DHEW IND HLTH SV HLTH SVS & MNTL HLTH ADM NPI 1003083551

NPI Information

DHEW IND HLTH SV HLTH SVS & MNTL HLTH ADM is an ambulatory surgical clinic center in Phoenix, AZ. DHEW IND HLTH SV HLTH SVS & MNTL HLTH ADM NPI is 1003083551. The provider is registered as an organization entity type.
The provider Is Doing Business As Pimc - Ambulatory Surgical Center.

The provider's business location address is:

4212 NORTH 16TH STREET
PHOENIX INDIAN MEDICAL CENTER AMBULATORY SURGICAL CENT
PHOENIX, AZ
ZIP 85016-319
Phone: (602) 263-1200
Fax: (602) 263-1618

The provider's authorized official is Laura A Tillman .
The authorized official title is Cmo and has the following contact phone number (602) 263-1674.

The enumeration date for this NPI number is 5/14/2008 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:

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