| Organization Name: | MOHAVE COUNTY DEPT. OF PUBLIC HEALTH |
| NPI Number: | 1609010511 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | PATTY MEAD (HEALTH DIRECTOR) |
| Mailing Address: | 20 South Colvin Colorado City |
| State: | AZ US |
| Postal Code: | 86021 |
| Phone Number: | 9288758960 |
| Fax Number: | 9288758961 |
| NPI Enumeration Date: | 04/22/2009 |
| NPI Last Update Date: | 04/22/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251K00000X |
| License Number: | OTC3466 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Public Health or Welfare |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |