Organization
COMMUNITY HEALTH AND IMMUNIZATION SERVICES
Active
Organization
COMMUNITY HEALTH AND IMMUNIZATION SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBEKAH SUAZO (DIRECTOR OF COMMUNITY DEVELOPMENT)
(480) 646-9099
Entity
Organization
Contact information
Practice address
37 VILLA RD STE 301, GREENVILLE, SC 29615-3038
(864) 451-7943
Mailing address
668 N 44TH ST STE 100W, PHOENIX, AZ 85008-6507
(877) 358-3733
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
MMD.7722
SC
Other
Enumeration date
06/04/2014
Last updated
09/29/2021
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