Valleywise Chc - Mesa Behavioral Health Specialty Clinic

LBN: Maricopa County Special Health Care District
Valleywise Chc - Mesa Behavioral Health Specialty Clinic is an health care organization with primary practice located at 950 E Main St , Mesa AZ 85203-8820. The organization recently has only one registered license in Ambulatory Health Care Facilities / Adult Mental Health, which is considered as the primary health care specialty. Maricopa County Special Health Care District can be contacted via phone (602) 655-6260, or through Agnew, Claire via phone (602) 344-8428.

Contact Information

Primary practice address
950 E Main St Mesa AZ 85203-8820
Phone: (602) 655-6260
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Agnew, Claire
Phone: (602) 344-8428

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X H3673 Arizona

Profile Details

NPI number 1104331115
LBN Legal business name Maricopa County Special Health Care District
DBA Doing business as Valleywise Chc - Mesa Behavioral Health Specialty Clinic
Authorized official Agnew, Claire
Entity Organization
Organization subpart 1 No
Enumeration date Dec 13th, 2017
Last updated Jan 27th, 2022 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104331115 NPPES
Arizona MEDICAID 020107

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