: AZ, ZIP: 85750, PHONE: (612) 659-7111, FAX: (612) 225-1592, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3680, LICENSE: OTC4333, NAME: PREMIER PAIN MANAGEMENT, LEGALLY: PREMIER PAIN MANAGEMENT, LLC, ADDRESS: 4540 EAST BASELINE ROAD, SUITE #112, CITY: MESA, STATE: AZ, ZIP: 85206, PHONE: (480) 272-8944, FAX: (480) 237-5682, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED3681, LICENSE: HSPC4374, NAME: VALOR HOSPICE CARE, LLC, LEGALLY: VALOR HOSPICE CARE, LLC, ADDRESS: 500 EAST FRY BOULEVARD, SUITE L-11, CITY: SIERRA VISTA, STATE: AZ, ZIP: 85635, PHONE: (520) 458-9450, FAX: (520) 458-9455, CAPACITY: 0, COUNTY: COCHISE TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3682, LICENSE: OTC4344, NAME: PREGNANCY CARE CENTER OF CHANDLER, LEGALLY: PREGNANCY CARE CENTER OF CHANDLER, ADDRESS: 590 NORTH ALMA SCHOOL ROAD SUITE 20, CITY: CHANDLER, STATE: AZ, ZIP: 85224, PHONE: (480) 374-2994, FAX: (480) 374-2980, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3683, LICENSE: OTC4317, NAME: PIMA PRIMARY CARE, LEGALLY: PIMA PRIMARY CARE, ADDRESS: 8573 EAST PRINCESS DRIVE, SUITE 219, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85255, PHONE: (480) 515-3507, FAX: (480) 515-3925, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3685, LICENSE: OTC4321, NAME: HIGH DESERT CLINIC URGENT AND OCCUPATIONAL CARE, LEGALLY: HIGH DESERT CLINIC URGENT AND OCCUPATIONAL CARE, LLC, ADDRESS: 77 EAST FRY BOULEVARD, CITY: SIERRA VISTA, STATE: AZ, ZIP: 85635, PHONE: (520) 459-8915, FAX: (520) 458-9424, CAPACITY: 0, COUNTY: COCHISE TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: MED3698, LICENSE: HHA4386, NAME: AZ HOME HEALTH, LEGALLY: AZ HOME HEALTH, ADDRESS: 2929 N. 44TH STREET, SUITE 102, CITY: PHOENIX, STATE: AZ, ZIP: 85018, PHONE: (480) 837-7300, FAX: (480) 837-4433, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3687, LICENSE: OTC4302, NAME: UMC PHLEBOTOMY SERVICE AT ALVERNON, LEGALLY: UMC PHLEBOTOMY SERVICE AT ALVERNON, ADDRESS: 707 NORTH ALVERNON WAY, SUITE 101, CITY: TUCSON, STATE: AZ, ZIP: 85711, PHONE: (520) 694-8065, FAX: (520) 694-4085, CAPACITY: 0, COUNTY: PIMA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED3670, LICENSE: OSC4279, NAME: YUMA REGIONAL OUTPATIENT SURGICAL CENTER, LLC, LEGALLY: YUMA REGIONAL OUTPATIENT SURGICAL CENTER, LLC, ADDRESS: 2261 SOUTH AVENUE B, CITY: YUMA, STATE: AZ, ZIP: 85364, PHONE: (928) 343-2180, FAX: (928) 343-0754, CAPACITY: 0, COUNTY: YUMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3689, LICENSE: OTC4419, NAME: LITTLE CLINIC-AVONDALE, THE (STORE CLINIC), LEGALLY: LITTLE CLINIC AVONDALE, THE, ADDRESS: 11425 WEST BUCKEYE ROAD, CITY: AVONDALE, STATE: AZ, ZIP: 85323, PHONE: (623) 687-9883, FAX: (623) 241-5317, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3691, LICENSE: OTC4382, NAME: LITTLE CLINIC-NORTH DYSART ROAD, THE (STORE CLINIC, LEGALLY: LITTLE CLINIC NORTH DYSART ROAD, THE, ADDRESS: 1575 NORTH DYSART ROAD, CITY: AVONDALE, STATE: AZ, ZIP: 85323, PHONE: (623) 687-9883, FAX: (623) 687-9884, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: AZ HHA ONLY, ID: MED3731, LICENSE: HHA4479, NAME: ADVANCED CLINICAL ASSOCIATES, LLC, LEGALLY: ADVANCED CLINICAL ASSOCIATES, LLC, ADDRESS: 11 SUNDIAL CIRCLE, SUITE 21, CITY: CAREFREE, STATE: AZ, ZIP: 85377, PHONE: (480) 567-2928, FAX: (480) 361-1568, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPITAL, SUBTYPE: SHORT TERM, ID: MED0198, LICENSE: H0119, NAME: SIERRA VISTA REGIONAL HEALTH CENTER INC, LEGALLY: SIERRA VISTA REGIONAL HEALTH CENTER, INC, ADDRESS: 300 EL CAMINO REAL, CITY: SIERRA VISTA, STATE: AZ, ZIP: 85635, PHONE: (520) 458-4641, FAX: (520) 471-3297, CAPACITY: 88, COUNTY: COCHISE TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED3697, LICENSE: , NAME: VERDE VALLEY MEDICAL CENTER SLEEP CENTER, LEGALLY: VERDE VALLEY MEDICAL CENTER SLEEP CENTER, ADDRESS: 294 WEST HIGHWAY 89A, SUITE 214, CITY: COTTONWOOD, STATE: AZ, ZIP: 86326, PHONE: (928) 639-6382, FAX: (928) 639-5570, CAPACITY: 0, COUNTY: YAVAPAI TYPE: HOSPITAL, SUBTYPE: LONG TERM, ID: MED3573, LICENSE: SH4326, NAME: KINDRED HOSPITAL ARIZONA- NORTHWEST PHOENIX, LEGALLY: KINDRED HOSPITAL ARIZONA- NORTHWEST PHOENIX, ADDRESS: 13216 NORTH PLAZA DEL RIO BOULEVARD, CITY: PEORIA, STATE: AZ, ZIP: 85381, PHONE: (623) 974-5463, FAX: (623) 977-3627, CAPACITY: 58, COUNTY: MARICOPA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED3706, LICENSE: OSC4385, NAME: SOUTHWEST ENDOSCOPY & SURGICENTER, LLC, LEGALLY: SOUTHWEST ENDOSCOPY & SURGICENTER, LLC, ADDRESS: 2223 EAST BASELINE ROAD, SUITE # B, CITY: GILBERT, STATE: AZ, ZIP: 85234, PHONE: (480) 289-5266, FAX: (480) 844-2081, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3705, LICENSE: OTC4334, NAME: MINUTECLINIC - #7862 (STORE CLINIC), LEGALLY: MINUTECLINIC - #7862, ADDRESS: 10160 EAST BELL ROAD, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85255, PHONE: (612) 659-7111, FAX: (612) 659-7101, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3701, LICENSE: OTC4337, NAME: SURPRISE FAMILY URGENT CARE, LEGALLY: SURPRISE FAMILY URGENT CARE, ADDRESS: 17014 WEST BELL ROAD, SUITE 100, CITY: SURPRISE, STATE: AZ, ZIP: 85374, PHONE: (623) 249-7852, FAX: (623) 249-7854, CAPACITY: 0, COUNTY: MARICOPA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED3707, LICENSE: OSC4384, NAME: AHWATUKEE SURGERY CENTER, LEGALLY: AHWATUKEE SURGERY CENTER, ADDRESS: 15810 SOUTH 45TH STREET, SUITE 150, CITY: PHOENIX, STATE: AZ, ZIP: 85048, PHONE: (480) 747-6240, FAX: (480) 747-6238, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPITAL, SUBTYPE: SHORT TERM, ID: MED1574, LICENSE: H2027, NAME: MAYO CLINIC HOSPITAL, LEGALLY: MAYO CLINIC HOSPITAL, ADDRESS: 5777 EAST MAYO BOULEVARD, CITY: PHOENIX, STATE: AZ, ZIP: 85054, PHONE: (480) 515-6296, FAX: (480) 342-2525, CAPACITY: 244, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3710, LICENSE: OTC4372, NAME: TAKE CARE HEALTH AZ-STORE #5156 (STORE CLINIC), LEGALLY: TAKE CARE HEALTH ARIZONA-STORE #5156, ADDRESS: 7800 NORTH CORTARO ROAD, CITY: TUCSON, STATE: AZ, ZIP: 85743, PHONE: (866) 825-3227, FAX: (484) 351-3800, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3713, LICENSE: OTC4406, NAME: BANNER GOOD SAMARITAN LIVER DISEASE CENTER, LEGALLY: BANNER GOOD SAMARITAN LIVER DISEASE CENTER, ADDRESS: 3003 HIGHWAY 95, SUITE H-81, CITY: BULLHEAD CITY, STATE: AZ, ZIP: 86442, PHONE: (602) 239-2606, FAX: (602) 239-4123, CAPACITY: 0, COUNTY: MOHAVE TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3741, LICENSE: OTC4376, NAME: VELO MED URGENT CARE, LEGALLY: VELO MED URGENT CARE, ADDRESS: 50 EAST CROYDON PARK ROAD, CITY: TUCSON, STATE: AZ, ZIP: 85704, PHONE: (520) 298-9887, FAX: (520) 901-4007, CAPACITY: 0, COUNTY: APACHE TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED3718, LICENSE: , NAME: TMC CARDIAC REHABILITATION, LEGALLY: TMC CARDIAC REHABILITATION, ADDRESS: 1400 NORTH WILMOT ROAD, CITY: TUCSON, STATE: AZ, ZIP: 85712, PHONE: (520) 324-5471, FAX: (520) 324-1458, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3721, LICENSE: OTC4363, NAME: MEDTECH MAMMOGRAPHY CENTER-6, LEGALLY: MEDTECH MAMMOGRAPHY CENTER-6, ADDRESS: 18001 NORTH 79TH AVENUE, SUITE C-54, CITY: GLENDALE, STATE: AZ, ZIP: 85308, PHONE: (512) 370-8100, FAX: (512) 370-8198, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3722, LICENSE: OTC4366, NAME: MEDTECH MAMMOGRAPHY CENTER-4, LEGALLY: MEDTECH MAMMOGRAPHY CENTER-4, ADDRESS: 5422 WEST THUNDERBIRD, SUITE 19C, CITY: GLENDALE, STATE: AZ, ZIP: 85306, PHONE: (512) 370-8100, FAX: (512) 370-8198, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3723, LICENSE: OTC4361, NAME: MEDTECH MAMMOGRAPHY CENTER-7, LEGALLY: MEDTECH MAMMOGRAPHY CENTER-7, ADDRESS: 560 WEST BROWN ROAD, SUITE 1001, CITY: MESA, STATE: AZ, ZIP: 85201, PHONE: (512) 370-8100, FAX: (512) 370-8198, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3717, LICENSE: OTC4364, NAME: MEDTECH MAMMOGRAPHY CENTER-3, LEGALLY: MEDTECH MAMMOGRAPHY CENTERS-3, ADDRESS: 4232 EAST CACTUS ROAD, SUITE 214, CITY: PHOENIX, STATE: AZ, ZIP: 85032, PHONE: (512) 370-8100, FAX: (512) 370-8198, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: AZ HHA ONLY, ID: MED3732, LICENSE: HHA4524, NAME: DIVINE TOUCH HEALTH SERVICES, INC, LEGALLY: DIVINE TOUCH HEALTH SERVICES, INC, ADDRESS: 1917 WEST GLENDALE AVENUE, SUITE 5, CITY: PHOENIX, STATE: AZ, ZIP: 85021, PHONE: (602) 864-5040, FAX: (602) 864-5016, CAPACITY: 0, COUNTY: MARICOPA TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED3733, LICENSE: OTC4350, NAME: FRESENIUS MEDICAL CARE TUCSON WEST DIALYSIS, LEGALLY: FRESENIUS MEDICAL CARE TUCSON WEST, ADDRESS: 100 WEST GRANT ROAD, CITY: TUCSON, STATE: AZ, ZIP: 85705, PHONE: (520) 624-0266, FAX: (520) 624-4786, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3735, LICENSE: OTC4368, NAME: MEDTECH MAMMOGRAPHY CENTERS T#1, LEGALLY: MEDTECH MAMMOGRAPHY CENTERS, ADDRESS: 2840 WEST INA ROAD, STE 144, CITY: TUCSON, STATE: AZ, ZIP: 85741, PHONE: (520) 370-8100, FAX: (512) 370-8198, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3736, LICENSE: OTC4369, NAME: MEDTECH MAMMOGRAPHY CENTERS T#3, LEGALLY: MEDTECH MAMMOGRAPHY CENTERS, ADDRESS: 910 WEST IRVINGTON #120, CITY: TUCSON, STATE: AZ, ZIP: 85714, PHONE: (512) 370-8100, FAX: (512) 370-8198, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3738, LICENSE: OTC4403, NAME: ARIZONA FAMILY CARE ASSOCIATES, INC AFCA LUNG CENT, LEGALLY: ARIZONA FAMILY CARE ASSOCIATES, INC AFCA LUNG CENTER, ADDRESS: 198 SOUTH CORONADO, SUITE A, CITY: SIERRA VISTA, STATE: AZ, ZIP: 85635, PHONE: (520) 417-0542, FAX: (520) 417-0581, CAPACITY: 0, COUNTY: COCHISE TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3757, LICENSE: OTC4375, NAME: MEDTECH MAMMOGRAPHY CENTERS T#2, LEGALLY: MEDTECH MAMMOGRAPHY CENTERS T#2, ADDRESS: 1200 NORTH EL DORADO PLACE, SUITE H-820, CITY: TUCSON, STATE: AZ, ZIP: 85715, PHONE: (512) 370-8100, FAX: (512) 370-8198, CAPACITY: 0, COUNTY: PIMA TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED3666, LICENSE: OTC4354, NAME: FRESENIUS MEDICAL CARE-GOODYEAR, LEGALLY: FRESENIUS MEDICAL CARE-GOODYEAR, ADDRESS: 500 NORTH BULLARD AVENUE, BLDG C, SUITE 33-36, CITY: GOODYEAR, STATE: AZ, ZIP: 85338, PHONE: (623) 925-8955, FAX: (623) 925-8959, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPITAL, SUBTYPE: TRANSPLANT HOSPITAL, ID: AZTH00246, LICENSE: NONE, NAME: ST JOSEPH'S HOSPITAL AND MEDICAL CENTER, LEGALLY: ST JOSEPH'S HOSPITAL AND MEDICAL CENTER, ADDRESS: 350 WEST THOMAS ROAD, SUITE #500, CITY: PHOENIX, STATE: AZ, ZIP: 85013, PHONE: (602) 406-3792, FAX: (602) 798-9884, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPITAL, SUBTYPE: SHORT TERM, ID: MED2149, LICENSE: H3027, NAME: PARADISE VALLEY HOSPITAL, LEGALLY: PARADISE VALLEY HOSPITAL, ADDRESS: 3929 EAST BELL ROAD, CITY: PHOENIX, STATE: AZ, ZIP: 85032, PHONE: (602) 923-5000, FAX: (602) 923-5657, CAPACITY: 136, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3725, LICENSE: OTC4362, NAME: MEDTECH MAMMOGRAPHY CENTER-2, LEGALLY: MEDTECH MAMMOGRAPHY CENTER-CHANDLER, ADDRESS: 900 WEST CHANDLER BOULEVARD, SUITE A 4, CITY: CHANDLER, STATE: AZ, ZIP: 85225, PHONE: (512) 370-8100, FAX: (512) 370-8198, CAPACITY: 0, COUNTY: MARICOPA TYPE: RURAL HEALTH CLINICS, SUBTYPE: MEDICARE, ID: MED3743, LICENSE: OTC4416, NAME: KEARNY CLINIC, LEGALLY: KEARNY CLINIC, ADDRESS: 100 TILBURY DRIVE, CITY: KEARNY, STATE: AZ, ZIP: 85237, PHONE: (928) 425-3261, FAX: (520) 363-5611, CAPACITY: 0, COUNTY: PINAL TYPE: HOSPITAL, SUBTYPE: SHORT TERM, ID: MED0219, LICENSE: H0016, NAME: BANNER GOOD SAMARITAN MEDICAL CENTER, LEGALLY: BANNER GOOD SAMARITAN MEDICAL CENTER, ADDRESS: 1111 EAST MCDOWELL ROAD, CITY: PHOENIX, STATE: AZ, ZIP: 85006, PHONE: (602) 239-2000, FAX: (602) 239-3749, CAPACITY: 643, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3709, LICENSE: OTC4353, NAME: INSIGHT IMAGING- CAMELBACK MOBILE MRI, LEGALLY: INSIGHT IMAGING- CAMELBACK MOBILE MRI, ADDRESS: 5040 NORTH 15TH AVENUE, SUITE 401, CITY: PHOENIX, STATE: AZ, ZIP: 85015, PHONE: (602) 274-9811, FAX: (602) 274-8148, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPITAL, SUBTYPE: PSYCHIATRIC, ID: MED1078, LICENSE: SH1852, NAME: GUIDANCE CENTER,THE, LEGALLY: GUIDANCE CENTER, THE, ADDRESS: 2187 NORTH VICKEY STREET, CITY: FLAGSTAFF, STATE: AZ, ZIP: 86004, PHONE: (928) 527-1899, FAX: (928) 527-0028, CAPACITY: 16, COUNTY: COCONINO TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: MED3775, LICENSE: HHA4417, NAME: OASIS HOME HEALTH CARE, LEGALLY: OASIS HOME HEALTH CARE, ADDRESS: 121 WEST FLORENCE BOULEVARD, SUITE L, CITY: CASA GRANDE, STATE: AZ, ZIP: 85222, PHONE: (520) 421-1120, FAX: (520) 421-2877, CAPACITY: 0, COUNTY: PINAL TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3726, LICENSE: OTC4365, NAME: MEDTECH MAMMOGRAPHY CENTER-5, LEGALLY: MEDTECH MAMMOGRAPHY CENTER-5, ADDRESS: 13065 WEST MC DOWELL ROAD, SUITE C-105, CITY: AVONDALE, STATE: AZ, ZIP: 85323, PHONE: (512) 370-8100, FAX: (512) 370-8198, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3724, LICENSE: OTC4367, NAME: MEDTECH MAMMOGRAPHY CENTER, LEGALLY: MEDTECH MAMMOGRAPHY CENTER, ADDRESS: 301 EAST BETHANY HOME ROAD, SUITE A 119, CITY: PHOENIX, STATE: AZ, ZIP: 85012, PHONE: (512) 370-8100, FAX: (512) 370-8198, CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED3744, LICENSE: , NAME: VERDE VALLEY MEDICAL CENTER PHYSICIANS GROUP, LEGALLY: VERDE VALLEY MEDICAL CENTER PHYSICIANS GROUP, ADDRESS: 450 S WILLARD STREET, SUITE 107, CITY: COTTONWOOD, STATE: AZ, ZIP: 86326, PHONE: (928) 639-0909, FAX: (928) 639-4632, CAPACITY: 0, COUNTY: YAVAPAI TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED3648, LICENSE: OTC4357, NAME: RIM COUNTRY DIALYSIS, LEGALLY: RIM COUNTRY DIALYSIS, ADDRESS: 809 WEST LONGHORN ROAD, CITY: PAYSON, STATE: AZ, ZIP: 85541, PHONE: (480) 994-1445, FAX: (480) 994-4946, CAPACITY: 0, COUNTY: GILA TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED3786, LICENSE: HSPC4397, NAME: HOSPICE COMPASSUS-BULLHEAD CITY, LEGALLY: HOSPICE COMPASSUS-BULLHEAD CITY, ADDRESS: 1225 HANCOCK ROAD, SUITE 200, CITY: BULLHEAD CITY, STATE: AZ, ZIP: 86442, PHONE: (928) 763-6433, FAX: (928) 763-6437, CAPACITY: 0, COUNTY: MOHAVE TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3484, LICENSE: OTC4356, NAME: ULTIMATE URGENT CARE CENTERS, LEGALLY: ULTIMATE URGENT CARE CENTERS, LLC, ADDRESS: 7727 WEST DEER VALLEY ROAD, SUITE 210, CITY: PEORIA, STATE: AZ, ZIP: 85382, PHONE: (623) 376-8822, FAX: (623) 572-8172, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3748, LICENSE: OTC4495, NAME: TAKE CARE HEALTH AZ-STORE #4434 (STORE CLINIC), LEGALLY: TAKE CARE HEALTH AZ-STORE #4434, ADDRESS: 22280 NORTH 67TH AVENUE, CITY: GLENDALE, STATE: AZ, ZIP: 85310, PHONE: (484) 351-3291, FAX: (484) 351-3800, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3747, LICENSE: OTC4499, NAME: TAKE CARE HEALTH AZ-STORE #4139 (STORE CLINIC), LEGALLY: TAKE CARE HEALTH AZ-STORE #4139, ADDRESS: 3450 WEST DUNLAP ROAD, CITY: PHOENIX, STATE: AZ, ZIP: 85051, PHONE: (484) 351-3291, FAX: (484) 351-3800, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3754, LICENSE: OTC4442, NAME: TAKE CARE HEALTH AZ-STORE #6177 (STORE CLINIC), LEGALLY: TAKE CARE HEALTH ARIZONA-STORE #6177, ADDRESS: 1135 NORTH MESA DRIVE, CITY: MESA, STATE: AZ, ZIP: 85201, PHONE: (484) 351-3291, FAX: (484) 351-3800, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3752, LICENSE: OTC4444, NAME: TAKE CARE HEALTH AZ-STORE #6333 (STORE CLINIC), LEGALLY: TAKE CARE HEALTH ARIZONA-STORE #6333, ADDRESS: 2440 SOUTH IRONWOOD DRIVE, CITY: APACHE JUNCTION, STATE: AZ, ZIP: 85220, PHONE: (484) 351-3291, FAX: (484) 351-3800, CAPACITY: 0, COUNTY: PINAL TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED3755, LICENSE: OSC4415, NAME: DESERT MIRAGE SURGERY CENTER, LEGALLY: DESERT MIRAGE SURGERY CENTER, ADDRESS: 12361 WEST BOLA DRIVE, SUITE 112, CITY: SURPRISE, STATE: AZ, ZIP: 85374, PHONE: (623) 815-5000, FAX: (623) 815-5099, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3762, LICENSE: OTC4496, NAME: TAKE CARE HEALTH AZ-STORE #3049 (STORE CLINIC), LEGALLY: TAKE CARE HEALTH ARIZONA-STORE #3049, ADDRESS: 4965 WEST BELL ROAD, CITY: GLENDALE, STATE: AZ, ZIP: 85308, PHONE: (484) 351-3291, FAX: (484) 351-3800, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3761, LICENSE: OTC4494, NAME: TAKE CARE HEALTH AZ-STORE #5222 (STORE CLINIC), LEGALLY: TAKE CARE HEALTH ARIZONA-STORE #5222, ADDRESS: 9040 WEST PEORIA AVENUE, CITY: PEORIA, STATE: AZ, ZIP: 85345, PHONE: (484) 351-3291, FAX: (484) 351-3800, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3759, LICENSE: OTC4497, NAME: TAKE CARE HEALTH AZ-STORE #5776 (STORE CLINIC), LEGALLY: TAKE CARE HEALTH ARIZONA-STORE #5776, ADDRESS: 1451 NORTH DYSART ROAD, CITY: AVONDALE, STATE: AZ, ZIP: 85323, PHONE: (484) 351-3291, FAX: (484) 351-3800, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3764, LICENSE: OTC4645, NAME: TAKE CARE HEALTH AZ-STORE #3177 (STORE CLINIC), LEGALLY: TAKE CARE HEALTH ARIZONA-STORE #3177, ADDRESS: 7011 EAST SHEA BOULEVARD, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85251, PHONE: (866) 825-3227, FAX: (484) 351-3800, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3766, LICENSE: OTC4445, NAME: TAKE CARE HEALTH AZ-STORE #6692 (STORE CLINIC), LEGALLY: TAKE CARE HEALTH ARIZONA-STORE #6692, ADDRESS: 4766 EAST QUEEN CREEK ROAD, CITY: GILBERT, STATE: AZ, ZIP: 85297, PHONE: (484) 351-3291, FAX: (484) 351-3800, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3768, LICENSE: OTC4441, NAME: TAKE CARE HEALTH AZ-STORE #4793 (STORE CLINIC), LEGALLY: TAKE CARE HEALTH ARIZONA-STORE #4793, ADDRESS: 1975 SOUTH ALMA SCHOOL ROAD, CITY: CHANDLER, STATE: AZ, ZIP: 85248, PHONE: (484) 351-3291, FAX: (484) 351-3800, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3769, LICENSE: OTC4446, NAME: TAKE CARE HEALTH AZ-STORE #3008 (STORE CLINIC), LEGALLY: TAKE CARE HEALTH ARIZONA-STORE #3008, ADDRESS: 785 SOUTH COOPER ROAD, CITY: GILBERT, STATE: AZ, ZIP: 85234, PHONE: (484) 351-3291, FAX: (484) 351-3800, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3770, LICENSE: OTC4595, NAME: TAKE CARE HEALTH AZ-STORE #3163 (STORE CLINIC), LEGALLY: TAKE CARE HEALTH ARIZONA-STORE #3163, ADDRESS: 3420 NORTH SCOTTSDALE ROAD, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85251, PHONE: (866) 825-3227, FAX: (484) 351-3800, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3771, LICENSE: OTC4505, NAME: TAKE CARE HEALTH AZ-STORE #3464 (STORE CLINIC), LEGALLY: TAKE CARE HEALTH ARIZONA-STORE #3464, ADDRESS: 3402 NORTH CENTRAL AVENUE, CITY: PHOENIX, STATE: AZ, ZIP: 85012, PHONE: (484) 351-3291, FAX: (484) 351-3800, CAPACITY: 0, COUNTY: MARICOPA TYPE: FEDERALLY QUALIFIED HEALTH CENTER, SUBTYPE: FEDERALLY QUALIFIED HEALTH CENTER, ID: MED3772, LICENSE: OTC4477, NAME: MHC PRIMARY CARE, LEGALLY: MARANA HEALTH CENTER, INC, ADDRESS: 5301 EAST GRANT ROAD FAST TRACK BUILDING, CITY: TUCSON, STATE: AZ, ZIP: 85712, PHONE: (520) 616-4948, FAX: (520) 616-4958, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3750, LICENSE: OTC4707, NAME: WE CARE CLINIC, LLC, LEGALLY: WE CARE CLINIC, LLC, ADDRESS: 3620 WEST BETHANY HOME ROAD, CITY: PHOENIX, STATE: AZ, ZIP: 85019, PHONE: (602) 841-8273, FAX: (602) 841-8773, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3729, LICENSE: OTC4370, NAME: PLANNED PARENTHOOD-7TH AVENUE, LEGALLY: PLANNED PARENTHOOD-7TH AVENUE, ADDRESS: 4417 NORTH 7TH AVENUE, CITY: PHOENIX, STATE: AZ, ZIP: 85014, PHONE: (602) 889-6574, FAX: (602) 889-6571, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED3788, LICENSE: HSPC4399, NAME: HOSPICE FAMILY CARE INPATIENT UNIT- CASA GRANDE, LEGALLY: HOSPICE FAMILY CARE INPATIENT UNIT- CASA GRANDE, ADDRESS: 950 NORTH ARIZOLA ROAD, SUITE 2, CITY: CASA GRANDE, STATE: AZ, ZIP: 85222, PHONE: (480) 461-3144, FAX: (480) 844-9711, CAPACITY: 8, COUNTY: PINAL TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3575, LICENSE: OTC4373, NAME: RIVER CITIES COMMUNITY CLINIC, LEGALLY: RIVER CITIES COMMUNITY CLINIC, ADDRESS: 813 HANCOCK ROAD, SUITE 1-2, CITY: BULLHEAD CITY, STATE: AZ, ZIP: 86442, PHONE: (928) 704-9700, FAX: (928) 704-9774, CAPACITY: 0, COUNTY: MOHAVE TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3774, LICENSE: OTC4517, NAME: MOJAVE FAMILY HEALTHCARE, FAMILY MEDICINE & URGENT, LEGALLY: MOJAVE FAMILY HEALTHCARE, FAMILY MEDICINE & URGENT CARE, ADDRESS: 5300 SOUTH HIGHWAY 95, SUITE A, CITY: FORT MOHAVE, STATE: AZ, ZIP: 86426, PHONE: (928) 768-7175, FAX: (928) 768-1943, CAPACITY: 0, COUNTY: MOHAVE TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED3777, LICENSE: OSC4443, NAME: SOUTHEAST VALLEY ENDOSCOPY CENTER, LLC, LEGALLY: SOUTHEAST VALLEY ENDOSCOPY CENTER, LLC, ADDRESS: 875 SOUTH DOBSON ROAD, CITY: CHANDLER, STATE: AZ, ZIP: 85224, PHONE: (480) 899-9800, FAX: (480) 899-2994, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPITAL, SUBTYPE: SHORT TERM, ID: MED0234, LICENSE: H0019, NAME: ST LUKES MEDICAL CENTER, LEGALLY: ST LUKE'S MEDICAL CENTER, ADDRESS: 1800 EAST VAN BUREN STREET, CITY: PHOENIX, STATE: AZ, ZIP: 85006, PHONE: (602) 251-8156, FAX: (602) 251-8685, CAPACITY: 232, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3739, LICENSE: OTC4624, NAME: CANYON PHYSICIANS, LEGALLY: CANYON PHYSICIANS, ADDRESS: 1825 EAST NORTHERN AVE, SUITE 100, CITY: PHOENIX, STATE: AZ, ZIP: 85020, PHONE: (480) 507-2199, FAX: (480) 626-6509, CAPACITY: 0, COUNTY: MARICOPA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED3778, LICENSE: OSC4352, 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: HOSPICE, SUBTYPE: MEDICARE, ID: MED3783, LICENSE: HSPC4610, NAME: LEGACY HOSPICE, LEGALLY: LEGACY HOSPICE, ADDRESS: 7345 EAST EARLL DRIVE, SUITE # 7, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85251, PHONE: (480) 423-3400, FAX: (513) 688-7111, CAPACITY: 0, COUNTY: APACHE TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED3784, LICENSE: , NAME: BANNER DEL E WEBB MEDICAL CENTER - PAIN CENTER, LEGALLY: BANNER DEL E WEBB MEDICAL CENTER - PAIN CENTER, ADDRESS: 14420 WEST MEEKER BOULEVARD, SUITE A204, CITY: SUN CITY WEST, STATE: AZ, ZIP: 85375, PHONE: (623) 975-8470, FAX: (623) 975-8676, CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED3785, LICENSE: , NAME: BANNER DEL E WEBB MEDICAL CENTER - OUTPATIENT DIAG, LEGALLY: BANNER DEL E WEBB MEDICAL CENTER - OUTPATIENT DIAGNOSTICS, ADDRESS: 14420 WEST MEEKER BOULEVARD, SUITE A101, CITY: SUN CITY, STATE: AZ, ZIP: 85375, PHONE: (623) 876-5652, FAX: (623) 876-5499, CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-OUTPATIENT SURGERY CENTER, SUBTYPE: OUTPATIENT SURGERY CENTER, ID: MED3792, LICENSE: OSC4418, NAME: SONORAN DESERT SURGERY CENTER, LEGALLY: SONORAN DESERT SURGERY CENTER, ADDRESS: 895 SOUTH DOBSON ROAD, SUITE #3, CITY: CHANDLER, STATE: AZ, ZIP: 85224, PHONE: (480) 899-0110, FAX: (480) 899-6262, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPITAL, SUBTYPE: SHORT TERM, ID: MED2910, LICENSE: H3690, NAME: BANNER ESTRELLA MEDICAL CENTER, LEGALLY: BANNER ESTRELLA MEDICAL CENTER, ADDRESS: 9201 WEST THOMAS ROAD, CITY: PHOENIX, STATE: AZ, ZIP: 85037, PHONE: (623) 327-4000, FAX: (623) 327-5110, CAPACITY: 214, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3796, LICENSE: OTC4408, NAME: SHEA OUTPATIENT WOUND CARE CENTER, LEGALLY: SHEA OUTPATIENT WOUND CARE CENTER, ADDRESS: 9700 NORTH 91ST STREET, SUITE B 210, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85258, PHONE: (480) 323-4900, FAX: (480) 323-4905, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3797, LICENSE: OTC4395, NAME: SCOTTSDALE HEALTHCARE SLEEP DISORDERS CENTER, LEGALLY: SCOTTSDALE HEALTHCARE SLEEP DISORDERS CENTER, ADDRESS: 9377 EAST BELL ROAD, SUITE 143, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85260, PHONE: (480) 323-3200, FAX: (480) 323-3251, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3798, LICENSE: OTC4412, NAME: SCOTTSDALE HEALTHCARE PAIN MANAGEMENT CENTER, LEGALLY: SCOTTSDALE HEALTHCARE PAIN MANAGEMENT CENTER, ADDRESS: 10200 NORTH 92ND STREET, SUITE 140, MOB #4, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85258, PHONE: (480) 323-3910, FAX: (480) 323-3913, CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-HOSPITAL, SUBTYPE: SPECIAL HOSPITAL, ID: MED2171, LICENSE: SH3106, NAME: PHOENIX CHILDREN'S HOSPITAL NEWBORN INTENSIVE CARE, LEGALLY: PHX CHILDRENS HOSP NEWBORN INTENSIVE CARE UNIT AT GOOD SAMARITAN, ADDRESS: 1111 EAST MCDOWELL, CITY: PHOENIX, STATE: AZ, ZIP: 85006, PHONE: (602) 546-1959, FAX: (602) 546-1965, CAPACITY: 110, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3799, LICENSE: OTC4504, NAME: DESERT VALLEY URGENT CARE, LEGALLY: DESERT VALLEY URGENT CARE, ADDRESS: 250 WEST CHANDLER HEIGHTS BLVD, CITY: CHANDLER, STATE: AZ, ZIP: 85248, PHONE: (480) 659-2759, FAX: (480) 802-1280, CAPACITY: 0, COUNTY: MARICOPA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED3789, LICENSE: NONE, NAME: KHATALI AMBULATORY SURGERY CENTER, LLC, LEGALLY: KHATALI AMBULATORY SURGERY CENTER, LLC, ADDRESS: 10450 EAST RIGGS ROAD, SUITE 102, CITY: SUN LAKES, STATE: AZ, ZIP: 85248, PHONE: (480) 626-5634, FAX: (480) 445-9322, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPITAL, SUBTYPE: SHORT TERM, ID: MED3795, LICENSE: H4476, NAME: ARIZONA REGIONAL MEDICAL CENTER, LEGALLY: ARIZONA REGIONAL MEDICAL CENTER, ADDRESS: 515 NORTH MESA DRIVE, CITY: MESA, STATE: AZ, ZIP: 85201, PHONE: (480) 898-3333, FAX: (480) 464-6063, CAPACITY: 103, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3800, LICENSE: OTC4440, NAME: COBRE VALLEY SURGICAL SERVICES, LEGALLY: COBRE VALLEY SURGICAL SERVICES, ADDRESS: 5860 SOUTH HOSPITAL DRIVE, SUITE 102, CITY: GLOBE, STATE: AZ, ZIP: 85501, PHONE: (928) 425-3247, FAX: (928) 425-3859, CAPACITY: 0, COUNTY: GILA TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED3802, LICENSE: OTC4482, NAME: CENTRAL MESA DIALYSIS CENTER, LEGALLY: CENTRAL MESA DIALYSIS CENTER, ADDRESS: 1134 EAST UNIVERSITY DRIVE, SUITE 101-109, CITY: MESA, STATE: AZ, ZIP: 85203, PHONE: (480) 464-3851, FAX: (480) 668-1460, CAPACITY: 0, COUNTY: MARICOPA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED3803, LICENSE: OSC4378, NAME: BANNER BAYWOOD SURGERY CENTER, LP, LEGALLY: BANNER BAYWOOD SURGERY CENTER, LP, ADDRESS: 6424 EAST BROADWAY ROAD, SUITE #102, CITY: MESA, STATE: AZ, ZIP: 85206, PHONE: (480) 874-5052, FAX: , CAPACITY: 0, COUNTY: MARICOPA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED3804, LICENSE: OSC4426, NAME: ST MICHAEL'S CENTER FOR SPECIAL SURGERY-SCOTTSDALE, LEGALLY: ST MICHAEL'S CENTER FOR SPECIAL SURGERY-SCOTTSDALE, ADDRESS: 9377 EAST BELL ROAD, SUITE 201, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85260, PHONE: (480) 502-4263, FAX: (480) 563-1002, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3806, LICENSE: OTC4447, NAME: FASTRAX URGENT CARE CENTER-BEALE STREET, LEGALLY: FASTRAX URGENT CARE CENTER-BEALE STREET, ADDRESS: 1301 WEST BEALE STREET, CITY: KINGMAN, STATE: AZ, ZIP: 86401, PHONE: (928) 753-3303, FAX: (928) 753-3603, CAPACITY: 0, COUNTY: MOHAVE TYPE: HOSPITAL, SUBTYPE: SHORT TERM, ID: MED2944, LICENSE: H3683, NAME: ORO VALLEY HOSPITAL, LEGALLY: ORO VALLEY HOSPITAL, ADDRESS: 1551 EAST TANGERINE ROAD, CITY: ORO VALLEY, STATE: AZ, ZIP: 85755, PHONE: (520) 901-3500, FAX: (520) 901-3525, CAPACITY: 144, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3805, LICENSE: OTC4627, NAME: MY DR NOW, LEGALLY: GOOD HEALTH URGENT CARE, ADDRESS: 287 EAST HUNT HIGHWAY, SUITE 105, CITY: QUEEN CREEK, STATE: AZ, ZIP: 85243, PHONE: (480) 677-8282, FAX: (480) 677-8283, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3808, LICENSE: OTC4421, NAME: CLINICA CENTRAL, LEGALLY: CLINICA CENTRAL, ADDRESS: 1402 SOUTH CENTRAL AVENUE, SUITE 22, CITY: PHOENIX, STATE: AZ, ZIP: 85004, PHONE: (602) 258-5900, FAX: (602) 254-2474, CAPACITY: 0, COUNTY: MARICOPA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED3809, LICENSE: OSC4486, NAME: PAIN MD'S AMBULATORY SURGICAL CENTER, LLC, LEGALLY: PAIN MD'S AMBULATORY SURGICAL CENTER, LLC, ADDRESS: 16222 NORTH 59TH AVENUE, SUITE A-115, CITY: GLENDALE, STATE: AZ, ZIP: 85306, PHONE: (623) 334-4000, FAX: (623) 334-4400, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPITAL, SUBTYPE: SHORT TERM, ID: MED2125, LICENSE: H3003, NAME: ST JOSEPH'S HOSPITAL AND MEDICAL CENTER, LEGALLY: ST. JOSEPHS HOSPITAL AND MEDICAL CENTER, ADDRESS: 350 WEST THOMAS ROAD, CITY: PHOENIX, STATE: AZ, ZIP: 85013, PHONE: (602) 406-3000, FAX: (602) 406-7143, CAPACITY: 738, COUNTY: MARICOPA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED3815, LICENSE: , NAME: BANNER DEL E WEBB MEDICAL CENTER - OUTPATIENT IV T, LEGALLY: BANNER DEL E WEBB MEDICAL CENTER - OUTPATIENT IV THERAPY, ADDRESS: 14420 WEST MEEKER BLVD, SUITE 200, BLDG A, CITY: SUN CITY WEST, STATE: AZ, ZIP: 85375, PHONE: (623) 214-4239, FAX: (623) 972-9590, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: AZ HHA ONLY, ID: MED3817, LICENSE: HHA4508, NAME: GUARDIAN ANGEL HOME CARE, INC, LEGALLY: GUARDIAN ANGEL HOME CARE, INC, ADDRESS: 13203 NORTH 103 AVENUE, SUITE G6, CITY: SUN CITY, STATE: AZ, ZIP: 85351, PHONE: (623) 933-0251, FAX: (623) 933-1013, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED3828, LICENSE: HSPC4558, NAME: HOSPICE OF THE VALLEY'S NORTH SUN CITY PCU 031515, LEGALLY: HOSPICE OF THE VALLEY'S NORTH SUN CITY PCU, ADDRESS: 17225 NORTH BOSWELL BOULEVARD, CITY: SUN CITY, STATE: AZ, ZIP: 85373, PHONE: (602) 530-6900, FAX: (602) 530-6901, CAPACITY: 10, COUNTY: MARICOPA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: AZ HHA ONLY, ID: MED3820, LICENSE: HHA4414, NAME: RELIABLE NURSES, LLC, LEGALLY: RELIABLE NURSES, LLC, ADDRESS: 301 WEST AJO WAY, CITY: TUCSON, STATE: AZ, ZIP: 85713, PHONE: (520) 429-0882, FAX: (520) 889-1545, CAPACITY: 0, COUNTY: PIMA TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED3825, LICENSE: OTC4625, NAME: FRESENIUS MEDICAL CARE SOUTH TUCSON, LEGALLY: FRESENIUS MEDICAL CARE SOUTH TUCSON, ADDRESS: 2802 SOUTH 6TH AVENUE, CITY: TUCSON, STATE: AZ, ZIP: 85713, PHONE: (520) 792-2999, FAX: (520) 792-3999, CAPACITY: 0, COUNTY: PIMA TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED3826, LICENSE: OTC4581, NAME: FRESENIUS MEDICAL CARE-MIDVALE PARK, LEGALLY: BIO-MEDICAL APPLICATIONS OF ARIZONA LLC, ADDRESS: 1430 WEST VALENCIA ROAD, SUITE 1, CITY: TUCSON, STATE: AZ, ZIP: 85746, PHONE: (520) 889-4555, FAX: (520) 807-3333, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3814, LICENSE: OTC4422, NAME: CENTER FOR PAIN RELIEF, THE, LEGALLY: CENTER FOR PAIN RELIEF, THE, ADDRESS: 3102 EAST INDIAN SCHOOL ROAD, SUITE 140, CITY: PHOENIX, STATE: AZ, ZIP: 85016, PHONE: (623) 486-1510, FAX: (623) 486-1529, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3813, LICENSE: , NAME: ARIZONA MOLECULAR IMAGING CENTER, LEGALLY: ARIZONA MOLECULAR IMAGING CENTER, ADDRESS: 4540 EAST COTTON GIN LOOP, SUITE 150, CITY: PHOENIX, STATE: AZ, ZIP: 85040, PHONE: (602) 331-1771, FAX: (602) 331-1773, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPITAL, SUBTYPE: SHORT TERM, ID: MED0223, LICENSE: H3673, NAME: MARICOPA MEDICAL CENTER, LEGALLY: MARICOPA MEDICAL CENTER, ADDRESS: 2601 EAST ROOSEVELT STREET, CITY: PHOENIX, STATE: AZ, ZIP: 85008, PHONE: (602) 344-5011, FAX: (602) 344-5190, CAPACITY: 717, COUNTY: MARICOPA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED3830, LICENSE: , NAME: TMC PAIN MANAGEMENT, LEGALLY: TMC PAIN MANAGEMENT, ADDRESS: 1400 NORTH WILMOT ROAD, CITY: TUCSON, STATE: AZ, ZIP: 85712, PHONE: (520) 324-2080, FAX: (520) 324-1458, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3831, LICENSE: OTC4423, NAME: UNIVERSITY IMAGING-PHOENIX, LEGALLY: UNIVERSITY IMAGING-PHOENIX, ADDRESS: 6120 NORTH 16TH STREET, SUITE 20, CITY: PHOENIX, STATE: AZ, ZIP: 85016, PHONE: (602) 266-1195, FAX: (602) 266-5122, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPITAL, SUBTYPE: SHORT TERM, ID: MED3833, LICENSE: H0047, NAME: TEMPE ST LUKE'S HOSPITAL, A CAMPUS OF ST LUKE'S ME, LEGALLY: TEMPE ST LUKE'S HOSPITAL, A CAMPUS OF ST LUKE'S MEDICAL CENTER, ADDRESS: 1500 SOUTH MILL AVENUE, CITY: TEMPE, STATE: AZ, ZIP: 85281, PHONE: (480) 968-9411, FAX: (480) 784-5539, CAPACITY: 87, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3835, LICENSE: OTC4714, NAME: JOHN C LINCOLN 3RD STREET SPECIALTY CLINIC, LEGALLY: JOHN C. LINCOLN 3RD STREET SPECIALTY CLINIC, ADDRESS: 9225 N 3RD STREET SUITE 103, CITY: PHOENIX, STATE: AZ, ZIP: 85020, PHONE: (602) 331-9195, FAX: (602) 331-9974, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3836, LICENSE: OTC4500, NAME: ADVANCED CARDIAC SPECIALISTS OUTPT TRTMNT CTR #4, LEGALLY: ADVANCED CARDIAC SPECIALISTS OUTPAT IENTTREATMENT CENTER #4, ADDRESS: 4838 EAST BASELINE ROAD, BLDG 2 SUITE 109, CITY: MESA, STATE: AZ, ZIP: 85206, PHONE: (480) 892-2800, FAX: (480) 892-3258, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: MED3864, LICENSE: HHA4492, NAME: PRINCE OF PEACE HOME HEALTH, LLC, LEGALLY: PRINCE OF PEACE HOME HEALTH, LLC, ADDRESS: 10640 NORTH 28TH DRIVE, SUITE C 205-18, CITY: PHOENIX, STATE: AZ, ZIP: 85029, PHONE: (602) 441-3501, FAX: (602) 865-4970, CAPACITY: 0, COUNTY: MARICOPA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED3840, LICENSE: OSC4604, NAME: DOCTORS' OUTPATIENT SURGICAL CENTER LLC, LEGALLY: DOCTORS OUTPATIENT SURGICAL CENTER LLC, ADDRESS: 2155 EAST CONFERENCE DRIVE SUITE 111, CITY: TEMPE, STATE: AZ, ZIP: 85284, PHONE: (480) 776-7716, FAX: (480) 413-1153, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPITAL, SUBTYPE: SHORT TERM, ID: MED0258, LICENSE: H0070, NAME: CASA GRANDE REGIONAL MEDICAL CENTER, LEGALLY: CASA GRANDE REGIONAL MEDICAL CENTER, ADDRESS: 1800 EAST FLORENCE BOULEVARD, CITY: CASA GRANDE, STATE: AZ, ZIP: 85222, PHONE: (520) 381-6453, FAX: (520) 381-6435, CAPACITY: 187, COUNTY: PINAL TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3843, LICENSE: OTC4439, NAME: U C R HEALTH CENTERS-PRESCOTT, LEGALLY: U C R HEALTH CENTERS-PRESCOTT, ADDRESS: 2062 WILLOW CREEK ROAD, CITY: PRESCOTT, STATE: AZ, ZIP: 86301, PHONE: (480) 855-7585, FAX: (480) 855-0912, CAPACITY: 0, COUNTY: YAVAPAI TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3855, LICENSE: OTC4493, NAME: TAKE CARE HEALTH AZ-STORE #4102 (STORE CLINIC), LEGALLY: TAKE CARE HEALTH ARIZONA-STORE #4102, ADDRESS: 6767 EAST BROADWAY BOULEVARD, CITY: TUCSON, STATE: AZ, ZIP: 85710, PHONE: (866) 825-3227, FAX: (484) 351-3800, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3846, LICENSE: OTC4424, NAME: CIGNA SCOTTSDALE NORTE HEALTH CARE CENTER, LEGALLY: CIGNA SCOTTSDALE NORTE HEALTH CARE CENTER, ADDRESS: 10900 NORTH SCOTTSDALE ROAD, SUITE #606, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85254, PHONE: (602) 861-6330, FAX: (602) 861-6331, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3856, LICENSE: OTC4427, NAME: CHW EAST VALLEY CHILDREN'S DENTAL CLINIC, LEGALLY: CHW EAST VALLEY CHILDREN'S DENTAL CLINIC, ADDRESS: 451 WEST FRYE ROAD, SUITE A-4, CITY: CHANDLER, STATE: AZ, ZIP: 85225, PHONE: (480) 728-3000, FAX: (480) 899-5548, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: AZ HHA ONLY, ID: MED3858, LICENSE: HHA4536, NAME: PRESTIGE HOME HEALTH CARE, LEGALLY: PRESTIGE HOME HEALTH CARE, ADDRESS: 3120 NORTH 19TH AVENUE, SUITE 170, CITY: PHOENIX, STATE: AZ, ZIP: 85015, PHONE: (602) 279-8471, FAX: , CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3860, LICENSE: , NAME: ST JOHNS FAMILY CARE, LEGALLY: ST JOHNS FAMILY CARE, ADDRESS: 80 E 1ST NORTH, CITY: ST JOHNS, STATE: AZ, ZIP: 85936, PHONE: (928) 337-4802, FAX: , CAPACITY: 0, COUNTY: APACHE TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3862, LICENSE: OTC4507, NAME: CLEO ROBERTS CENTER, LEGALLY: CLEO ROBERTS CENTER, ADDRESS: 10515 WEST SANTA FE DRIVE, BUILDING B, 1ST FLOOR, CITY: SUN CITY, STATE: AZ, ZIP: 85351, PHONE: (623) 875-6530, FAX: (623) 875-6504, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPITAL, SUBTYPE: SHORT TERM, ID: MED2640, LICENSE: H3446, NAME: WEST VALLEY HOSPITAL, LEGALLY: WEST VALLEY HOSPITAL, ADDRESS: 13677 WEST MCDOWELL ROAD, CITY: GOODYEAR, STATE: AZ, ZIP: 85338, PHONE: (623) 882-1500, FAX: (623) 882-1510, CAPACITY: 164, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3780, LICENSE: OTC4515, NAME: CORAM ALTERNATE SITE SERVICES, LEGALLY: CORAM ALTERNATE SITE SERVICES, ADDRESS: 4310 COTTON CENTER BOULEVARD, SUITE 110, CITY: PHOENIX, STATE: AZ, ZIP: 85040, PHONE: (602) 438-7888, FAX: (602) 438-4559, CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-OUTPATIENT SURGERY CENTER, SUBTYPE: OUTPATIENT SURGERY CENTER, ID: MED3867, LICENSE: OSC4518, NAME: LASER SPINE SURGERY CENTER, LEGALLY: LASER SPINE SURGERY CENTER, ADDRESS: 8888 EAST RAINTREE DRIVE, SUITE165, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85260, PHONE: (888) 771-6370, FAX: (888) 771-6380, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3812, LICENSE: OTC4429, NAME: SAN LUIS WALK-IN CLINIC-B, LEGALLY: SAN LUIS WALK-IN CLINIC-B, ADDRESS: 1896 EAST BABBIT LANE, SUITE B, CITY: SAN LUIS, STATE: AZ, ZIP: 85349, PHONE: (928) 722-6112, FAX: (928) 722-6113, CAPACITY: 0, COUNTY: YUMA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: AZ HHA ONLY, ID: MED3893, LICENSE: HHA4596, NAME: HOME CARE ASSOCIATES, INC, LEGALLY: HOME CARE ASSOCIATES, INC, ADDRESS: 444 WEST CAMELBACK ROAD, # 206, CITY: PHOENIX, STATE: AZ, ZIP: 85013, PHONE: (602) 264-8133, FAX: (602) 264-8954, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED3876, LICENSE: HSPC4488, NAME: VERDE VALLEY COMMUNITY HOSPICE, LLC, LEGALLY: VERDE VALLEY COMMUNITY HOSPICE, LLC, ADDRESS: 717 NORTH MAIN STREET, CITY: COTTONWOOD, STATE: AZ, ZIP: 86326, PHONE: (928) 301-7211, FAX: (928) 634-4242, CAPACITY: 0, COUNTY: YAVAPAI TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: AZ HHA ONLY, ID: MED3891, LICENSE: HHA4561, NAME: FOCUS HOME THERAPY & MEDICAL SERVICES, LLC, LEGALLY: FOCUS HOME THERAPY & MEDICAL SERVICES, LLC, ADDRESS: 10575 NORTH 114TH STREET, SUITE 101, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85259, PHONE: (480) 264-4568, FAX: (480) 264-4566, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPITAL, SUBTYPE: SHORT TERM, ID: MED3150, LICENSE: H3907, NAME: GILBERT HOSPITAL, LEGALLY: GILBERT HOSPITAL, ADDRESS: 5656 SOUTH POWER ROAD, CITY: GILBERT, STATE: AZ, ZIP: 85295, PHONE: (480) 279-5835, FAX: (480) 279-5836, CAPACITY: 19, COUNTY: MARICOPA TYPE: HOSPITAL, SUBTYPE: SHORT TERM, ID: MED3174, LICENSE: H3864, NAME: VALLEY VIEW MEDICAL CENTER, LEGALLY: VALLEY VIEW MEDICAL CENTER, ADDRESS: 5330 SOUTH HIGHWAY 95, CITY: FORT MOHAVE, STATE: AZ, ZIP: 86426, PHONE: (928) 788-2273, FAX: (928) 768-1749, CAPACITY: 66, COUNTY: MOHAVE TYPE: HOSPITAL, SUBTYPE: PSYCHIATRIC, ID: MED3734, LICENSE: SH4435, NAME: WINDHAVEN PSYCHIATRIC HOSPITAL, LEGALLY: WINDHAVEN PSYCHIATRIC HOSPITAL, ADDRESS: 3347 NORTH WINDSONG DRIVE, CITY: PRESCOTT VALLEY, STATE: AZ, ZIP: 86314, PHONE: (928) 445-5211, FAX: (928) 445-9522, CAPACITY: 16, COUNTY: YAVAPAI TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED3857, LICENSE: HSPC4485, NAME: HOSPICE OF THE SOUTHWEST-WEST VALLEY, LEGALLY: HOSPICE OF THE SOUTHWEST-WEST VALLEY, ADDRESS: 3877 NORTH 7TH STREET, SUITE 280, CITY: PHOENIX, STATE: AZ, ZIP: 85014, PHONE: (480) 456-9300, FAX: (623) 889-2282, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3866, LICENSE: OTC4554, NAME: MOUNTAIN VIEW SCHOOL-BASED HEALTH CENTER, LEGALLY: MOUNTAIN VIEW SCHOOL-BASED HEALTH CENTER, ADDRESS: 801 WEST PEORIA, CITY: PHOENIX, STATE: AZ, ZIP: 85029, PHONE: (602) 246-5853, FAX: (602) 246-5852, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3870, LICENSE: OTC4502, NAME: CORAM ALTERNATE SITE SERVICES, INC, LEGALLY: CORAM ALTERNATE SITE SERVICES, INC, ADDRESS: 6375 EAST TANQUE VERDE ROAD, SUITE 50, CITY: TUCSON, STATE: AZ, ZIP: 85715, PHONE: (520) 290-2112, FAX: (520) 290-2123, CAPACITY: 0, COUNTY: PIMA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED3872, LICENSE: , NAME: SIERRA VISTA REGIONAL HEALTH CENTER, INC OUTPATIEN, LEGALLY: SIERRA VISTA REGIONAL HEALTH CENTER, INC OUTPATIENT IMAGING, ADDRESS: 151 COLONIA DE SALUD, CITY: SIERRA VISTA, STATE: AZ, ZIP: 85635, PHONE: (520) 417-3000, FAX: (520) 417-3297, CAPACITY: 0, COUNTY: COCHISE TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED3873, LICENSE: OTC4609, NAME: TUCSON CENTRAL DIALYSIS, LEGALLY: TUCSON CENTRAL DIALYSIS, ADDRESS: 2901 EAST GRANT ROAD, CITY: TUCSON, STATE: AZ, ZIP: 85716, PHONE: (520) 325-3408, FAX: (520) 325-3469, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3874, LICENSE: OTC4506, NAME: BANNER GOOD SAMARITAN LIVER DISEASE CENTER, LEGALLY: BANNER GOOD SAMARITAN LIVER DISEASE CENTER, ADDRESS: 77 WEST FOREST AVENUE, SUITE 210, CITY: FLAGSTAFF, STATE: AZ, ZIP: 86001, PHONE: (602) 239-2606, FAX: , CAPACITY: 0, COUNTY: COCONINO TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED3881, LICENSE: , NAME: HEART AND VASCULAR CENTER OF NORTHERN ARIZONA- COT, LEGALLY: HEART AND VASCULAR CENTER OF NORTHERN ARIZONA- COTTONWOOD, ADDRESS: 294 WEST S R 89A, SUITE 107, CITY: COTTONWOOD, STATE: AZ, ZIP: 86326, PHONE: (928) 639-6057, FAX: (928) 634-3130, CAPACITY: 0, COUNTY: YAVAPAI TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3879, LICENSE: OTC4487, NAME: GOLD CANYON URGENT CARE, LEGALLY: GOLD CANYON URGENT CARE, ADDRESS: 6820 SOUTH KINGS RANCH ROAD, CITY: GOLD CANYON, STATE: AZ, ZIP: 85218, PHONE: (480) 982-3691, FAX: (480) 982-3692, CAPACITY: 0, COUNTY: APACHE TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED3883, LICENSE: , NAME: NORTHWEST MEDICAL CENTER- LA PALOMA URGENT CARE, LEGALLY: NORTHWEST MEDICAL CENTER- LA PALOMA URGENT CARE, ADDRESS: 4001 EAST SUNRISE DRIVE, SUITE 121, CITY: TUCSON, STATE: AZ, ZIP: 85718, PHONE: (520) 209-7000, FAX: (520) 209-7070, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3751, LICENSE: OTC4453, NAME: TAKE CARE HEALTH AZ-STORE #4507 (STORE CLINIC), LEGALLY: TAKE CARE HEALTH ARIZONA-STORE #4507, ADDRESS: 15025 NORTH THOMPSON PEAK PKWY, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85260, PHONE: (484) 351-3291, FAX: (484) 351-3800, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3869, LICENSE: OTC4452, NAME: URGENT CARE EXPRESS-FLORENCE, LEGALLY: URGENT CARE EXPRESS-FLORENCE, ADDRESS: 495 PINAL PARKWAY SUTIE 106, CITY: FLORENCE, STATE: AZ, ZIP: 85232, PHONE: (480) 855-9400, FAX: (480) 782-1598, CAPACITY: 0, COUNTY: PINAL TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: MED3886, LICENSE: HHA4556, NAME: AMEDISYS HOME HEALTH OF FLAGSTAFF, LEGALLY: AMEDISYS HOME HEALTH OF FLAGSTAFF, ADDRESS: 930 NORTH SWITZER CANYON DRIVE, SUITE 102, CITY: FLAGSTAFF, STATE: AZ, ZIP: 86001, PHONE: (928) 556-0083, FAX: (928) 556-0098, CAPACITY: 11, COUNTY: COCONINO TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3861, LICENSE: OTC4455, NAME: BANNER ARIZONA MEDICAL CLINIC-SUNRISE TERRACE, LEGALLY: BANNER ARIZONA MEDICAL CLINIC-SUNRISE TERRACE, ADDRESS: 8510 WEST DEER VALLEY ROAD, SUITE 100, CITY: PEORIA, STATE: AZ, ZIP: 85382, PHONE: (623) 561-4532, FAX: , CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3848, LICENSE: OTC4454, NAME: BANNER ARIZONA MEDICAL CLINIC-ROYAL OAKS, LEGALLY: BANNER ARIZONA MEDICAL CLINIC-ROYAL OAKS, ADDRESS: 9965 ROYAL OAK ROAD, SUITE 2236, CITY: SUN CITY, STATE: AZ, ZIP: 85351, PHONE: (623) 815-4211, FAX: (623) 815-4212, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3525, LICENSE: OTC4468, NAME: TUCSON OPEN SCAN, LEGALLY: TUCSON OPEN SCAN, ADDRESS: 10425 NORTH ORACLE ROAD, SUITE 155, CITY: TUCSON, STATE: AZ, ZIP: 85737, PHONE: (520) 498-4899, FAX: (520) 575-7122, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3767, LICENSE: OTC4466, NAME: TAKE CARE HEALTH AZ-STORE #6421 (STORE CLINIC), LEGALLY: TAKE CARE HEALTH ARIZONA-STORE #6421, ADDRESS: 1055 EAST RIGGS ROAD, CITY: CHANDLER, STATE: AZ, ZIP: 85249, PHONE: (484) 351-3291, FAX: (484) 351-3800, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3829, LICENSE: OTC4461, NAME: GRANVILLE ELEMENTARY SCHOOL, LEGALLY: GRANVILLE ELEMENTARY SCHOOL, ADDRESS: 5250 STOVER DRIVE ROOM 106, 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: MED3832, LICENSE: OTC4460, NAME: EZ SLEEP LAB-PRESCOTT VALLEY, LEGALLY: EZ SLEEP LAB-PRESCOTT VALLEY, ADDRESS: 7900 EAST FLORENTINE ROAD, CITY: PRESCOTT VALLEY, STATE: AZ, ZIP: 86314, PHONE: (623) 934-5600, FAX: (623) 934-5603, CAPACITY: 0, COUNTY: YAVAPAI TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: MED3892, LICENSE: HHA4555, NAME: STAT HOME HEALTH CARE, INC, LEGALLY: STAT HOME HEALTH CARE, INC, ADDRESS: 2316 NORTH STOCKTON HILL ROAD, SUITE B, CITY: KINGMAN, STATE: AZ, ZIP: 86401, PHONE: (928) 753-9015, FAX: (928) 753-8946, CAPACITY: 0, COUNTY: MOHAVE TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3749, LICENSE: OTC4464, NAME: TAKE CARE HEALTH AZ-STORE #3912 (STORE CLINIC), LEGALLY: TAKE CARE HEALTH AZ-STORE #3912, ADDRESS: 29660 NORTH TATUM BOULEVARD, CITY: CAVE CREEK, STATE: AZ, ZIP: 85331, PHONE: (484) 351-3291, FAX: (484) 351-3800, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3758, LICENSE: OTC4463, NAME: TAKE CARE HEALTH AZ-STORE #4620 (STORE CLINIC), LEGALLY: TAKE CARE HEALTH ARIZONA-STORE #4620, ADDRESS: 15490 WEST BELL ROAD, CITY: SURPRISE, STATE: AZ, ZIP: 85374, PHONE: (484) 351-3291, FAX: (484) 351-3800, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: MEDICARE, ID: MED3801, LICENSE: HHA4470, NAME: VOLUNTEERS OF AMERICA HOME HEALTH AT WESTCHESTER, LEGALLY: VOLUNTEERS OF AMERICA HOME HEALTH AT WESTCHESTER, ADDRESS: 6150 SOUTH RURAL ROAD, CITY: TEMPE, STATE: AZ, ZIP: 85283, PHONE: (480) 305-7279, FAX: (480) 491-0241, CAPACITY: 0, COUNTY: MARICOPA TYPE: FEDERALLY QUALIFIED HEALTH CENTER, SUBTYPE: FEDERALLY QUALIFIED HEALTH CENTER, ID: MED3818, LICENSE: OTC4473, NAME: WILMOT FAMILY HEALTH CENTER, LEGALLY: MARANA HEALTH CENTER, INC, ADDRESS: 6524 EAST CARONDELET DRIVE, CITY: TUCSON, STATE: AZ, ZIP: 85710, PHONE: (520) 290-1100, FAX: (520) 290-8997, CAPACITY: 0, COUNTY: PIMA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED3895, LICENSE: , NAME: HEART & VASCULAR CENTER OF NORTHERN AZ- FLAGSTAFF, LEGALLY: HEART & VASCULAR CENTER OF NORTHERN ARIZONA- FLAGSTAFF, ADDRESS: 1215 NORTH BEAVER STREET, SUITE 202, CITY: FLAGSTAFF, STATE: AZ, ZIP: 86001, PHONE: (928) 773-2009, FAX: (928) 773-2315, CAPACITY: 0, COUNTY: COCONINO TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3885, LICENSE: OTC4472, NAME: INSIGHT IMAGING-AHWATUKEE, LEGALLY: INSIGHT IMAGING-AHWATUKEE, ADDRESS: 15215 SOUTH 48TH STREET, BUILDING 1, SUITE 110, CITY: PHOENIX, STATE: AZ, ZIP: 85044, PHONE: (480) 940-9729, FAX: (480) 940-9730, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED2804, LICENSE: HSPC3576, NAME: HOSPICE OF ARIZONA-THE BUTTERFLY UNIT (031525), LEGALLY: HOSPICE OF ARIZONA-THE BUTTERFLY UNIT, ADDRESS: 7100 EAST MESCAL STREET, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85254, PHONE: (602) 678-1313, FAX: (602) 242-2178, CAPACITY: 19, COUNTY: MARICOPA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED3793, LICENSE: OSC4475, NAME: PARAMOUNT SURGERY CENTER OF MESA, LEGALLY: PARAMOUNT SURGERY CENTER OF MESA, ADDRESS: 1114 SOUTH HIGLEY ROAD, SUITE 100, CITY: MESA, STATE: AZ, ZIP: 85206, PHONE: (480) 854-7600, FAX: (480) 807-3633, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3702, LICENSE: OTC4474, NAME: INNOVATIVE SENIOR CARE AT STERLING HOUSE ON EAST S, LEGALLY: INNOVATIVE SENIOR CARE AT STERLING HOUSE ON EAST SPEEDWAY, ADDRESS: 8468 EAST SPEEDWAY BOULEVARD, CITY: TUCSON, STATE: AZ, ZIP: 85710, PHONE: (520) 722-8841, FAX: (520) 722-0689, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3753, LICENSE: OTC4478, NAME: TAKE CARE HEALTH AZ-STORE #4046 (STORE CLINIC), LEGALLY: TAKE CARE HEALTH ARIZONA-STORE #4046, ADDRESS: 3960 EAST CHANDLER BOULEVARD, CITY: PHOENIX, STATE: AZ, ZIP: 85044, PHONE: (484) 351-3291, FAX: (484) 351-3800, CAPACITY: 0, COUNTY: MARICOPA TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED3897, LICENSE: OTC4621, NAME: FRESENIUS MEDICAL CARE KINGMAN, LEGALLY: FRESENIUS MEDICAL CARE KINGMAN, ADDRESS: 1739 EAST BEVERLY AVENUE, SUITE #208, CITY: KINGMAN, STATE: AZ, ZIP: 86409, PHONE: (928) 681-4300, FAX: (928) 681-4305, CAPACITY: 0, COUNTY: MOHAVE TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3894, LICENSE: OTC4667, NAME: NORTH COUNTRY HEALTHCARE, LEGALLY: NORTH COUNTRY HEALTHCARE, ADDRESS: 2187 NORTH VICKEY STREET, SUITE 2, CITY: FLAGSTAFF, STATE: AZ, ZIP: 86004, PHONE: (928) 213-6164, FAX: (928) 774-4822, CAPACITY: 0, COUNTY: COCONINO TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED3896, LICENSE: , NAME: CHW EAST VALLEY WOMEN'S IMAGING CENTER, LEGALLY: CHW EAST VALLEY WOMEN'S IMAGING CENTER, ADDRESS: 1727 WEST FRYE ROAD, SUITE 110, CITY: CHANDLER, STATE: AZ, ZIP: 85224, PHONE: (602) 456-7800, FAX: (602) 456-7890, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED3907, LICENSE: HSPC4559, NAME: HALLMARK HOSPICE, LLC, LEGALLY: HALLMARK HOSPICE, LLC, ADDRESS: 614 NORTH ROBSON, CITY: MESA, STATE: AZ, ZIP: 85201, PHONE: (480) 703-0329, FAX: (602) 795-0901, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3763, LICENSE: OTC4491, NAME: TAKE CARE HEALTH AZ-STORE #5266 (STORE CLINIC), LEGALLY: TAKE CARE HEALTH ARIZONA-STORE #5266, ADDRESS: 21632 NORTH 35TH AVENUE, CITY: GLENDALE, STATE: AZ, ZIP: 85308, PHONE: (484) 351-3291, FAX: (484) 351-3800, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3875, LICENSE: OTC4490, NAME: NEXTCARE URGENT CARE-OLD SPANISH TRAIL, LEGALLY: NEXTCARE URGENT CARE-OLD SPANISH TRAIL, ADDRESS: 9525 EAST OLD SPANISH TRAIL, SUITE #101-1M, CITY: TUCSON, STATE: AZ, ZIP: 85748, PHONE: (520) 721-9796, FAX: (520) 721-9798, CAPACITY: 0, COUNTY: PIMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3906, LICENSE: OTC4575, NAME: CREATIVE THERAPY WITH KID TALK & PLAY, LEGALLY: CREATIVE THERAPY WITH KID TALK & PLAY, ADDRESS: 14435 NORTH 7TH STREET, SUITE 300, CITY: PHOENIX, STATE: AZ, ZIP: 85022, PHONE: (602) 547-6996, FAX: (602) 547-6952, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3910, LICENSE: OTC4519, NAME: YUMA SLEEP ASSOCIATES LLC, LEGALLY: YUMA SLEEP ASSOCIATES, LLC, ADDRESS: 2299 SOUTH ELKS LANE, CITY: YUMA, STATE: AZ, ZIP: 85364, PHONE: (928) 783-0381, FAX: , CAPACITY: 0, COUNTY: YUMA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3912, LICENSE: OTC4530, NAME: BANNER URGENT CARE-SURPRISE, LEGALLY: BANNER URGENT CARE-SURPRISE, ADDRESS: 15468 NORTH CIVIC CENTER DRIVE, CITY: SUN CITY, STATE: AZ, ZIP: 85374, PHONE: (623) 584-2917, FAX: (623) 584-2945, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3913, LICENSE: OTC4550, NAME: NOW CARE URGENT CARE, LEGALLY: NOW CARE URGENT CARE, ADDRESS: 15530 WEST ROOSEVELT, SUITE D101, CITY: GOODYEAR, STATE: AZ, ZIP: 85338, PHONE: (623) 925-2111, FAX: (623) 925-2193, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3916, LICENSE: OTC4534, NAME: TAKE CARE HEALTH AZ-STORE #12036 (STORE CLINIC), LEGALLY: TAKE CARE HEALTH ARIZONA-STORE #12036, ADDRESS: 301 WEST JEFFERSON STREET, CITY: PHOENIX, STATE: AZ, ZIP: 85003, PHONE: (484) 351-3291, FAX: (484) 351-3800, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3917, LICENSE: OTC4577, NAME: CIGNA CMG CARE TODAY-SURPRISE, LEGALLY: CIGNA CMG CARE TODAY-SURPRISE, ADDRESS: 13794 WEST WADDELL ROAD, SUITE 207, CITY: SURPRISE, STATE: AZ, ZIP: 85379, PHONE: (602) 371-2461, FAX: (602) 371-2625, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3920, LICENSE: OTC4590, NAME: FORUM AT TUCSON, THE, LEGALLY: FORUM AT TUCSON, THE, ADDRESS: 2500 N ROSEMONT BOULEVARD, CITY: TUCSON, STATE: AZ, ZIP: 85712, PHONE: (520) 325-4800, FAX: (520) 319-4076, CAPACITY: 0, COUNTY: PIMA TYPE: AMBULATORY SURGICAL CENTER, SUBTYPE: MEDICARE, ID: MED3924, LICENSE: OSC4560, NAME: LASER SURGERY CENTER AT DREAMY DRAW, LEGALLY: LASER SURGERY HOLDING COMPANY, LTD, ADDRESS: 10255 NORTH 32ND STREET, CITY: PHOENIX, STATE: AZ, ZIP: 85028, PHONE: (602) 258-7003, FAX: (602) 254-3474, CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED3925, LICENSE: , NAME: FAMILY HEALTH PROVIDERS, LEGALLY: FAMILY HEALTH PROVIDERS, ADDRESS: 199 SOUTH CANDY LANE, SUITE 1A, CITY: COTTONWOOD, STATE: AZ, ZIP: 86326, PHONE: (928) 634-5551, FAX: (928) 634-5604, CAPACITY: 0, COUNTY: YAVAPAI TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED3926, LICENSE: , NAME: ST JOSEPH'S HOSPITAL ARIZONA CHILD STUDY CENTER, LEGALLY: ST JOSEPH'S HOSPITAL ARIZONA CHILD STUDY CENTER, ADDRESS: 3600 NORTH 3RD AVENUE, CITY: PHOENIX, STATE: AZ, ZIP: 85013, PHONE: (602) 406-4543, FAX: (602) 406-6135, CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED3928, LICENSE: , NAME: ST JOSEPH'S OUTPATIENT CARDIOPULMONARY REHABILITAT, LEGALLY: ST JOSEPH'S OUTPATIENT CARDIOPULMONARY REHABILITATION, ADDRESS: 2927 NORTH 7TH AVENUE, CITY: PHOENIX, STATE: AZ, ZIP: 85013, PHONE: (602) 406-3506, FAX: (602) 406-4132, CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED3929, LICENSE: , NAME: ST JOSEPHS HOSPITAL OUTPATIENT REFERENCE LAB, LEGALLY: ST JOSEPH'S HOSPITAL OUTPATIENT REFERENCE LAB, ADDRESS: 500 WEST THOMAS ROAD, SUITE 370, CITY: PHOENIX, STATE: AZ, ZIP: 85013, PHONE: (602) 406-3410, FAX: (602) 406-7178, CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED3932, LICENSE: , NAME: ST JOSEPH'S HOSPITAL FACULTY SURGEON'S CLINIC, LEGALLY: ST JOSEPH'S HOSPITAL FACULTY SURGEON'S CLINIC, ADDRESS: 500 WEST THOMAS ROAD, SUITE 750, CITY: PHOENIX, STATE: AZ, ZIP: 85013, PHONE: (602) 406-3874, FAX: (602) 406-6113, CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED3933, LICENSE: , NAME: ST JOSEPH'S HOSPITAL NEUROPSYCHOLOGY CLINIC, LEGALLY: ST JOSEPH'S HOSPITAL NEUROPSYCHOLOGY CLINIC, ADDRESS: 222 WEST THOMAS ROAD, SUITE 315, CITY: PHOENIX, STATE: AZ, ZIP: 85013, PHONE: (602) 406-3671, FAX: (602) 406-6115, CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED3934, LICENSE: , NAME: ST JOSEPH'S HOSPITAL BREAST ASSESSMENT CENTER, LEGALLY: ST JOSEPH'S HOSPITAL BREAST ASSESSMENT CENTER, ADDRESS: 500 WEST THOMAS ROAD, SUITE 230, CITY: PHOENIX, STATE: AZ, ZIP: 85013, PHONE: (602) 406-6700, FAX: (602) 406-6138, CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED3937, LICENSE: , NAME: CHILDRENS REHABILITATION SERVICES, LEGALLY: CHILDREN'S REHABILITATION SERVICES, ADDRESS: 124 WEST THOMAS ROAD, CITY: PHOENIX, STATE: AZ, ZIP: 85013, PHONE: (602) 406-6400, FAX: (602) 406-7166, CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED3939, LICENSE: , NAME: ST JOSEPH'S HOSPITAL CANCER CENTER, LEGALLY: ST JOSEPH'S HOSPITAL CANCER CENTER, ADDRESS: 500 WEST THOMAS ROAD, SUITE 650, CITY: PHOENIX, STATE: AZ, ZIP: 85013, PHONE: (602) 406-3061, FAX: (602) 406-3986, CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED3942, LICENSE: , NAME: ST JOSEPH'S HOSPITAL MATERNITY OUTREACH MOBILE, LEGALLY: ST JOSEPH'S HOSPITAL MATERNITY OUTREACH MOBILE, ADDRESS: 500 WEST THOMAS ROAD, SUITE 800, CITY: PHOENIX, STATE: AZ, ZIP: 85013, PHONE: (602) 406-4006, FAX: (602) 406-4011, CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED3943, LICENSE: , NAME: ST JOSEPH'S HOSPITAL MERCY CARE AND INTERNAL MEDIC, LEGALLY: ST JOSEPH'S HOSPITAL MERCY CARE AND INTERNAL MEDICINE CLINICS, ADDRESS: 2927 NORTH 7TH AVENUE, CITY: PHOENIX, STATE: AZ, ZIP: 85013, PHONE: (602) 406-3540, FAX: (602) 406-7186, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPITAL, SUBTYPE: LONG TERM, ID: MED3279, LICENSE: SH4185, NAME: PROMISE HOSPITAL OF PHOENIX, INC, LEGALLY: PROMISE HOSPITAL OF PHOENIX, INC, ADDRESS: 1201 SOUTH 7TH AVENUE, 4TH FLOOR, CITY: PHOENIX, STATE: AZ, ZIP: 85007, PHONE: (602) 716-5000, FAX: (602) 716-5040, CAPACITY: 89, COUNTY: MARICOPA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: AZ HHA ONLY, ID: MED3842, LICENSE: HHA4513, NAME: ARROWHEAD HOME HEALTH, INC, LEGALLY: ARROWHEAD HOME HEALTH, INC, ADDRESS: 17035 NORTH 67TH AVENUE, SUITE 4, CITY: GLENDALE, STATE: AZ, ZIP: 85308, PHONE: (623) 236-3949, FAX: (623) 236-8912, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3922, LICENSE: OTC4630, NAME: 21ST CENTURY ONCOLOGY OF ARIZONA-GILBERT, LEGALLY: ARIZONA RADIATION THERAPY MANAGEMENT SERVICES INC. DBA 21ST CENTURY ONCOLOGY,, ADDRESS: 2680 SOUTH VAL VISTA DRIVE, BUILDING 9, CITY: GILBERT, STATE: AZ, ZIP: 85296, PHONE: (702) 296-9042, FAX: , CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3923, LICENSE: OTC4650, NAME: STATCLINIX-FOUNTAIN HILLS, LEGALLY: STATCLINIX URGENT CARE-FOUNTAIN HILLS, ADDRESS: 17225 EAST SHEA BOULEVARD, SUITE 104, 105, CITY: FOUNTAIN HILLS, STATE: AZ, ZIP: 85268, PHONE: (480) 374-7303, FAX: (602) 926-2628, CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED3927, LICENSE: , NAME: ST JOSEPH'S HOSPITAL OUTPATIENT RADIOLOGY CENTER, LEGALLY: ST JOSEPH'S HOSPITAL OUTPATIENT RADIOLOGY CENTER, ADDRESS: 500 WEST THOMAS ROAD, SUITE 100, CITY: PHOENIX, STATE: AZ, ZIP: 85013, PHONE: (602) 406-6700, FAX: (602) 406-5188, CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED3931, LICENSE: , NAME: ST JOSEPH'S MOVEMENT DISORDERS CLINIC, LEGALLY: ST. JOSEPH'S MOVEMENT DISORDERS CLINIC, ADDRESS: 500 WEST THOMAS ROAD, SUITE 720, CITY: PHOENIX, STATE: AZ, ZIP: 85013, PHONE: (602) 406-6262, FAX: (602) 406-6131, CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED3938, LICENSE: , NAME: CENTER FOR TRANSITIONAL NEUROREHAB, LEGALLY: CENTER FOR TRANSITIONAL NEUROREHAB, ADDRESS: 222 WEST THOMAS ROAD, SUITE 401, CITY: PHOENIX, STATE: AZ, ZIP: 85013, PHONE: (602) 406-3473, FAX: (602) 406-4406, CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED3940, LICENSE: , NAME: WOMEN'S CARE CENTER, LEGALLY: WOMEN'S CARE CENTER, ADDRESS: 500 WEST THOMAS ROAD, SUITE 800, CITY: PHOENIX, STATE: AZ, ZIP: 85013, PHONE: (602) 406-3715, FAX: (602) 406-4011, CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED3941, LICENSE: , NAME: CHC NEPHROLOGY AND PULMONOLOGY, LEGALLY: CHC NEPHROLOGY AND PULMONOLOGY, ADDRESS: 222 WEST THOMAS ROAD, SUITE 410, CITY: PHOENIX, STATE: AZ, ZIP: 85013, PHONE: (602) 406-4645, FAX: (602) 406-4647, CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED3946, LICENSE: , NAME: ST JOSEPH'S HOSPITAL OUTPATIENT REHABILITATION, LEGALLY: ST JOSEPH'S HOSPITAL OUTPATIENT REHABILITATION, ADDRESS: 114 WEST THOMAS ROAD, CITY: PHOENIX, STATE: AZ, ZIP: 85013, PHONE: (602) 406-3230, FAX: (602) 406-4105, CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED3947, LICENSE: , NAME: ST JOSEPH'S HOSPITAL ORTHOPEDIC CLINIC, LEGALLY: ST JOSEPH'S HOSPITAL ORTHOPEDIC CLINIC, ADDRESS: 500 WEST THOMAS ROAD, SUITE 850, CITY: PHOENIX, STATE: AZ, ZIP: 85013, PHONE: (602) 406-2663, FAX: (602) 406-6368, CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED3948, LICENSE: , NAME: ST JOSEPH'S HOSPITAL PEDIATRIC GI CLINIC, LEGALLY: ST JOSEPH'S HOSPITAL PEDIATRIC GI CLINIC, ADDRESS: 222 WEST THOMAS ROAD, SUITE 311, CITY: PHOENIX, STATE: AZ, ZIP: 85013, PHONE: (602) 406-2344, FAX: (602) 406-2315, CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED3949, LICENSE: , NAME: ST JOSEPH'S HOSPITAL DEPARTMENT OF REPRODUCTIVE, LEGALLY: ST JOSEPH'S HOSPITAL DEPARTMENT OF REPRODUCTIVE MEDICINE, ADDRESS: 500 WEST THOMAS ROAD, SUITE 700, CITY: PHOENIX, STATE: AZ, ZIP: 85013, PHONE: (602) 406-3510, FAX: (602) 406-4011, CAPACITY: 0, COUNTY: MARICOPA TYPE: END STAGE RENAL DISEASE FACILITIES, SUBTYPE: MEDICARE, ID: MED3950, LICENSE: OTC4614, NAME: BROOKWOOD DIAYLSIS CENTER, LEGALLY: BROOKWOOD DIALYSIS CENTER, ADDRESS: 8910 NORTH 43RD AVENUE, SUITE 107, CITY: GLENDALE, STATE: AZ, ZIP: 85302, PHONE: (623) 937-2735, FAX: (623) 937-2758, CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED3951, LICENSE: , NAME: ST JOSEPH'S MERCY DENTAL CLINIC, LEGALLY: ST JOSEPH'S MERCY DENTAL CLINIC, ADDRESS: 3326 NORTH 3RD AVENUE, SUITE 5, CITY: PHOENIX, STATE: AZ, ZIP: 85013, PHONE: (602) 406-3560, FAX: (602) 406-7182, CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED3952, LICENSE: , NAME: HEART AND LUNG INSTITUTE, LEGALLY: HEART AND LUNG INSTITUTE, ADDRESS: 500 WEST THOMAS ROAD, SUITE 550, CITY: PHOENIX, STATE: AZ, ZIP: 85013, PHONE: (602) 406-4000, FAX: (602) 406-6498, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPITAL, SUBTYPE: LONG TERM, ID: MED3953, LICENSE: SH4388, NAME: TRILLIUM SPECIALTY HOSPITAL-EAST VALLEY, LEGALLY: TRILLIUM SPECIALTY HOSPITAL-EAST VALLEY, ADDRESS: 215 SOUTH POWER ROAD, CITY: MESA, STATE: AZ, ZIP: 85206, PHONE: (480) 985-6992, FAX: (480) 985-6992, CAPACITY: 120, COUNTY: MARICOPA TYPE: HOSPITAL, SUBTYPE: LONG TERM, ID: MED3954, LICENSE: SH4387, NAME: TRILLIUM SPECIALTY HOSPITAL-WEST VALLEY, LEGALLY: TRILLIUM SPECIALTY HOSPITAL-WEST VALLEY, ADDRESS: 13818 NORTH THUNDERBIRD BOULEVARD, CITY: SUN CITY, STATE: AZ, ZIP: 85351, PHONE: (623) 977-1325, FAX: (623) 974-3984, CAPACITY: 120, COUNTY: MARICOPA TYPE: HOSPITAL, SUBTYPE: PSYCHIATRIC, ID: MED2205, LICENSE: SH4511, NAME: HAVEN SENIOR HORIZONS, LEGALLY: HAVEN SENIOR HORIZONS, ADDRESS: 1201 SOUTH 7TH AVENUE, SUITE 200, CITY: PHOENIX, STATE: AZ, ZIP: 85007, PHONE: (623) 236-2000, FAX: (623) 236-2050, CAPACITY: 30, COUNTY: MARICOPA TYPE: HOSPICE, SUBTYPE: MEDICARE, ID: MED3779, LICENSE: HSPC4514, NAME: GRACE HOSPICE, LEGALLY: GRACE HOSPICE, ADDRESS: 4515 SOUTH MCCLINTOCK DRIVE, SUITE 210, CITY: TEMPE, STATE: AZ, ZIP: 85282, PHONE: (480) 775-2599, FAX: (480) 775-3714, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: AZ HHA ONLY, ID: MED3959, LICENSE: HHA4648, NAME: PINNACLE HOME HEALTH, LLC, LEGALLY: PINNACLE HOME HEALTH, LLC, ADDRESS: 21300 NORTH JOHN WAYNE PARKWAY, SUITE 107, CITY: MARICOPA, STATE: AZ, ZIP: 85239, PHONE: (520) 868-6100, FAX: (520) 868-6106, CAPACITY: 0, COUNTY: PINAL TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3854, LICENSE: OTC4512, NAME: GOOD NIGHT PEDIATRICS-NORTHWEST VALLEY, LEGALLY: GOOD NIGHT PEDIATRICS-NORTHWEST VALLEY, ADDRESS: 8801 WEST UNION HILLS ROAD, BUILDING A, CITY: PEORIA, STATE: AZ, ZIP: 85382, PHONE: (602) 476-0800, FAX: (602) 476-0801, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOME HEALTH AGENCY (HHA), SUBTYPE: AZ HHA ONLY, ID: MED3963, LICENSE: HHA4617, NAME: ZION'S WAY HOME HEALTH, LEGALLY: ZION'S WAY HOME HEALTH, ADDRESS: 912 WEST 1600 SOUTH, C-102, CITY: ST GEORGE, STATE: UT, ZIP: 84770, PHONE: (435) 688-0648, FAX: (435) 688-0648, CAPACITY: 0, COUNTY: WASHINGTON TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3791, LICENSE: OTC4521, NAME: SUN CITY WEST PET SCAN, LEGALLY: SUN CITY WEST PET SCAN, ADDRESS: 14418 WEST MEEKER BLVD, SUITE 105, CITY: SUN CITY WEST, STATE: AZ, ZIP: 85375, PHONE: (623) 583-5240, FAX: (623) 583-5235, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3868, LICENSE: OTC4523, NAME: LASER SPINE INSTITUTE, LEGALLY: LASER SPINE INSTITUTE, ADDRESS: 8888 EAST RAINTREE DRIVE, SUITE 165, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85260, PHONE: (480) 563-5501, FAX: (888) 771-6380, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPICE, SUBTYPE: HOSPICE - OUTOFSTATE, ID: MED3964, LICENSE: HSPC4618, NAME: ZION'S WAY HOSPICE, LEGALLY: ZION'S WAY HOSPICE, ADDRESS: 912 WEST 1600 SOUTH, C-102, CITY: ST GEORGE, STATE: UT, ZIP: 84770, PHONE: (435) 688-0648, FAX: (435) 688-0648, CAPACITY: 0, COUNTY: WASHINGTON TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3944, LICENSE: OTC4522, NAME: LASER SPINE INSTITUTE MRI, LEGALLY: LASER SPINE INSTITUTE MRI, ADDRESS: 8888 EAST RAINTREE DRIVE, SUITE 165, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85260, PHONE: (888) 771-6370, FAX: (888) 771-6380, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPITAL, SUBTYPE: SHORT TERM, ID: MED3921, LICENSE: SH4529, NAME: WESTERN REGIONAL MEDICAL CENTER CANCER HOSPITAL, LEGALLY: WESTERN REGIONAL MEDICAL CENTER CANCER HOSPITAL, ADDRESS: 14200 WEST FILLMORE STREET, CITY: GOODYEAR, STATE: AZ, ZIP: 85395, PHONE: (623) 207-3000, FAX: (623) 512-4878, CAPACITY: 14, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3970, LICENSE: OTC4552, NAME: BANNER PEDIATRIC SPECIALISTS LLC, LEGALLY: BANNER PEDIATRIC SPECIALISTS LLC, ADDRESS: 1432 SOUTH DOBSON ROAD, SUITE 402, CITY: MESA, STATE: AZ, ZIP: 85202, PHONE: (480) 391-8989, FAX: (480) 292-9769, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3977, LICENSE: OTC4553, NAME: BANNER PEDIATRIC SPECIALISTS LLC, LEGALLY: BANNER PEDIATRIC SPECIALISTS LLC, ADDRESS: 1432 SOUTH DOBSON ROAD, SUITE 403, CITY: MESA, STATE: AZ, ZIP: 85202, PHONE: (480) 512-6430, FAX: (480) 512-6438, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3972, LICENSE: OTC4549, NAME: BANNER PEDIATRIC SPECIALISTS LLC, LEGALLY: BANNER PEDIATRIC SPECIALISTS LLC, ADDRESS: 10320 W MCDOWELL ROAD, BUILDING L, RM 2 & 3, CITY: AVONDALE, STATE: AZ, ZIP: 85392, PHONE: (602) 404-3700, FAX: (602) 404-3703, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3967, LICENSE: OTC4551, NAME: BANNER PEDIATRIC SPECIALISTS LLC, LEGALLY: BANNER PEDIATRIC SPECIALISTS LLC, ADDRESS: 1432 SOUTH DOBSON ROAD, SUITE 107, CITY: MESA, STATE: AZ, ZIP: 85202, PHONE: (480) 833-1123, FAX: (480) 833-1124, CAPACITY: 0, COUNTY: MARICOPA TYPE: MED-SINGLE GROUP LICENSURE/OTC, SUBTYPE: MED-SINGLE GROUP LICENSURE/OTC, ID: MED3986, LICENSE: , NAME: BANNER DEL E WEBB- BANNER IMAGING CENTER- WICKENBU, LEGALLY: BANNER DEL E WEBB- BANNER IMAGING CENTER- WICKENBURG, ADDRESS: 1395 WEST WICKENBURG WAY, CITY: WICKENBURG, STATE: AZ, ZIP: 85390, PHONE: (928) 668-5420, FAX: (928) 684-7457, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3930, LICENSE: OTC4545, NAME: ASU-SOUTH CAMPUS HEALTH CLINIC C/O SONORA CENTER, LEGALLY: ASU-SOUTH CAMPUS HEALTH CLINIC C/O SONORA CENTER, ADDRESS: 1480 SOUTH RURAL ROAD, BLDG #139-ROOMS A21, A22, CITY: TEMPE, STATE: AZ, ZIP: 85287, PHONE: (480) 965-1145, FAX: (480) 965-4605, CAPACITY: 0, COUNTY: MARICOPA TYPE: HOSPITAL, SUBTYPE: SHORT TERM, ID: MED0236, LICENSE: H0154, NAME: SCOTTSDALE HEALTHCARE-SHEA MEDICAL CENTER, LEGALLY: SCOTTSDALE HEALTHCARE HOSPITALS, ADDRESS: 9003 EAST SHEA BOULEVARD, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85260, PHONE: (480) 323-3000, FAX: (480) 323-3510, CAPACITY: 433, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3976, LICENSE: OTC4537, NAME: BANNER PEDIATRIC SPECIALISTS LLC, LEGALLY: BANNER PEDIATRIC SPECIALISTS LLC, ADDRESS: 4614 EAST SHEA BOULEVARD, SUITE #D110, CITY: PHOENIX, STATE: AZ, ZIP: 85028, PHONE: (602) 404-3700, FAX: (602) 404-3703, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3975, LICENSE: OTC4538, NAME: BANNER PEDIATRIC SPECIALISTS LLC, LEGALLY: BANNER PEDIATRIC SPECIALISTS LLC, ADDRESS: 5757 WEST THUNDERBIRD ROAD, SUITE #W-406, CITY: GLENDALE, STATE: AZ, ZIP: 85306, PHONE: (602) 865-4011, FAX: , CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3971, LICENSE: OTC4539, NAME: BANNER PEDIATRIC SPECIALISTS LLC, LEGALLY: BANNER PEDIATRIC SPECIALISTS LLC, ADDRESS: 9755 NORTH 90TH STREET, SUITE C-200, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85258, PHONE: (480) 391-8989, FAX: , CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3974, LICENSE: OTC4540, NAME: BANNER PEDIATRIC SPECIALISTS LLC, LEGALLY: BANNER PEDIATRIC SPECIALISTS LLC, ADDRESS: 10250 NORTH 92ND STREET, SUITE #308, CITY: SCOTTSDALE, STATE: AZ, ZIP: 85258, PHONE: (480) 614-6655, FAX: (480) 614-6656, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3973, LICENSE: OTC4541, NAME: BANNER PEDIATRIC SPECIALISTS, LLC, LEGALLY: BANNER PEDIATRIC SPECIALISTS LLC, ADDRESS: 1432 SOUTH DOBSON ROAD, SUITE 301, CITY: MESA, STATE: AZ, ZIP: 85202, PHONE: (480) 464-9400, FAX: (480) 464-9401, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3969, LICENSE: OTC4543, NAME: BANNER PEDIATRIC SPECIALISTS LLC, LEGALLY: BANNER PEDIATRIC SPECIALISTS LLC, ADDRESS: 1432 SOUTH DOBSON ROAD, SUITE 304, CITY: MESA, STATE: AZ, ZIP: 85202, PHONE: (480) 512-7400, FAX: , CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3968, LICENSE: OTC4542, NAME: BANNER PEDIATRIC SPECIALISTS LLC, LEGALLY: BANNER PEDIATRIC SPECIALISTS LLC, ADDRESS: 1452 NORTH HIGLEY ROAD, CITY: GILBERT, STATE: AZ, ZIP: 85234, PHONE: (480) 813-9600, FAX: (480) 813-9601, CAPACITY: 0, COUNTY: MARICOPA TYPE: AZ MEDICAL FACILITIES, SUBTYPE: OUTPATIENT TREATMENT CENTER, ID: MED3955, LICENSE: OTC4573, NAME: RADIOLOGY LTD-CARONDELET, LEGALLY: RADIOLOGY LTD-CARONDELET, ADDRESS: 6567 E CARONDELET DRIVE, SUITE 105, CITY: TUCSON, STATE: AZ, Z