CCN: 032006 NPI: 1225871296 Organization

PHOENIX SPECIALTY HOSPITAL

433 E 6TH ST
MESA, AZ 852037104

Contact Information

Phone 4804273000
Enumeration Date 2024-06-17
Last Updated 2025-10-13

Taxonomies

Code: 282E00000X (Primary)

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 8

cbsaActualGeographicLocation 38060

providerType 02

operatingCostToChargeRatio 0.463

medicaidRatio 0.1848

censusDivision 8

cbsaActualGeographicLocation 38060

providerType 02

operatingCostToChargeRatio 0.389

medicaidRatio 0.1848

censusDivision 8

cbsaActualGeographicLocation 38060

providerType 02

operatingCostToChargeRatio 0.389

medicaidRatio 0.1848

censusDivision 8

cbsaActualGeographicLocation 38060

providerType 02

operatingCostToChargeRatio 0.389

medicaidRatio 0.1848

censusDivision 8

cbsaActualGeographicLocation 38060

providerType 02

operatingCostToChargeRatio 0.367

medicaidRatio 0.1348

censusDivision 8

cbsaActualGeographicLocation 38060

providerType 02

operatingCostToChargeRatio 0.367

medicaidRatio 0.1348

censusDivision 8

cbsaActualGeographicLocation 38060

providerType 02

operatingCostToChargeRatio 0.367

medicaidRatio 0.1348

censusDivision 8

cbsaActualGeographicLocation 38060

providerType 02

operatingCostToChargeRatio 0.338

medicaidRatio 0.1699

censusDivision 8

cbsaActualGeographicLocation 38060

providerType 02

operatingCostToChargeRatio 0.338

medicaidRatio 0.1699

censusDivision 8

cbsaActualGeographicLocation 38060

providerType 02

operatingCostToChargeRatio 0.338

medicaidRatio 0.1699

censusDivision 8

cbsaActualGeographicLocation 38060

providerType 02

operatingCostToChargeRatio 0.283

medicaidRatio 0.1458

censusDivision 8

cbsaActualGeographicLocation 38060

providerType 02

operatingCostToChargeRatio 0.283

medicaidRatio 0.1458

censusDivision 8

cbsaActualGeographicLocation 38060

providerType 02

operatingCostToChargeRatio 0.283

medicaidRatio 0.1458

censusDivision 8

cbsaActualGeographicLocation 38060

providerType 02

operatingCostToChargeRatio 0.283

medicaidRatio 0.1458

censusDivision 8

cbsaActualGeographicLocation 38060

providerType 02

operatingCostToChargeRatio 0.272

medicaidRatio 0.0216

censusDivision 8

cbsaActualGeographicLocation 38060

providerType 02

operatingCostToChargeRatio 0.272

medicaidRatio 0.0216

censusDivision 8

cbsaActualGeographicLocation 38060

providerType 02

operatingCostToChargeRatio 0.272

medicaidRatio 0.0216

censusDivision 8

cbsaActualGeographicLocation 38060

providerType 02

operatingCostToChargeRatio 0.272

medicaidRatio 0.0216

censusDivision 8

cbsaActualGeographicLocation 38060

providerType 02

operatingCostToChargeRatio 0.271

medicaidRatio 0.1092

censusDivision 8

cbsaActualGeographicLocation 38060

providerType 02

operatingCostToChargeRatio 0.271

medicaidRatio 0.1092

censusDivision 8

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providerType 02

operatingCostToChargeRatio 0.271

medicaidRatio 0.1092

censusDivision 8

cbsaActualGeographicLocation 38060

providerType 02

operatingCostToChargeRatio 0.271

medicaidRatio 0.1092

censusDivision 8

cbsaActualGeographicLocation 38060

providerType 02

operatingCostToChargeRatio 0.271

medicaidRatio 0.1092

censusDivision 8

cbsaActualGeographicLocation 38060

providerType 02

operatingCostToChargeRatio 0.254

medicaidRatio 0.1036

censusDivision 8

cbsaActualGeographicLocation 38060

providerType 02

operatingCostToChargeRatio 0.254

medicaidRatio 0.1036

censusDivision 8

cbsaActualGeographicLocation 38060

providerType 02

operatingCostToChargeRatio 0.254

medicaidRatio 0.1036

censusDivision 8

cbsaActualGeographicLocation 38060

providerType 02

operatingCostToChargeRatio 0.254

medicaidRatio 0.1036

censusDivision 8

cbsaActualGeographicLocation 38060

providerType 02

operatingCostToChargeRatio 0.262

medicaidRatio 0.0127

censusDivision 8

cbsaActualGeographicLocation 38060

providerType 02

operatingCostToChargeRatio 0.262

medicaidRatio 0.0127

censusDivision 8

cbsaActualGeographicLocation 38060

providerType 02

operatingCostToChargeRatio 0.262

medicaidRatio 0.0127

censusDivision 8

cbsaActualGeographicLocation 38060

providerType 02

operatingCostToChargeRatio 0.262

medicaidRatio 0.0127

censusDivision 8

cbsaActualGeographicLocation 38060

providerType 02

operatingCostToChargeRatio 0.297

medicaidRatio 0.007

censusDivision 8

cbsaActualGeographicLocation 38060

providerType 02

operatingCostToChargeRatio 0.297

medicaidRatio 0.007

censusDivision 8

cbsaActualGeographicLocation 38060

providerType 02

operatingCostToChargeRatio 0.297

medicaidRatio 0.007

censusDivision 8

cbsaActualGeographicLocation 38060

providerType 02

operatingCostToChargeRatio 0.297

medicaidRatio 0.007

censusDivision 8

cbsaActualGeographicLocation 38060

providerType 02

operatingCostToChargeRatio 0.325

medicaidRatio 0.3059

censusDivision 8

cbsaActualGeographicLocation 38060

providerType 02

operatingCostToChargeRatio 0.325

medicaidRatio 0.3059

censusDivision 8

cbsaActualGeographicLocation 38060

providerType 02

operatingCostToChargeRatio 0.325

medicaidRatio 0.3059

censusDivision 8

cbsaActualGeographicLocation 38060

providerType 02

operatingCostToChargeRatio 0.325

medicaidRatio 0.3059

censusDivision 8

cbsaActualGeographicLocation 38060

providerType 02

operatingCostToChargeRatio 0.287

medicaidRatio 0.3059

censusDivision 8

cbsaActualGeographicLocation 38060

providerType 02

operatingCostToChargeRatio 0.287

medicaidRatio 0.3059

censusDivision 8

cbsaActualGeographicLocation 38060

providerType 02

operatingCostToChargeRatio 0.267

medicaidRatio 0.3059

censusDivision 8

cbsaActualGeographicLocation 38060

providerType 02

operatingCostToChargeRatio 0.268

medicaidRatio 0.3059

censusDivision 8

cbsaActualGeographicLocation 38060

providerType 02

operatingCostToChargeRatio 0.268

medicaidRatio 0.3059

censusDivision 8

cbsaActualGeographicLocation 38060

providerType 02

operatingCostToChargeRatio 0.268

medicaidRatio 0.3059

censusDivision 8

cbsaActualGeographicLocation 38060

providerType 02

operatingCostToChargeRatio 0.322

medicaidRatio 0.3059

censusDivision 8

cbsaActualGeographicLocation 38060

providerType 02

operatingCostToChargeRatio 0.322

medicaidRatio 0.3059

censusDivision 8

cbsaActualGeographicLocation 38060

providerType 02

operatingCostToChargeRatio 0.322

medicaidRatio 0.3059

censusDivision 8

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providerType 02

operatingCostToChargeRatio 0.322

medicaidRatio 0.3059

censusDivision 8

cbsaActualGeographicLocation 38060

providerType 02

operatingCostToChargeRatio 0.322

medicaidRatio 0.3059

censusDivision 8

cbsaActualGeographicLocation 38060

providerType 02

operatingCostToChargeRatio 0.263

medicaidRatio 0.3059

censusDivision 8

cbsaActualGeographicLocation 38060

providerType 02

operatingCostToChargeRatio 0.263

medicaidRatio 0.3059

censusDivision 8

cbsaActualGeographicLocation 38060

providerType 02

operatingCostToChargeRatio 0.263

medicaidRatio 0.3059

censusDivision 8

cbsaActualGeographicLocation 38060

providerType 02

operatingCostToChargeRatio 0.285

medicaidRatio 0.3059

censusDivision 8

cbsaActualGeographicLocation 38060

providerType 02

operatingCostToChargeRatio 0.285

medicaidRatio 0.3059

censusDivision 8

cbsaActualGeographicLocation 38060

providerType 02

operatingCostToChargeRatio 0.285

medicaidRatio 0.3059

censusDivision 8

cbsaActualGeographicLocation 38060

providerType 02

operatingCostToChargeRatio 0.313

medicaidRatio 0.3715

censusDivision 8

cbsaActualGeographicLocation 38060

providerType 02

operatingCostToChargeRatio 0.332

medicaidRatio 0.3715

censusDivision 8

cbsaActualGeographicLocation 38060

providerType 02

operatingCostToChargeRatio 0.332

medicaidRatio 0.3715

censusDivision 8

cbsaActualGeographicLocation 38060

providerType 02

operatingCostToChargeRatio 0.332

medicaidRatio 0.3715

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 38060

providerType 02

operatingCostToChargeRatio 0.679

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 03102

localityCode 00

cbsaActualGeographicLocation 38060

providerType 02

operatingCostToChargeRatio 0.191

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 03102

localityCode 00

cbsaActualGeographicLocation 38060

providerType 02

operatingCostToChargeRatio 0.191

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 03102

localityCode 00

cbsaActualGeographicLocation 38060

providerType 02

operatingCostToChargeRatio 0.191

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 03102

localityCode 00

cbsaActualGeographicLocation 38060

providerType 02

operatingCostToChargeRatio 0.191

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 03102

localityCode 00

cbsaActualGeographicLocation 38060

providerType 02

operatingCostToChargeRatio 0.161

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 03102

localityCode 00

cbsaActualGeographicLocation 38060

providerType 02

operatingCostToChargeRatio 0.161

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 03102

localityCode 00

cbsaActualGeographicLocation 38060

providerType 02

operatingCostToChargeRatio 0.181

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 03102

localityCode 00

cbsaActualGeographicLocation 38060

providerType 02

operatingCostToChargeRatio 0.181

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 03102

localityCode 00

cbsaActualGeographicLocation 38060

providerType 02

operatingCostToChargeRatio 0.075

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 03102

localityCode 00

cbsaActualGeographicLocation 38060

providerType 02

operatingCostToChargeRatio 0.075

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 03102

localityCode 00

cbsaActualGeographicLocation 38060

providerType 02

operatingCostToChargeRatio 0.075

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 03102

localityCode 00

cbsaActualGeographicLocation 38060

providerType 02

operatingCostToChargeRatio 0.075

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 03102

localityCode 00

cbsaActualGeographicLocation 38060

providerType 02

operatingCostToChargeRatio 0.075

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 03102

localityCode 00

cbsaActualGeographicLocation 38060

providerType 02

operatingCostToChargeRatio 0.073

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 03102

localityCode 00

cbsaActualGeographicLocation 38060

providerType 02

operatingCostToChargeRatio 0.073

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 03102

localityCode 00

cbsaActualGeographicLocation 38060

providerType 02

operatingCostToChargeRatio 0.073

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 03102

localityCode 00

cbsaActualGeographicLocation 38060

providerType 02

operatingCostToChargeRatio 0.138

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 03102

localityCode 00

cbsaActualGeographicLocation 38060

providerType 02

operatingCostToChargeRatio 0.138

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 03102

localityCode 00

cbsaActualGeographicLocation 38060

providerType 02

operatingCostToChargeRatio 0.138

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 03102

localityCode 00

cbsaActualGeographicLocation 38060

providerType 02

operatingCostToChargeRatio 0.285

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 03102

localityCode 00

cbsaActualGeographicLocation 38060

providerType 02

operatingCostToChargeRatio 0.285

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 03102

localityCode 00

cbsaActualGeographicLocation 38060

providerType 02

operatingCostToChargeRatio 0.285

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 03102

localityCode 00

cbsaActualGeographicLocation 38060

providerType 02

operatingCostToChargeRatio 0.285

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 03102

localityCode 00

cbsaActualGeographicLocation 38060

providerType 02

operatingCostToChargeRatio 0.285

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 03102

localityCode 00

cbsaActualGeographicLocation 38060

providerType 02

operatingCostToChargeRatio 0.285

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 03102

localityCode 00

cbsaActualGeographicLocation 38060

providerType 02

operatingCostToChargeRatio 0.285

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 03102

localityCode 00

cbsaActualGeographicLocation 38060

providerType 02

operatingCostToChargeRatio 0.264

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 03102

localityCode 00

cbsaActualGeographicLocation 38060

providerType 02

operatingCostToChargeRatio 0.092

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 03102

localityCode 00

cbsaActualGeographicLocation 38060

providerType 02

operatingCostToChargeRatio 0.092

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 03102

localityCode 00

cbsaActualGeographicLocation 38060

providerType 02

operatingCostToChargeRatio 0.092

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 03102

localityCode 00

cbsaActualGeographicLocation 38060

providerType 02

operatingCostToChargeRatio 0.241

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 03102

localityCode 00

cbsaActualGeographicLocation 38060

providerType 02

operatingCostToChargeRatio 0.241

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 03102

localityCode 00

PHOENIX SPECIALTY HOSPITAL

Contact Information

Taxonomies

Inpatient Payment Attributes (IPSF) View Dictionary →

Outpatient Payment Attributes (OPSF) View Dictionary →

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