MARICOPA COUNTY SPECIAL HEALTH CARE DISTRICT; NPI #1629497474

Contact Information

MARICOPA COUNTY SPECIAL HEALTH CARE DISTRICT

1101 N CENTRAL AVE STE 204
PHOENIX, AZ 85004-1844

Phone: 602-344-8180
Fax: 602-344-8122
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

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NPI Profile & details for MARICOPA COUNTY SPECIAL HEALTH CARE DISTRICT

NPI # 1629497474

LBN Legal business name MARICOPA COUNTY SPECIAL HEALTH CARE DISTRICT

Authorized official PAM FOWLER - (SYSTEM DIRECTOR OF REIMBURSEMENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 04/09/2014

Last updated 07/15/2024 - More than a year ago

Identifiers

AZ	License #	H3673
AZ	Medicaid	946491

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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