Organization · Type 2 NPI

Maricopa County D.b.a. Maricopa County Depart

Clinic/Center · Phoenix, AZ

NPI number 1447410048 Active

Practice location

1645 E. Roosevelt Street, Clinical Services
Phoenix, AZ 85006

Call (608) 506-6660 Map

Fax (602) 375-0342

Mailing address

1645 E Roosevelt Street, Clinical Services
Phoenix, AZ 85006

Specialties and licenses

Taxonomy	Code	License
Clinic/Center Primary	261Q00000X	OTC3761 (AZ)

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Other clinic/center providers in Phoenix

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NPI record

NPI: 1447410048
Entity type: Organization (Type 2)
Issued: Jun 17, 2008
Last updated: Feb 8, 2012
Status: Active
Subpart: Yes of Maricopa Countyd.b.a. Maricopa County Department of Health

Other names

<unavail>
Clinical Services · former legal business name

Authorized official

Mr. Max Porter
Deputy Director
(602) 506-6641

Verify this record

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 1447410048

Maricopa County D.b.a. Maricopa County Depart's National Provider Identifier is 1447410048, issued on Jun 17, 2008. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Phoenix, AZ. The record was last updated on Feb 8, 2012.