National Provider Identifier Database

MARICOPA COUNTY SPECIAL HEALTH CARE DISTRICT
Federally Qualified Health Center (FQHC)

A Federally Qualified Health Center (FQHC) is a community-based organization that provides comprehensive primary care and preventive care, including health, oral, and mental health/substance abuse services to persons of all ages, regardless of their ability to pay or health insurance status.


Contact Information

MARICOPA COUNTY SPECIAL HEALTH CARE DISTRICT
1101 N CENTRAL AVE STE 204
PHOENIX, AZ85004-1844
Phone: 602-344-8180
Fax: 602-344-8122
Website:
Specialty Taxonomy Code
* Federally Qualified Health Center (FQHC) 261QF0400X
General Acute Care Hospital 282N00000X

* Indicates primary specialty

NPI Profile & details for MARICOPA COUNTY SPECIAL HEALTH CARE DISTRICT

NPI Number 1629497474
Legal business name
LBN
MARICOPA COUNTY SPECIAL HEALTH CARE DISTRICT
Authorized official PAM FOWLER - (SYSTEM DIRECTOR OF REIMBURSEMENT)
Entity Organization
Organization subpart No
Enumeration date 04/09/2014
Last updated 07/15/2024 - More than a year ago
Sole proprietor1 Not specified
Identifiers
  • AZ License #: H3673
  • AZ Medicaid: 946491

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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