Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Phoenix Children's Hospital

Organization End-Stage Renal Disease (ESRD) Treatment Clinic/Center · NPI 1457402364

Phoenix Children's Hospital is an End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Phoenix, Arizona. Licensed in Arizona. Registered with an NPI since 2007.

Licensed in
AZ
In the registry since
2007
Specialties on file
2
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Practice location Address checks out

1920 E Cambridge Ave Ste 102
Phoenix, AZ 85006-1459
Phone: (602) 933-3220
Fax: (602) 933-0502
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

End-Stage Renal Disease (ESRD) Treatment Clinic/Center (primary) Taxonomy 261QE0700X · Licence MED2169 (AZ)
End-Stage Renal Disease (ESRD) Treatment Clinic/Center Taxonomy 261QE0700X · Licence OTC 3741 (AZ)

Record details

NPI number1457402364
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationPhoenix Children's Hospital
Authorized official Raheel Farough — Svp, Managed Care & Payor Strategy · (602) 933-3548
Other names Phoenix Children'S Hospital - Dialysis Center; Phoenix Children'S Hospital - Dialysis Center
NPI enumeratedJanuary 16, 2007
Last updated in NPPESMay 22, 2023
Certification dateMay 22, 2023
Mailing address2108 E Thomas Rd Ste 130, Phoenix, AZ 85016-0008

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