ROOSEVELT ELEMENTARY SCHOOL DISTRICT #66 NPI 1982724480

NPI Information

ROOSEVELT ELEMENTARY SCHOOL DISTRICT #66 is a student in an organized health care education training program in Phoenix, AZ. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. ROOSEVELT ELEMENTARY SCHOOL DISTRICT #66 NPI is 1982724480. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

6218 S 7TH ST
PHOENIX, AZ
ZIP 85042-211
Phone: (602) 243-4866
Fax: (602) 304-3132

The provider's authorized official is Theresa W Hale .
The authorized official title is Medicaid Coordinator and has the following contact phone number (602) 304-3117.

The enumeration date for this NPI number is 3/29/2007 and was last updated on 8/22/2020.

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:

Other Identifiers

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.