Arizona Department of Health Services Home Page Banner
Kathy McCanna, Program Manager
Quick Links:
Division Home Page
Facilities/Provider Information
Enforcement Actions
Phone List
 
Contact Us:
Division of Licensing
150 N. 18th Avenue,
4th Floor
Phoenix, AZ 85007
(602) 364-2536
(602) 364-4806 Fax
Division of Licensing Services  
Office of Medical Facilities Licensing

The Division of Licensing Services Office of Medical Facilities Licensing licenses and certifies medical health care institutions and providers of medical services to protect the public's health and safety and assure quality customer service through teamwork in a timely, efficient and responsive manner. 

New - Required Documentation of Immigration Status of Licensees and/or Certification Holders - view details
Facility Information
   ALS Search: Searchable Facility Information

  

Listing of Arizona Medical Facilities: Hospitals, Outpatient Surgical Centers, Outpatient Treatment Clinics, Medicare Certified/State Licensed Home Health Agencies, End Stage Renal Disease Centers, Outpatient Physical Therapy/Speech Pathology Centers, Comprehensive Outpatient Rehab Facilities, Hospices, Portable X-Ray, Rural Health Clinics.
In downloadable formats
Training/Licensing
 Initial and Change of Ownership License Application [PDF 305K]
 Instructions for Completing HCI Application [PDF 71K]
 License Application Checklist [PDF 39KB]
 Renewal License Application [PDF 285K]
 Renewal Application Checklist [PDF 38KB]
 Architectural Review Application [PDF 11K]
 Initial License Fee Remittance Form [PDF 13K]
 Renewal License Fee Remittance Form [PDF 13K]
Provider Information/ Forms
 Outpatient Treatment Center Provider Training - 2008 Schedule [PDF 8K]
 EMTs Practicing in Hospitals - Substantive Policy Statement
 Fingerprinting FAQs [PDF 16K]
 Fingerprint Substantive Policy
 Top Deficiencies for Medical Facilities
 OASIS Information
 Outpatient Facility Information 
 Zoning Authority Clearance [PDF 9K]
 Additional Information Needed for Home Health Agency [PDF 46KB] 
 Additional Information Needed for Hospice Agency
 Recovery Care Center Information
 Application for Single Group Licensure [PDF 11K]
 Medical Specialties and Subspecialties [PDF 57K]
 Licensed Capacity [PDF 57K]
Rules/Regulations
   Code of Federal Regulations:  Requirements for Medicare certification (Title 42-Public Health)
 Centers for Medicare & Medicaid Services (CMS)- State Operations Manual
 Code of Federal Regulations: New Life Safety Code Requirements [PDF 93KB]
 Arizona Department of Health Services Office of Administrative Rules
 Arizona Revised Statutes: (Title 36 - Public Health and Safety)
 Arizona Administrative Code: State Requirements for Licensing
 Arizona Administrative Code: R9-1-412  Physical Plant Health and Safety Codes and Standards
 Special notice: Section 36-422 subsection A, paragraph 6: A health care institution shall immediately notify the department in writing when there is a change of the chief administrator.
Enforcement/Complaints
 ADHS Enforcement Actions
Consumer Information
 Hospital Tips [PDF 9K]

Note:  Some of the files on this page are in PDF format.  Acrobat Reader™ must be downloaded and installed on your computer to read them.

ADHS Web Privacy Policy. This page last modified on April 29, 2008.
Copyright 2008 Arizona Department of Health Services. All rights reserved.
General comments, questions, or concerns:  ADHS Webmaster