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Organization

ARIZONA HEALTH CARE CONTRACT MANAGEMENT SERVICES INC.

Active
Other names
Kings
Organization subpart
No

Provider details

NPI number
Authorized official
MARY PATRICIA RODENBERG-ROBERTS (VP & SR ASST GENERAL COUNSEL)
(952) 836-2234
Entity
Organization

Contact information

Practice address
3838 N CENTRAL AVE STE 1200, PHOENIX, AZ 85012-1997
(480) 646-6175
(617) 790-4271
Mailing address
3838 N CENTRAL AVE STE 1200, PHOENIX, AZ 85012-1997
(480) 646-6175
(617) 790-4271

Taxonomy

Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
BH-1844
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
542747
AZ
Enumeration date
03/04/2008
Last updated
08/21/2025
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