Organization
MARICOPA COUNTY SPECIAL HEALTH CARE DISTRICT
Active
Organization
MARICOPA COUNTY SPECIAL HEALTH CARE DISTRICT
Active
Other names
Maricopa Special Health Care District
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN KIRKLAND (PFS DIRECTOR)
(602) 344-8178
Entity
Organization
Contact information
Practice address
570 W BROWN RD, MESA, AZ 85201-3227
(602) 344-8178
(602) 344-8122
Mailing address
PO BOX 29670, PHOENIX, AZ 85038-9670
(602) 344-8178
(602) 344-8122
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
H3673
AZ
261QM0855X
Adolescent and Children Mental Health Clinic/Center
H3673
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
020107
—
AZ
01
—
189350800
US DEPT OF LABOR
AZ
01
—
29517
PHOENIX INDIAN MED CENTER
AZ
01
—
50005
EVERCARE CHOICE
AZ
01
—
631935
AETNA
AZ
01
—
AZ0205850
BLUE CROSS BLUE SHIELD
AZ
01
—
AZ0947
HEALTHNET OF AZ
AZ
Enumeration date
01/25/2016
Last updated
07/17/2017
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