Organization
MARICOPA COUNTY SPECIAL HEALTH CARE DISTRICT
Active
Other names
Valleywise Health
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA S FOWLER (SYSTEM DIRECTOR OF REIMBURSEMENT)
(602) 344-2830
Entity
Organization
Contact information
Practice address
5102 W CAMPBELL AVE, PHOENIX, AZ 85031-1703
(602) 655-1900
Mailing address
PO BOX 29670, PHOENIX, AZ 85038-9670
(602) 344-8178
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
04/16/2024
Last updated
04/16/2024
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