Organization
DHEW IND HLTH SV HLTH SVS & MNTL HLTH ADM
Active
Parent organization
DHEW IND HLTH SV HLTH SVS & MNTL HLTH ADM
Other names
Ak-Chin Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
DHEW IND HLTH SV HLTH SVS & MNTL HLTH ADM
Authorized official
DR. LAURA TILLMAN MD (CHIEF MEDICAL OFFICER)
(602) 263-1674
Entity
Organization
Contact information
Practice address
48203 W FARRELL RD, MARICOPA, AZ 85139-3806
(602) 581-6080
(602) 263-1619
Mailing address
PO BOX 95460, CLEVELAND, OH 44101-0033
(602) 581-6080
(602) 263-1619
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
261Q00000X
Clinic/Center
—
—
Other
Enumeration date
08/04/2025
Last updated
08/04/2025
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