ARIZONA STATE UNIVERSITY


Address: 1124 N 3rd St, Phoenix, AZ 85004-1805
Phone: 6025239275

ARIZONA STATE UNIVERSITY (NPI# 1164601811) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1164601811
Entity Type Organization
Organization Name ARIZONA STATE UNIVERSITY
Other Organization Name ASU BREAKING THE CYCLE COMMUNITY HEALTHCARE
Practice Address 1124 N 3rd St
Phoenix
AZ 85004-1805
Mailing Address 500 N 3rd St
Phoenix
AZ 85004-2135
Practice Telephone 6025239275
Practice Fax Number 6022584345
Mailing Telephone 6025239275
Enumeration Date 2007-10-30
Last Update Date 2009-08-21
Authorized Official Name DR. DENISE GIANNASCOLI LINK (ASSOC. DEAN FOR CLINICAL PRACTICE)
Authorized Official Telephone 6024960893
Authorized Official Credential NURSE PRACTITION
Is Organization Subpart Y
Parent Organization Name ARIZONA STATE UNIVERSITY

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QA0005X Clinic/Center
Specialization: Ambulatory Family Planning Facility
AZ Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
ASU Breaking the Cycle Community Healthcare Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1396072682 Arizona State University Clinic/Center 1555 N Bridalwreath St, Tempe, AZ 85281-1601 2009-11-09
1912187121 Arizona State University Family Medicine 7332 E. Sun Devil Mall, Mesa, AZ 85212 2007-11-06
1255511465 Arizona State University Family Medicine 4701 West Thunderbird Road, University Center Building, Room 190, Glendale, AZ 85306 2007-11-06
1952338865 Arizona State University Audiologist Coor Hall 2211, Tempe, AZ 85287-0102 2006-06-27
1467079020 Arizona State University Clinical Medical Laboratory 1001 S Mcallister Ave, Tempe, AZ 85281-2115 2020-06-30
1063883924 Arizona State University Audiologist 975 S. Myrtle Avenue, Coor Hall 2211, Tempe, AZ 85281 2015-10-16
1477959518 Arizona State University Non-Pharmacy Dispensing Site 500 E Veterans Way, Tempe, AZ 85287-0001 2014-11-18
1821492455 Arizona State University Non-Pharmacy Dispensing Site 500 E Veterans Way, Tempe, AZ 85287-0001 2014-10-10
1265798664 Arizona State University Clinic/Center 500 N 3rd St, Phoenix, AZ 85004-2135 2012-04-10
1194058917 Arizona State University Clinic/Center 2150 E Orange St, Tempe, AZ 85281-4814 2009-09-11

Other Data Sources

Entity Type Entity Name Entity Address
North Carolina Corporations Arizona State University 1475 N Scottsdale Rd, Scottsdale, AZ 85257
System for Award Management (SAM) Entities ARIZONA STATE UNIVERSITY 300 E University Dr Ste 410, Tempe, AZ 85281-2061
Colorado Business Entities Arizona State University Foundation for A New American University 300 E University Dr, Tempe, AZ 85281
Ohio Business Entities ARIZONA STATE UNIVERSITY FOUNDATION FOR A NEW AMERICAN UNIVERSITY 300 E. University Dr., Tempe, AZ 85281
Oklahoma Business Registrations ARIZONA STATE UNIVERSITY FOUNDATION FOR A NEW AMERICAN UNIVERSITY Po Box 2260, Tempe, AZ 85280-2260

Office Location

Street Address 1124 N 3RD ST
City PHOENIX
State AZ
Zip Code 85004-1805

Providers in the same location

NPI Name Taxonomy Address Enumeration
1821265844 Cristi Coursen Nurse Practitioner 1124 N 3rd St, Phoenix, AZ 85004-1805 2008-05-08

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1396360749 Ulivvo Inc. Nurse Practitioner 141 E Palm Lane, Suite 206, Phoenix, AZ 85004 2020-06-11
1508325929 Ican America Clinic/Center Cityscape Tower 1 E Washington St., Suite 440, Phoenix, AZ 85004 2019-03-15
1770064107 Edward Jude Stein Pharmacist Two Renaissance Square, 40 N Central Ave, Suite 780, Ihs Clinical Support Center, Phoenix, AZ 85004 2018-08-23
1740775303 Alexander L. Shaw Dentist 201 N Central Ave. #1490, Phoenix, AZ 85004 2018-06-26
1497267868 Michael Dimoff Registered Nurse 1850 N. Central Ave, Ste 1600, Phoenix, AZ 85004 2017-10-25
1093231433 Ezequiel Bautista Music Therapist 2702 N 3rd Street, Suite 1000, Phoenix, AZ 85004 2017-08-17
1841742442 Stacy Maahs Nurse Practitioner 500 N 3rd St Ste 155, Phoenix, AZ 85004 2016-10-29
1538537246 Jessica Lindsay Karlson Pharmacist 2302 N Central Ave Ste 7, Phoenix, AZ 85004 2015-09-11
1689059883 Yvette's Hope Foundation Home Health 40 N. Central Ave. Ste. 1400, Phoenix, AZ 85004 2015-07-29
1881082790 Patricia Russell Specialist/Technologist 60 E. Vernon Ave, Arcadia Therapy Services, Phoenix, AZ 85004 2014-12-30
Find all providers in zip 85004

Taxonomy Information

Taxonomy Code 261QA0005X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Ambulatory Family Planning Facility

Taxonomy Definition

An abortion/family planning facility where services are provided at a fixed specific location. An Ambulatory Family Planning Facility does not provide overnight accommodations. The following procedures may be performed at an Ambulatory Family Planning Facility: abortions, laproscopy, hysterectomies, tubule ligation and other related procedures. Abortion is considered voluntary termination of pregnancy.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1275788036 Planned Parenthood Arizona Clinic/Center 3131 E Thunderbird Rd, Suite 48, Phoenix, AZ 85032-5600 2008-11-20
1003061862 Planned Parenthood Clinic/Center 4616 N 51st Ave, Suite 210, Phoenix, AZ 85031-1716 2008-11-20

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1336474618 Mairelis Zaldivar-salazar Clinic/Center 10008 W Bloch Rd, Tolleson, AZ 85353-4446 2009-10-05
1730310046 Greenlee County Clinic/Center 253 5th Street, Clifton, AZ 85533-0936 2009-08-04
1124273818 Planned Parenthood Arizona Clinic/Center 1455 W 16th St, Ste C, Yuma, AZ 85364-8921 2008-11-21
1669627360 Planned Parenthood Arizona Clinic/Center 1250 E Apache Blvd, Suite 108, Tempe, AZ 85281-5870 2008-11-21
1750536447 Planned Parenthood Arizona Clinic/Center 7750 E Florentine Rd, Prescott Valley, AZ 86314-2245 2008-11-21
1104071968 Planned Parenthood Arizona Clinic/Center 5771 W Eugie Ave, Glendale, AZ 85304-1241 2008-11-20
1811142672 Planned Parenthood Arizona Clinic/Center 1235 S Gilbert Rd, Suite 20, Mesa, AZ 85204-6005 2008-11-20
1033364898 Planned Parenthood Arizona Clinic/Center 2500 S Woodlands Village Blvd Ste 12, Flagstaff, AZ 86001-6373 2008-11-20
1881080901 Planned Parenthood of Arizona Clinic/Center 5240 E Knight Dr, Suite #112, Tucson, AZ 85712-2122 2015-04-15
1699164202 Jeremy Ficken Clinic/Center 750 N Estrella Pkwy, Ste 40, Goodyear, AZ 85338-9272 2015-01-20
Find all providers with the same taxonomy

Competitor

Search similar providers

City PHOENIX
Zip Code 85004

Improve Information

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Dataset Information

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.

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