Organization
MARICOPA COUNTY SPECIAL HEALTH CARE DISTRICT
Active
Other names
Valleywise Mobile Health Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA S FOWLER MS (SYSTEM DIRECTOR OF REIMBURSEMENT)
(602) 344-2830
Entity
Organization
Contact information
Practice address
2601 E ROOSEVELT ST, PHOENIX, AZ 85008-4973
(602) 344-5011
Mailing address
PO BOX 29670, PHOENIX, AZ 85038-9670
(602) 344-8100
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
282N00000X
General Acute Care Hospital
—
—
Other
Enumeration date
10/27/2023
Last updated
04/25/2024
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