| Valleywise Health | |
|
950 E Van Buren St Avondale AZ 85323-1506 | |
| (602) 344-2520 | |
| (602) 344-8122 |
| Full Name | Valleywise Health |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 950 E Van Buren St, Avondale, Arizona |
| Authorized Official Name and Position | Kathleen Kirkland (PFS DIRECTOR) |
| Authorized Official Contact | 6023448178 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Valleywise Health Po Box 29670 Phoenix AZ 85008 Ph: (602) 344-8178 | Valleywise Health 950 E Van Buren St Avondale AZ 85323-1506 Ph: (602) 344-2520 |
| NPI Number | 1043679327 |
|---|---|
| Provider Enumeration Date | 02/16/2016 |
| Last Update Date | 10/22/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043679327 | NPI | - | NPPES |
| 189350800 | Other | AZ | US DEPT OF LABOR |
| 020107 | Medicaid | AZ | |
| 631935 | Other | AZ | AETNA |
| AZ0205850 | Other | AZ | BLUE CROSS BLUE SHIELD |
| 50005 | Other | AZ | EVERCARE CHOICE |
| AZ0947 | Other | AZ | HEALTH NET OF AZ |
| 29517 | Other | AZ | PHOENIX INDIAN MED CENTER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | H3673 (Arizona) | Primary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | H3673 (Arizona) | Secondary |
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