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Organization

MARICOPA COUNTY SPECIAL HEALLTH 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
1201 S ALMA SCHOOL RD STE 5100, MESA, AZ 85210-2093
(602) 655-6242
Mailing address
PO BOX 29670, PHOENIX, AZ 85038-9670

Taxonomy

Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
261QM0855X
Adolescent and Children Mental Health Clinic/Center

Other

Enumeration date
05/25/2023
Last updated
10/08/2024
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