Organization · Type 2 NPI

Maricopa County Special Health Care District

Federally Qualified Health Center (FQHC) · Phoenix, AZ

NPI number 1629497474 Active

Practice location

1101 N Central Ave Ste 204
Phoenix, AZ 85004-1844

Call (602) 344-8180 Map

Fax (602) 344-8122

Mailing address

PO Box 29670
Phoenix, AZ 85038-9670

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...

10 other providers at this address

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NPI record

NPI: 1629497474
Entity type: Organization (Type 2)
Issued: Apr 9, 2014
Last updated: Jul 15, 2024
Status: Active

Other names

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

Authorized official

Pam Fowler
System 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 1629497474

Maricopa County Special Health Care District's National Provider Identifier is 1629497474, 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 Jul 15, 2024.