MARICOPA COUNTY SPECIAL HEALTH CARE DISTRICT; NPI #1205295581

Contact Information

MARICOPA COUNTY SPECIAL HEALTH CARE DISTRICT

2525 E ROOSEVELT ST
PHOENIX, AZ 85008-4948

Phone: 602-344-8178
Fax: 602-344-8122
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Adult Mental Health	261QM0850X
Adolescent and Children Mental Health	261QM0855X
Health Service	261QH0100X

Indicates primary specialty

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NPI Profile & details for MARICOPA COUNTY SPECIAL HEALTH CARE DISTRICT

NPI # 1205295581

LBN Legal business name MARICOPA COUNTY SPECIAL HEALTH CARE DISTRICT

Authorized official KATHLEEN KIRKLAND - (PFS DIRECTOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 02/16/2016

Last updated 07/17/2017 - About 9 years ago

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 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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