| Maricopa Integrated Health | |
|
5825 E Calle Guadalupe Guadalupe AZ 85283-2664 | |
| (602) 344-8180 | |
| (602) 344-8122 |
| Full Name | Maricopa Integrated Health |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 5825 E Calle Guadalupe, Guadalupe, 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 |
|---|---|
| Maricopa Integrated Health Po Box 29670 Phoenix AZ 85038-9670 Ph: (602) 344-8180 | Maricopa Integrated Health 5825 E Calle Guadalupe Guadalupe AZ 85283-2664 Ph: (602) 344-8180 |
| NPI Number | 1861811614 |
|---|---|
| Provider Enumeration Date | 04/09/2014 |
| Last Update Date | 04/26/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861811614 | NPI | - | NPPES |
| 946350 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| 282N00000X | General Acute Care Hospital | H3673 (Arizona) | Secondary |
Las Fuentes Health Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8625 S Avenida Del Yaqui, Guadalupe, AZ 85283 Phone: 480-777-2263 Fax: 480-777-2264 |