Organization
HORIZON SPECIALTY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH RODRIGUEZ (DIRECTOR OF REVENUE CYCLE MGMT)
(480) 983-0065
Entity
Organization
Contact information
Practice address
625 N PLAZA DR, APACHE JUNCTION, AZ 85120-5502
(480) 983-0065
Mailing address
625 N PLAZA DR, APACHE JUNCTION, AZ 85120-5502
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
208D00000X
General Practice Physician
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
—
—
261QM2500X
Medical Specialty Clinic/Center
—
—
Other
Enumeration date
07/25/2023
Last updated
07/25/2023
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