| Organization Name: | PINAL COUNTY ARIZONA |
| NPI Number: | 1770916470 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SUSIE C ESCALANTE (ACCOUNT CLERK-BILLING) |
| Mailing Address: | 302 E 5th St Eloy |
| State: | AZ US |
| Postal Code: | 851312111 |
| 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: | OTC3525 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Public Health or Welfare |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |