| Maricopa County Special Health Care District | |
|
5102 W Campbell Ave Phoenix AZ 85031-1703 | |
| (602) 655-1900 | |
| Not Available |
| Full Name | Maricopa County Special Health Care District |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 5102 W Campbell Ave, Phoenix, 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 |
|---|---|
| Maricopa County Special Health Care District Po Box 29670 Phoenix AZ 85038-9670 Ph: (602) 344-8178 | Maricopa County Special Health Care District 5102 W Campbell Ave Phoenix AZ 85031-1703 Ph: (602) 655-1900 |
| NPI Number | 1851145809 |
|---|---|
| Provider Enumeration Date | 04/16/2024 |
| Last Update Date | 04/16/2024 |
| Certification Date | 04/16/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851145809 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Secondary |
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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