Organization
SALT RIVER PIMA-MARICOPA INDIAN COMMUNITY
Active
Other names
SALT RIVER PIMA MARICOPA INDIAN COMMUNITY
Organization subpart
No
Provider details
NPI number
Authorized official
FRANCES HERNANDEZ (RCM MANAGER)
(480) 362-6641
Entity
Organization
Contact information
Practice address
10901 E MCDOWELL RD, SCOTTSDALE, AZ 85256-5300
(480) 278-7742
(480) 362-6790
Mailing address
10005 E OSBORN RD, SCOTTSDALE, AZ 85256-4019
(480) 362-7400
(480) 362-5950
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
813333
—
AZ
Enumeration date
07/17/2012
Last updated
06/10/2024
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