Organization
ARIZONA HEALTHCARE OUTREACH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. COLLETTE BARR APRDH (DIRECTOR)
(480) 830-9555
Entity
Organization
Contact information
Practice address
3581 W NORTHERN AVE STE 8, PHOENIX, AZ 85051-9404
(480) 830-9555
(480) 499-0083
Mailing address
4037 E GARNET CIR, MESA, AZ 85206-3266
(480) 830-9555
(480) 499-0083
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
—
—
251V00000X
Voluntary or Charitable Agency
—
—
261Q00000X
Clinic/Center
—
—
261QD0000X
Dental Clinic/Center
Primary
—
—
261QH0100X
Health Service Clinic/Center
—
—
261QM1000X
Migrant Health Clinic/Center
—
—
261QP0905X
State or Local Public Health Clinic/Center
—
—
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
—
—
Other
Enumeration date
02/10/2020
Last updated
02/10/2020
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