CCN: 031660 NPI: 1346738879 Organization

MADRONA HOSPICE AZ, LLC

410 N SCOTTSDALE RD STE 1000
TEMPE, AZ 852817095

Contact Information

Phone 4805665997
Fax 4802198283
Enumeration Date 2018-04-30
Last Updated 2021-07-08

Taxonomies

Code: 251G00000X (Primary) License State: AZ License: HSPC8708

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 0

cbsaActualGeographicLocation 38060

providerType 35

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 38060

providerType 35

specialPaymentIndicator

carrierCode 03102

localityCode 00