MARICOPA COUNTY SPECIAL HEALTH CARE DISTRICT (NPI# 1043679327) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043679327 |
| Entity Type | Organization |
| Organization Name | MARICOPA COUNTY SPECIAL HEALTH CARE DISTRICT |
| Other Organization Name | VALLEYWISE HEALTH |
| Practice Address |
950 E Van Buren St Avondale AZ 85323-1506 |
| Mailing Address |
Po Box 29670 Phoenix AZ 85008 |
| Practice Telephone | 6023442520 |
| Practice Fax Number | 6023448122 |
| Mailing Telephone | 6023448178 |
| Mailing Fax Number | 6023448122 |
| Enumeration Date | 2016-02-16 |
| Last Update Date | 2019-10-22 |
| Authorized Official Name | KATHLEEN KIRKLAND (PFS DIRECTOR) |
| Authorized Official Telephone | 6023448178 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
H3673 | AZ | Ambulatory Health Care Facilities |
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
H3673 | AZ | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | US DEPT OF LABOR | 189350800 | 01 |
| AZ | 020107 | 05 | |
| AZ | BLUE CROSS BLUE SHIELD | AZ0205850 | 01 |
| AZ | AETNA | 631935 | 01 |
| AZ | PHOENIX INDIAN MED CENTER | 29517 | 01 |
| AZ | EVERCARE CHOICE | 50005 | 01 |
| AZ | HEALTH NET OF AZ | AZ0947 | 01 |
| Other Name | Type Code |
|---|---|
| Valleywise Health | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215575824 | Maricopa County Special Health Care District | Pharmacy | 8088 W Whitney Dr, Peoria, AZ 85345 | 2019-12-13 |
| 1528604923 | Maricopa County Special Health Care District | Clinic/Center | 8088 West Whitney Dr., Peoria, AZ 85345 | 2019-11-20 |
| 1891114641 | Maricopa County Special Health Care District | General Acute Care Hospital | 5650 S 35th Ave, Phoenix, AZ 85041 | 2014-04-09 |
| 1710922927 | Maricopa County Special Health Care District | Pharmacy | 5141 W Lamar Rd, Glendale, AZ 85301-3423 | 2006-06-19 |
| 1114962438 | Maricopa County Special Health Care District | Pharmacy | 811 S Hamilton St, Chandler, AZ 85225-6308 | 2006-06-19 |
| 1568407880 | Maricopa County Special Health Care District | Pharmacy | 950 E Van Buren St, Avondale, AZ 85323-1506 | 2006-06-19 |
| 1669936472 | Maricopa County Special Health Care District | Pharmacy | 5102 W Campbell Ave, Phoenix, AZ 85031-1703 | 2019-01-25 |
| 1104331115 | Maricopa County Special Health Care District | Clinic/Center | 59 S Hibbert, Mesa, AZ 85210-1414 | 2017-12-13 |
| 1205295581 | Maricopa County Special Health Care District | Clinic/Center | 2525 E Roosevelt St, Phoenix, AZ 85008-4948 | 2016-02-16 |
| 1851750137 | Maricopa County Special Health Care District | Clinic/Center | 33 W Tamarisk St, Phoenix, AZ 85041-2422 | 2016-02-16 |
| Street Address |
950 E VAN BUREN ST |
| City | AVONDALE |
| State | AZ |
| Zip Code | 85323-1506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568407880 | Maricopa County Special Health Care District | Pharmacy | 950 E Van Buren St, Avondale, AZ 85323-1506 | 2006-06-19 |
| 1689191397 | Daniel Fimbres | Nurse Practitioner | 950 E Van Buren St, Avondale, AZ 85323-1506 | 2017-08-23 |
| 1932505401 | Amparo Estera Macariola | Nurse Practitioner | 950 E Van Buren St, Avondale, AZ 85323-1506 | 2014-11-11 |
| 1598177461 | Tina Mckenzie | Family Medicine | 950 E Van Buren St, Avondale, AZ 85323-1506 | 2014-05-28 |
| 1982022133 | Maricopa County Special Health Care District | General Acute Care Hospital | 950 E Van Buren St, Avondale, AZ 85323-1506 | 2014-04-04 |
| 1093038242 | Jessica Aleah Holmes | Family Medicine | 950 E Van Buren St, Avondale, AZ 85323-1506 | 2010-03-02 |
| 1306090998 | Goshtasb Javdan | Family Medicine | 950 E Van Buren St, Avondale, AZ 85323-1506 | 2008-11-09 |
| 1356482426 | Kevin Gerard Lopez | Family Medicine | 950 E Van Buren St, Avondale, AZ 85323-1506 | 2007-02-09 |
| 1083632756 | Melissa Villamor | Dentist | 950 E Van Buren St, Avondale, AZ 85323-1506 | 2006-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932663994 | Bridgewater Avondale Operations, LLC | Assisted Living Facility | 295 E Van Buren Street, Avondale, AZ 85323 | 2019-01-24 |
| 1104309152 | Carlos Sifuentes | Physical Therapist | 10750 W Mcdowell Rd., Ste. B-210, Avondale, AZ 85323 | 2018-09-14 |
| 1225534688 | Dayna Sue Kaepp | Registered Nurse | 3300 N. Santa Fe Trail, Avondale, AZ 85323 | 2018-04-04 |
| 1407376700 | Amanda Lynn Radcliffe | Nurse Practitioner | 824 N. 99th Ave Ste 108, Avondale, AZ 85323 | 2017-06-27 |
| 1093253361 | Aquatic-n-writing Rehad | Home Health | 12355 West Cocopah Street, Avondale, AZ 85323 | 2017-02-07 |
| 1750838348 | Annette A Alvarez | Specialist/Technologist | 295 W Western Avenue, Avondale, AZ 85323 | 2016-09-01 |
| 1649726886 | Michelle R Dotson | Contractor | 12115 W Van Buren St Apt 1924, Avondale, AZ 85323 | 2016-08-28 |
| 1619370756 | Amanda Mann | Physical Therapy Assistant | 12804 West Hildalgo, Avondale, AZ 85323 | 2014-10-03 |
| 1326459306 | Ma Caubalejo | Physical Therapist | 350 East La Canada Blvd, Avondale, AZ 85323 | 2014-05-13 |
| 1093139545 | Mark Salvador | Physical Therapy Assistant | 11722 W. Mountain View Dr., Avondale, AZ 85323 | 2014-02-04 |
| Find all providers in zip 85323 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497372908 | A Path of Resilience - Aprbhs - Rose House - LLC | Clinic/Center | 2258 W Wayland Rd, Phoenix, AZ 85041-3753 | 2020-06-30 |
| 1083237630 | The Heart Program | Clinic/Center | 4041 E Flower St, Phoenix, AZ 85018-6433 | 2020-05-18 |
| 1316569056 | Desert Heart Counseling Corp | Clinic/Center | 1536 E Maryland Ave Ste B300, Phoenix, AZ 85014-1475 | 2020-05-16 |
| 1922638055 | Lotus Health Arizona | Clinic/Center | 2600 E Southern Ave Ste I3, Tempe, AZ 85282-7738 | 2020-01-16 |
| 1689218687 | Devine Momentum Phoenix | Clinic/Center | 15342 W Turney Ave, Goodyear, AZ 85395-6323 | 2019-11-01 |
| 1588212195 | Tamarria Denga | Clinic/Center | 10000 N 31st Ave Ste D411, Phoenix, AZ 85051-1358 | 2019-08-27 |
| 1932768975 | Evolve Counseling & Behavioral Health Services | Clinic/Center | 1206 E Warner Rd # 203, Gilbert, AZ 85296-3132 | 2019-06-12 |
| 1073171153 | Heart Song Wellness LLC | Clinic/Center | 8617 W Union Hills Dr Ste 100, Peoria, AZ 85382-7001 | 2019-06-03 |
| 1659936680 | Sedona Family Counseling | Clinic/Center | 130 Castle Rock Rd Unit 65, Sedona, AZ 86351-8876 | 2019-05-06 |
| 1043778756 | Aye Wellness, Pllc | Clinic/Center | 2406 S 24th St Ste E100, Phoenix, AZ 85034-6801 | 2019-03-12 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.