MARICOPA COUNTY SPECIAL HEALTH CARE DISTRICT; NPI #1770167108

Contact Information

MARICOPA COUNTY SPECIAL HEALTH CARE DISTRICT

2601 E ROOSEVELT ST
PHOENIX, AZ 85008-4973

Phone: 602-344-5011
Fax:
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Multi-Specialty	261QM1300X	70	Clinic or Group Practice
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 # 1770167108

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 05/11/2021

Last updated 03/25/2026 - About 2 months ago

Identifiers

Medicaid

020107

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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