| Valleywise Health | |
|
1201 S Alma School Rd Ste 5100 Mesa AZ 85210-2093 | |
| (602) 655-6242 | |
| Not Available |
| Full Name | Valleywise Health |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 1201 S Alma School Rd Ste 5100, Mesa, Arizona |
| Authorized Official Name and Position | Pamela S Fowler (SYSTEM DIRECTOR OF REIMBURSEMENT) |
| Authorized Official Contact | 6023442830 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Valleywise Health Po Box 29670 Phoenix AZ 85038-9670 Ph: () - | Valleywise Health 1201 S Alma School Rd Ste 5100 Mesa AZ 85210-2093 Ph: (602) 655-6242 |
| NPI Number | 1124710199 |
|---|---|
| Provider Enumeration Date | 05/25/2023 |
| Last Update Date | 10/05/2023 |
| Certification Date | 10/05/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124710199 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Secondary |
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