Organization Name: | PINAL COUNTY ARIZONA |
NPI Number: | 1295168995 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SUSIE C ESCALANTE (ACCOUNT CLERK-BILLING) |
Mailing Address: | 355 Alden Kearny |
State: | AZ US |
Postal Code: | 85137 |
Phone Number: | 5208667319 |
Fax Number: | 5208667066 |
NPI Enumeration Date: | 08/16/2013 |
NPI Last Update Date: | 08/16/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251K00000X |
License Number: | OTC3523 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Public Health or Welfare |
Taxonomy Specialization: | |
Taxonomy Definition: |