DHEW IND HLTH SV HLTH SVS & MNTL HLTH ADM NPI 1083643738

NPI Information

NPI: 1083643738
Provider Name: DHEW IND HLTH SV HLTH SVS & MNTL HLTH ADM

Doing Business As: PHOENIX INDIAN MEDICAL CENTER

Classification: Public Health or Welfare - 251K00000X
Entity Type: Organization
Address:
4212 N 16TH ST
PHOENIX, AZ
ZIP 85016
Phone: (602) 263-1200
Get Directions

DHEW IND HLTH SV HLTH SVS & MNTL HLTH ADM is a public health or welfare in Phoenix, AZ. DHEW IND HLTH SV HLTH SVS & MNTL HLTH ADM NPI is 1083643738. The provider is registered as an organization entity type.
The provider Is Doing Business As Phoenix Indian Medical Center.

The provider's business location address is:

4212 N 16TH ST
PHOENIX, AZ
ZIP 85016-319
Phone: (602) 263-1200
Fax: (602) 200-5383

The provider's authorized official is Laura A Tillman .
The authorized official title is Cmo and has the following contact phone number (602) 263-1567.

The enumeration date for this NPI number is 7/2/2006 and was last updated on 5/26/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	251K00000X	Public Health or Welfare				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	P0206550	OTHER	ARIZONA	BLUE CROSS
2	537821	MEDICAID	ARIZONA
3	092354	MEDICAID	ARIZONA
4	418196	MEDICAID	ARIZONA
5	022062	MEDICAID	ARIZONA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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