NPI Database
Lookup NPI Numbers from the NPI Registry

Contact Information

MAYO CLINIC ARIZONA
5881 E MAYO BLVD
# STE 1-304
PHOENIX, AZ85054-4505
 Phone: 480-342-4100
 Fax: 480-342-4180
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Clinic Pharmacy

3336C0002X 58 Medical Supply Company with Pharmacist
 

Institutional Pharmacy

3336I0012X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for MAYO CLINIC ARIZONA

NPI # 1255796496
LBN Legal business name MAYO CLINIC ARIZONA
Authorized official ROSHANAK DIDEHBAN - (CAO)
Entity Organization
Organization subpart 1 No
Enumeration date 12/15/2015
Last updated 08/11/2025 - About 10 months ago
Identifiers
AZ License # Y006569
Other 2155895 PK
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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