Organization · Type 2 NPI

Maricopa County Special Health Care District

Federally Qualified Health Center (FQHC) · Phoenix, AZ

NPI number 1114346962 Active

Practice location

2025 W Northern Ave
Phoenix, AZ 85021-5157

Call (602) 655-6300 Map

Mailing address

PO Box 29670
Phoenix, AZ 85038-9670

Other practice locations

934 W Hatcher Rd, Phoenix, AZ 85021-3139 · (602) 344-8180

Specialties and licenses

Taxonomy	Code	License
Federally Qualified Health Center (FQHC) Primary	261QF0400X	None listed
General Acute Care Hospital	282N00000X	H3673 (AZ)

Federally Qualified Health Center (FQHC): Definition to come...

11 other providers at this address

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NPI record

NPI: 1114346962
Entity type: Organization (Type 2)
Issued: Apr 9, 2014
Last updated: Apr 26, 2023
Status: Active

Other names

<unavail>
Maricopa Integrated Health · doing business as
Maricopa Integrated Health · doing business as
Valleywise Health · doing business as

Authorized official

Pamela S Fowler
Director of Reimbursement
(602) 344-2830

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1114346962

Maricopa County Special Health Care District's National Provider Identifier is 1114346962, issued on Apr 9, 2014. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Phoenix, AZ. The record was last updated on Apr 26, 2023.