Organization
PINAL COUNTY ARIZONA
Active
Parent organization
PINAL COUNTY
Other names
Public Health Department
Organization subpart
Yes
Provider details
NPI number
Legal business name
PINAL COUNTY
Authorized official
SUSIE C. ESCALANTE (ACCOUNT CLERK/BILLING)
(520) 866-7319
Entity
Organization
Contact information
Practice address
820 E COTTONWOOD LN, BLD E, CASA GRANDE, AZ 85122-2726
(520) 866-7319
(520) 866-7066
Mailing address
PO BOX 2945, FLORENCE, AZ 85132-3055
(520) 866-7319
(520) 886-7066
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
OTC3520
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
155847
—
AZ
Enumeration date
08/16/2013
Last updated
08/16/2013
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