National Provider Identifier Database

MARICOPA COUNTY SPECIAL HEALTH CARE DISTRICT
Multi-Specialty


Contact Information

MARICOPA COUNTY SPECIAL HEALTH CARE DISTRICT
2601 E ROOSEVELT ST
PHOENIX, AZ85008-4973
Phone: 602-344-5011
Fax:
Website:
Specialty Taxonomy Code
* Multi-Specialty 261QM1300X
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 1770167108
Legal business name
LBN
MARICOPA COUNTY SPECIAL HEALTH CARE DISTRICT
Authorized official PAMELA FOWLER - (DIRECTOR OF REIMBURSEMENT)
Entity Organization
Organization subpart No
Enumeration date 05/11/2021
Last updated 03/25/2026 - About 2 months ago
Sole proprietor1 Not specified
Identifiers
  • AZ Medicaid: 020107

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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