# DHEW IND HLTH SV HLTH SVS & MNTL HLTH ADM

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** DHEW IND HLTH SV HLTH SVS & MNTL HLTH ADM
- **Other names:** Ak-Chin Clinic
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1538043443
- **Legal business name:** DHEW IND HLTH SV HLTH SVS & MNTL HLTH ADM
- **Authorized official:** DR. LAURA TILLMAN MD (CHIEF MEDICAL OFFICER)
- **Authorized official phone:** (602) 263-1674

## Contact information

- **Practice address:** 48203 W FARRELL RD, MARICOPA, AZ 85139-3806
- **Practice address phone:** (602) 581-6080
- **Practice address fax:** (602) 263-1619
- **Mailing address:** PO BOX 95460, CLEVELAND, OH 44101-0033
- **Mailing address phone:** (602) 581-6080
- **Mailing address fax:** (602) 263-1619

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251K00000X | Public Health or Welfare Agency | — | NULL | Yes |
| 261Q00000X | Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 08/04/2025
- **Last updated:** 08/04/2025