Organization
SALT RIVER PIMA MARICOPA INDIAN COMMUNTIY
Active
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
Update your record
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