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Contact Information

MARICOPA COUNTY SPECIAL HEALTH CARE DISTRICT
33 W TAMARISK ST
PHOENIX, AZ85041-2422
 Phone: 602-344-6600
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Federally Qualified Health Center (FQHC)

261QF0400X B4[14] Federally Qualified Health Center
 

General Acute Care Hospital

282N00000X A0[7] Hospital-General
Indicates primary specialty

NPI Profile & details for MARICOPA COUNTY SPECIAL HEALTH CARE DISTRICT

NPI # 1336568187
LBN Legal business name MARICOPA COUNTY SPECIAL HEALTH CARE DISTRICT
Authorized official PAMELA FOWLER - (DIRECTOR OF REIMBURSEMENT)
Entity Organization
Organization subpart 1 No
Enumeration date 04/09/2014
Last updated 04/26/2023 - About 3 years ago
Identifiers
AZ License # H3673
AZ Medicaid 946277
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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