MARICOPA COUNTY SPECIAL HEALTH CARE DISTRICT (NPI# 1821415902) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821415902 |
| Entity Type | Organization |
| Organization Name | MARICOPA COUNTY SPECIAL HEALTH CARE DISTRICT |
| Other Organization Name | MARICOPA INTEGRATED HEALTH |
| Practice Address |
5141 W Lamar Rd Glendale AZ 85301-3423 |
| Mailing Address |
Po Box 29670 Phoenix AZ 85038-9670 |
| Practice Telephone | 6023448180 |
| Mailing Telephone | 6023448178 |
| Enumeration Date | 2014-03-26 |
| Last Update Date | 2020-05-04 |
| Authorized Official Name | MRS. KATHLEEN KIRKLAND (PFS DIRECTOR) |
| Authorized Official Telephone | 6023448178 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
H3673 | AZ | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | PHOENIX INDIAN MEDICAL CENTER | 29517 | 01 |
| AZ | AETNA | 631935 | 01 |
| AZ | BLUE CROSS BLUE SHIELD | AZ0205850 | 01 |
| AZ | HEALTHNET OF AZ | AZ0947 | 01 |
| AZ | UD DEPT OF LABOR | 189350800 | 01 |
| AZ | EVERCARE CHOICE | 500005 | 01 |
| AZ | 987495 | 05 |
| Other Name | Type Code |
|---|---|
| Dialysis Center at Valleywise Community Health Center - Glendale | Doing Business As Name - Organization |
| Maricopa Integrated 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 |
| 1043679327 | Maricopa County Special Health Care District | Clinic/Center | 950 E Van Buren St, Avondale, AZ 85323-1506 | 2016-02-16 |
| 1205295581 | Maricopa County Special Health Care District | Clinic/Center | 2525 E Roosevelt St, Phoenix, AZ 85008-4948 | 2016-02-16 |
| Street Address |
5141 W LAMAR RD |
| City | GLENDALE |
| State | AZ |
| Zip Code | 85301-3423 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710922927 | Maricopa County Special Health Care District | Pharmacy | 5141 W Lamar Rd, Glendale, AZ 85301-3423 | 2006-06-19 |
| 1407408537 | Summer Schacht | Physician Assistant | 5141 W Lamar Rd, Glendale, AZ 85301-3423 | 2019-07-09 |
| 1679056147 | Larissa Dohn Wiley | Physician Assistant | 5141 W Lamar Rd, Glendale, AZ 85301-3423 | 2018-09-11 |
| 1164904413 | Carla Boan | Physician Assistant | 5141 W Lamar Rd, Glendale, AZ 85301-3423 | 2018-09-04 |
| 1053811976 | Nicole James | Nurse Practitioner | 5141 W Lamar Rd, Glendale, AZ 85301-3423 | 2018-02-16 |
| 1104336221 | Rebecca Ann Zwick | Registered Nurse | 5141 W Lamar Rd, Glendale, AZ 85301-3423 | 2017-10-03 |
| 1023546249 | Brittany Marie Divito | Registered Nurse | 5141 W Lamar Rd, Glendale, AZ 85301-3423 | 2017-06-01 |
| 1255701801 | Emily Brewton | Physician Assistant | 5141 W Lamar Rd, Glendale, AZ 85301-3423 | 2015-09-25 |
| 1952720708 | Maricopa County Special Health Care District | General Acute Care Hospital | 5141 W Lamar Rd, Glendale, AZ 85301-3423 | 2014-04-09 |
| 1710303938 | Barbara Benincaso | Nurse Practitioner | 5141 W Lamar Rd, Glendale, AZ 85301-3423 | 2014-03-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164051900 | Stateserv Medical of Phoenix LLC | Durable Medical Equipment & Medical Supplies | 5234 W. Missouri, Glendale, AZ 85301 | 2020-04-03 |
| 1366988933 | Sonoran Sky Community Services | Community Based Residential Treatment Facility, Mental Illness | 5148 W. Frier Dr, Glendale, AZ 85301 | 2017-01-06 |
| 1306227830 | Sage Counseling, Inc. | Community/Behavioral Health | 6610 N. 47th Avenue, Suites 6, 7 & 8, Glendale, AZ 85301 | 2015-06-10 |
| 1477802023 | Lori Wyke | Specialist/Technologist | 7301 N. 58th Avenue, Glendale, AZ 85301 | 2012-08-29 |
| 1144581257 | Jerry Harold Brue | Pharmacist | 7772 N 52nd Dr, Glendale, AZ 85301 | 2012-06-05 |
| 1558632935 | Jasmine Rojas | Licensed Practical Nurse | 7301 N. 58th Ave., Glendale Elem. Dist 40, Glendale, AZ 85301 | 2012-01-18 |
| 1184950438 | Victoria Joan Petti | Physical Therapist | 5125 N. 58th Ave, Glendale, AZ 85301 | 2009-10-21 |
| 1598907479 | Westside Speech & Language Services | Clinic/Center | 7415 N. 59th Ave, Glendale, AZ 85301 | 2009-03-24 |
| 1992940241 | Lorraine Pimentel Montes | Specialist | 4441 W. Bethany Home Rd, Glendale, AZ 85301 | 2008-12-15 |
| 1770739922 | Patricia Lee Click | Social Worker | 5400 W. Northern Avenue, Suite 120, Glendale, AZ 85301 | 2008-08-07 |
| Find all providers in zip 85301 | ||||
| Taxonomy Code | 261QE0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | End-Stage Renal Disease (ESRD) Treatment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437613916 | Premier Home Dialysis Services | Clinic/Center | 20118 N 67th Ave Ste 300-527, Glendale, AZ 85308-4621 | 2019-01-29 |
| 1538666045 | Bio-medical Applications of Arizona LLC | Clinic/Center | 6622 N 91st Ave Ste 120, Glendale, AZ 85305-2512 | 2018-04-11 |
| 1538661483 | Bio-medical Applications of Arizona LLC | Clinic/Center | 6622 N 91st Ave Ste 210, Glendale, AZ 85305-2569 | 2018-03-07 |
| 1174043046 | Yards Dialysis LLC | Clinic/Center | 6850 San Fernando Rd, Glendale, CA 91201-1642 | 2017-06-22 |
| 1396111886 | Fresenius Medical Care Glendale, LLC | Clinic/Center | 623 S Central Ave, Glendale, CA 91204 | 2015-08-19 |
| 1962888560 | Genesis Services, LLC | Clinic/Center | 7407 88th St, Glendale, NY 11385-7951 | 2015-08-05 |
| 1578947636 | Bio-medical Applications of Arizona LLC | Clinic/Center | 4407 W Peoria Ave, Glendale, AZ 85302-2036 | 2015-07-17 |
| 1437241403 | Glendale Nephrology Services, LLC | Clinic/Center | 1427 S Glendale Ave, Glendale, CA 91205-3313 | 2006-09-28 |
| 1598877490 | Bio-medical Applications of Arizona, LLC | Clinic/Center | 16844 N 59th Ave, Glendale, AZ 85306-1118 | 2006-08-31 |
| 1851403752 | Bio-medical Applications of Arizona, LLC | Clinic/Center | 5957 W Northern Ave Ste 108, Glendale, AZ 85301-7825 | 2006-08-31 |
| Find all providers in GLENDALE | ||||
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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.