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Maricopa County Correctional Health Services

Clinic/Center, Public Health, State or Local in Phoenix, AZ. Organization (NPI-2).

NPI number1154875375
StatusActive
Last updated in NPPESAug 4, 2016

Details

NPI
1154875375
Entity type
Organization (NPI-2)
Legal business name
Maricopa County Correctional Health Services
Organization subpart
Yes
Enumeration date
Aug 4, 2016
Last updated
Aug 4, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QP0905X Clinic/Center, Public Health, State or Local––Yes
261Q00000X Clinic/Center––

Practice location

234 N Central Ave
Suite 5000
Phoenix, AZ 85004-2208

Phone 602-506-3177

Mailing address

234 N Central Ave
Suite 5000
Phoenix, AZ 85004-2208

Phone 602-506-3177

Authorized official

Jeffery Alvarez
Director
6028747114

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