Organization
SOUTHWEST CENTER FOR HIV/AIDS, INC.
Active
Other names
SOUTHWEST CENTER FOR HIV/AIDS
Organization subpart
No
Provider details
NPI number
Authorized official
MARTHA ACOSTA (BILLING MANAGER)
(602) 595-8109
Entity
Organization
Contact information
Practice address
1101 N CENTRAL AVE STE 200, PHOENIX, AZ 85004-1844
(602) 595-8109
(602) 307-5021
Mailing address
1101 N CENTRAL AVE STE 200, PHOENIX, AZ 85004-1844
(602) 595-8109
(602) 307-5021
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
928418
—
AZ
Enumeration date
01/28/2020
Last updated
01/28/2020
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