Organization
MARICOPA COUNTY SPECIAL HEALTH CARE DISTRICT
Active
Other names
Valleywise Health
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA S FOWLER (SYSTEM DIRECTOR OF REIMBURSEMENT)
(602) 344-2830
Entity
Organization
Contact information
Practice address
2601 E ROOSEVELT ST, PHOENIX, AZ 85008
(602) 344-8152
(602) 344-8136
Mailing address
PO BOX 29670, PHOENIX, AZ 85038-9670
(602) 344-8152
(602) 344-8136
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
OTC3680
AZ
261QH0100X
Health Service Clinic/Center
—
—
273R00000X
Psychiatric Hospital Unit
H3673
AZ
282N00000X
General Acute Care Hospital
Primary
H3673
AZ
283Q00000X
Psychiatric Hospital
BHH745
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007212
—
AZ
05
—
020107
—
AZ
01
—
030022A
SECTION 1011
AZ
01
—
1203013
VALUE OPTIONS BLOCK
AZ
01
—
126434
BCCF KOMEN GRANT
AZ
01
—
189350800
US DEPT OF LABOR
AZ
01
—
29517
PHOENIX INDIAN MED CENTER
AZ
01
—
500005
EVERCARE CHOICE
AZ
01
—
631935
AETNA
AZ
01
—
AZ0205850
BLUE CROSS BLUE SHIELD
AZ
01
—
AZ0947
HEALTHNET OF AZ
AZ
01
—
F00968
PHOENIX HEALTH PLAN
AZ
Enumeration date
04/11/2006
Last updated
04/23/2025
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