National Provider Identifier Database

MARICOPA COUNTY SPECIAL HEALTH CARE DISTRICT
Adult Mental Health

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.


Contact Information

MARICOPA COUNTY SPECIAL HEALTH CARE DISTRICT
2525 E ROOSEVELT ST
PHOENIX, AZ85008-4948
Phone: 602-344-8178
Fax: 602-344-8122
Website:
Specialty Taxonomy Code
* Adult Mental Health 261QM0850X
Adolescent and Children Mental Health 261QM0855X
Health Service 261QH0100X

* Indicates primary specialty

NPI Profile & details for MARICOPA COUNTY SPECIAL HEALTH CARE DISTRICT

NPI Number 1205295581
Legal business name
LBN
MARICOPA COUNTY SPECIAL HEALTH CARE DISTRICT
Authorized official KATHLEEN KIRKLAND - (PFS DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 02/16/2016
Last updated 07/17/2017 - About 9 years ago
Sole proprietor1 Not specified
Identifiers
  • AZ License #: H3673
  • AZ Medicaid: 020107
  • AZ Other: 631935 AETNA
  • AZ Other: AZ0205850 BLUE CROSS BLUE SHIELD
  • AZ Other: 50005 EVERCARE CHOICE
  • AZ Other: AZ0947 HEALTHNET OF AZ
  • AZ Other: 29517 PHOENIX INDIAN MEDICAL CENTER
  • AZ Other: 189350800 US DEPT OF LABOR

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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