# COMMUNITY HEALTH AND IMMUNIZATION SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245643402
- **Authorized official:** MICHAEL C HAYMORE (BILLING MANAGER)
- **Authorized official phone:** (480) 464-9030

## Contact information

- **Practice address:** 4343 E OUTLIER BLVD STE 100W, PHOENIX, AZ 85008-6540
- **Practice address phone:** (844) 358-3733
- **Mailing address:** 4343 E OUTLIER BLVD STE 100W, PHOENIX, AZ 85008-6540
- **Mailing address phone:** (877) 358-3733

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/05/2014
- **Last updated:** 07/22/2025