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Organization
PHX MYMED HEALTH ACCESS SOLUTIONS
Active
Organization
PHX MYMED HEALTH ACCESS SOLUTIONS
Active
Other names
Phoenix Health Data
Organization subpart
No
Provider details
NPI number
Authorized official
MR. C DAVID SMITH (CHIEF OPERATIONS OFFICER)
(317) 354-1187
Entity
Organization
Contact information
Practice address
5777 N. POST ROAD, INDIANAPOLIS, IN 46216-2007
(317) 354-1187
(317) 354-1369
Mailing address
5777 N. POST ROAD, INDIANAPOLIS, IN 46216-2007
(317) 354-1187
(317) 354-1369
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
NULL
171M00000X
Case Manager/Care Coordinator
—
—
174H00000X
Health Educator
—
NULL
174H00000X
Health Educator
—
—
251B00000X
Case Management Agency
Primary
—
NULL
Other
Enumeration date
11/27/2019
Last updated
11/27/2019
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