Provider Demographics
NPI:1528169125
Name:HONORHEALTH
Entity type:Organization
Organization Name:HONORHEALTH
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:SENIOR NETWORK DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JENIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:HENDRIX
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:623-683-4503
Mailing Address - Street 1:PO BOX 845635
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90084-5635
Mailing Address - Country:US
Mailing Address - Phone:623-683-7673
Mailing Address - Fax:
Practice Address - Street 1:19829 N 27TH AVE
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85027-4001
Practice Address - Country:US
Practice Address - Phone:623-879-6100
Practice Address - Fax:623-879-5400
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-26
Last Update Date:2025-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZH0167282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ446246Medicaid
AZ860117301OtherAZ FOUNDATION FOR MED CAR
AZ860117301OtherHEALTH MGMT NETWORK
AZ0676381OtherAETNA HEALTH INC.
AZ860117301OtherFEDERAL CORRECTIONAL INST
AZAZ0204830OtherBLUE CROSS AZ
AZ860117301OtherFIRST HEALTH
AZ860117301OtherAZ STATE PHYS ASSOC
AZ860117301OtherCHOICE CARE NETWORK
AZ860117301OtherACCOUNTABLE HEALTH PLANS
AZ860117301OtherCOMMUNITY CARE NETWORK
AZ860117301OtherBEECH STREET
AZ0000OtherBLUE CROSS TRICARE
AZ860117301OtherDONOR NETWORK OF AZ
AZ860117301OtherAZ DEPT OF JUVENILE CORR
AZ860117301OtherCITY OF GLENDALE WORKERS
AZ0676381OtherAETNA HEALTH INC.
AZ860117301OtherAZ DEPT OF JUVENILE CORR
AZ860117301OtherACCOUNTABLE HEALTH PLANS