MARICOPA COUNTY SPECIAL HEALTH CARE DISTRICT NPI 1043679327

NPI Information

NPI: 1043679327
Provider Name: MARICOPA COUNTY SPECIAL HEALTH CARE DISTRICT
Classification: Clinic/Center - 261QM0850X
Specialization: Adult Mental Health
Entity Type: Organization
Doing Business As: VALLEYWISE HEALTH
CLIA Number: 03D2008722
Address: 950 E VAN BUREN ST
AVONDALE, AZ
ZIP 85323
Phone: (602) 344-2520

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NPI Details

MARICOPA COUNTY SPECIAL HEALTH CARE DISTRICT is an adult mental health clinic center in Avondale, AZ. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. MARICOPA COUNTY SPECIAL HEALTH CARE DISTRICT NPI is 1043679327. The provider is registered as an organization entity type.
The provider Is Doing Business As Valleywise Health.

The provider's business location address is:

950 E VAN BUREN ST
AVONDALE, AZ
ZIP 85323-506
Phone: (602) 344-2520
Fax: (602) 344-8122

The provider's authorized official is Kathleen Kirkland .
The authorized official title is Pfs Director and has the following contact phone number (602) 344-8178.

The CLIA number assigned to this NPI record is 03D2008722 - hospital with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 2/16/2016 and was last updated on 10/22/2019.

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	261QM0855X	Clinic/Center	Adolescent and Children Mental Health	H3673	ARIZONA	No
2	261QM0850X	Clinic/Center	Adult Mental Health	H3673	ARIZONA	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	189350800	OTHER	ARIZONA	US DEPT OF LABOR
2	020107	MEDICAID	ARIZONA
3	AZ0205850	OTHER	ARIZONA	BLUE CROSS BLUE SHIELD
4	631935	OTHER	ARIZONA	AETNA
5	29517	OTHER	ARIZONA	PHOENIX INDIAN MED CENTER
6	50005	OTHER	ARIZONA	EVERCARE CHOICE
7	AZ0947	OTHER	ARIZONA	HEALTH NET OF AZ

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: 3/30/2025

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