PHOENIX ALLIES FOR COMMUNITY HEALTH NPI 1669974853

NPI Information

  • NPI: 1669974853
  • Provider Name: PHOENIX ALLIES FOR COMMUNITY HEALTH
  • Classification: Clinic/Center - 261QM1000X
  • Specialization: Migrant Health
  • Entity Type: Organization
  • CLIA Number: 03D2088083
  • Address: 2902 W CLARENDON AVE
    PHOENIX, AZ
    ZIP 85017
  • Phone: (623) 455-6470

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NPI Details

PHOENIX ALLIES FOR COMMUNITY HEALTH is a migrant health clinic center in Phoenix, AZ. PHOENIX ALLIES FOR COMMUNITY HEALTH NPI is 1669974853. The provider is registered as an organization entity type.

The provider's business location address is:

2902 W CLARENDON AVE
PHOENIX, AZ
ZIP 85017-609
Phone: (623) 455-6470

The provider's authorized official is Jason Anthony Odhner .
The authorized official title is President and has the following contact phone number (602) 762-1975.

The CLIA number assigned to this NPI record is 03D2088083 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/2/2018 and was last updated on 3/2/2018.

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
1261QM1000XClinic/CenterMigrant HealthOTC7852ARIZONAYes

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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