# PHX MYMED HEALTH ACCESS SOLUTIONS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Phoenix Health Data
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093351884
- **Authorized official:** MR. C DAVID SMITH (CHIEF OPERATIONS OFFICER)
- **Authorized official phone:** (317) 354-1187

## Contact information

- **Practice address:** 5777 N. POST ROAD, INDIANAPOLIS, IN 46216-2007
- **Practice address phone:** (317) 354-1187
- **Practice address fax:** (317) 354-1369
- **Mailing address:** 5777 N. POST ROAD, INDIANAPOLIS, IN 46216-2007
- **Mailing address phone:** (317) 354-1187
- **Mailing address fax:** (317) 354-1369

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171M00000X | Case Manager/Care Coordinator | — | NULL | — |
| 171M00000X | Case Manager/Care Coordinator | — | — | — |
| 174H00000X | Health Educator | — | NULL | — |
| 174H00000X | Health Educator | — | — | — |
| 251B00000X | Case Management Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 11/27/2019
- **Last updated:** 11/27/2019