Organization Name: | PINAL COUNTY ARIZONA |
NPI Number: | 1528113859 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | GWENA L VINCENT (ACCOUNT CLERK-BILLING) |
Mailing Address: | 119 W. Central Avenue Coolidge |
State: | AZ US |
Postal Code: | 85128 |
Phone Number: | 5208667319 |
Fax Number: | 5208667066 |
NPI Enumeration Date: | 01/25/2007 |
NPI Last Update Date: | 08/14/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251K00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Public Health or Welfare |
Taxonomy Specialization: | |
Taxonomy Definition: |