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Organization

SALT RIVER PIMA MARICOPA INDIAN COMMUNTIY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. NICHOLE BLAKE (REVENUE CYCLE MANAGER)
(480) 207-9294
Entity
Organization

Contact information

Practice address
10005 E OSBORN RD, SCOTTSDALE, AZ 85256-4019
(480) 362-5525
(480) 362-7586
Mailing address
10005 E OSBORN RD BLDG 32, SCOTTSDALE, AZ 85256-4019
(480) 362-5525
(480) 362-7586

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
11707
AZ
251S00000X
Community/Behavioral Health Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
99999
N/A
AZ
Enumeration date
10/15/2012
Last updated
12/19/2022
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