Organization
MARICOPA COUNTY SPECIAL HEALTH CARE DISTRICT
Active
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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