Organization
MARICOPA COUNTY SPECIAL HEALTH CARE DISTRICT
Active
Other names
Valleywise Health, Maricopa Integrated Health
Organization subpart
No
Provider details
NPI number
Authorized official
PAM FOWLER (SYSTEM DIRECTOR OF REIMBURSEMENT)
(602) 344-2830
Entity
Organization
Contact information
Practice address
1101 N CENTRAL AVE STE 204, PHOENIX, AZ 85004-1844
(602) 344-8180
(602) 344-8122
Mailing address
PO BOX 29670, PHOENIX, AZ 85038-9670
(602) 344-8180
(602) 344-8122
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
282N00000X
General Acute Care Hospital
H3673
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
946491
—
AZ
Enumeration date
04/09/2014
Last updated
07/15/2024
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