Organization
MARICOPA COUNTY SPECIAL HEALTH CARE DISTRICT
Active
Other names
Valleywise Health, Maricopa Integrated Health
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA S FOWLER (DIRECTOR OF REIMBURSEMENT)
(602) 344-2830
Entity
Organization
Contact information
Practice address
2025 W NORTHERN AVE, PHOENIX, AZ 85021-5157
(602) 655-6300
Mailing address
PO BOX 29670, PHOENIX, AZ 85038-9670
(602) 344-8180
(602) 344-8122
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
282N00000X
General Acute Care Hospital
H3673
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
946194
—
AZ
Enumeration date
04/09/2014
Last updated
04/26/2023
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