STATE OF ARIZONA DEPARTMENT OF CORRECTIONS (NPI# 1255566477) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255566477 |
| Entity Type | Organization |
| Organization Name | STATE OF ARIZONA DEPARTMENT OF CORRECTIONS |
| Practice Address |
1305 E Butte Ave Florence AZ 85232 |
| Mailing Address |
3846 E Palmer St Gilbert AZ 85298-8855 |
| Practice Telephone | 5208684011 |
| Practice Fax Number | 6022587886 |
| Enumeration Date | 2009-05-18 |
| Last Update Date | 2009-05-18 |
| Authorized Official Name | LINDSEY R CHITWOOD (PHYSICIAN ASSISTANT) |
| Authorized Official Telephone | 5208684011 |
| Authorized Official Credential | MASTERS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2400X |
Clinic/Center Specialization: Prison Health |
3816 | AZ | Ambulatory Health Care Facilities |
| Street Address |
1305 E BUTTE AVE |
| City | FLORENCE |
| State | AZ |
| Zip Code | 85232 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265031496 | Samantha Ellen Fullmer | General Practice | 1305 E Butte Ave, Florence, AZ 85132-9221 | 2020-10-19 |
| 1023670338 | Amanda Marie Carroll | Dentist | 1305 E Butte Ave, Florence, AZ 85132-9221 | 2019-07-08 |
| 1740758762 | Christa Melody Moore | Nurse Practitioner | 1305 E Butte Ave, Florence, AZ 85132-9221 | 2018-11-07 |
| 1073038824 | Dorothy Chinyere Igwe | Nurse Practitioner | 1305 E Butte Ave, Florence, AZ 85132-9221 | 2017-08-12 |
| 1194957670 | Jennifer Mandigo | Counselor | 1305 E Butte Ave, Florence, AZ 85132-9221 | 2009-08-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508172198 | Hayley Benson | Physical Therapist | 448 E Butte Ave, Ste 3, Florence, AZ 85232 | 2010-08-20 |
| 1942537154 | Florence Ltc, LLC | Skilled Nursing Facility | 450 West Adamsville Road, Florence, AZ 85232 | 2009-11-09 |
| 1275780439 | Jason K Whetten | Dentist | 46 E 11th St, Florence, AZ 85232 | 2008-08-19 |
| 1578741351 | John A. Riley, PC | Optometrist | 360 N. Main Street, Florence, AZ 85232 | 2008-02-05 |
| 1093990160 | Core Chiropractic, LLC | Chiropractor | 6716 East Heritage Road, Florence, AZ 85232 | 2008-01-08 |
| 1881888790 | Jacqueline Lee Miller | Speech-Language Pathologist | 2700 N. Anthem Way, Florence, AZ 85232 | 2007-09-04 |
| 1487869673 | Noelle Kay White | Occupational Therapist | 255 S Orlando St, Florence, AZ 85232 | 2007-05-11 |
| 1790901106 | Pinal County Public Health Department | Public Health or Welfare | 500 S. Central, Florence, AZ 85232 | 2007-04-17 |
| 1366594350 | Dorinda S. Kroymann-moens | Physical Therapist | 225 South Orlando, Room 26, Florence, AZ 85232 | 2007-01-18 |
| 1063589299 | Alice Clark | Respite Care | 10720 E. Marigold Lane, Florence, AZ 85232 | 2006-11-30 |
| Find all providers in zip 85232 | ||||
| Taxonomy Code | 261QP2400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Prison Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538580774 | Federal Bureau of Prisons | Clinic/Center | 5880 State Highway 67, Florence, CO 81226-9791 | 2013-12-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902346919 | Corizon Health | Clinic/Center | 950 W Elliot Rd, Tempe, AZ 85284-1144 | 2017-02-24 |
| 1134425150 | Pima County | Clinic/Center | 3950 S Country Club Rd, Suite 3460, Tucson, AZ 85714-2099 | 2011-02-09 |
| 1396919387 | Yrmc Physiciancare Internal Medicine | Clinic/Center | 3120 Clearwater Dr, Prescott, AZ 86305-7131 | 2008-04-22 |
Please comment or provide details below to improve the information on STATE OF ARIZONA DEPARTMENT OF CORRECTIONS.
| 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.