MARICOPA COUNTY SPECIAL HEALTH CARE DISTRICT (NPI# 1104331115) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104331115 |
| Entity Type | Organization |
| Organization Name | MARICOPA COUNTY SPECIAL HEALTH CARE DISTRICT |
| Other Organization Name | MARICOPA INTEGRATED HEALTH SYSTEM |
| Practice Address |
59 S Hibbert Mesa AZ 85210-1414 |
| Mailing Address |
Po Box 29670 Phoenix AZ 85038-9670 |
| Practice Telephone | 6023448178 |
| Practice Fax Number | 6023448122 |
| Mailing Telephone | 6023448178 |
| Mailing Fax Number | 6023448122 |
| Enumeration Date | 2017-12-13 |
| Last Update Date | 2017-12-13 |
| Authorized Official Name | KATHLEEN BENAQUISTA (CFO) |
| Authorized Official Telephone | 6023448469 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
H3673 | AZ | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 020107 | 05 |
| Other Name | Type Code |
|---|---|
| Maricopa Integrated Health System | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215575824 | Maricopa County Special Health Care District | Pharmacy | 8088 W Whitney Dr, Peoria, AZ 85345 | 2019-12-13 |
| 1528604923 | Maricopa County Special Health Care District | Clinic/Center | 8088 West Whitney Dr., Peoria, AZ 85345 | 2019-11-20 |
| 1891114641 | Maricopa County Special Health Care District | General Acute Care Hospital | 5650 S 35th Ave, Phoenix, AZ 85041 | 2014-04-09 |
| 1710922927 | Maricopa County Special Health Care District | Pharmacy | 5141 W Lamar Rd, Glendale, AZ 85301-3423 | 2006-06-19 |
| 1114962438 | Maricopa County Special Health Care District | Pharmacy | 811 S Hamilton St, Chandler, AZ 85225-6308 | 2006-06-19 |
| 1568407880 | Maricopa County Special Health Care District | Pharmacy | 950 E Van Buren St, Avondale, AZ 85323-1506 | 2006-06-19 |
| 1669936472 | Maricopa County Special Health Care District | Pharmacy | 5102 W Campbell Ave, Phoenix, AZ 85031-1703 | 2019-01-25 |
| 1043679327 | Maricopa County Special Health Care District | Clinic/Center | 950 E Van Buren St, Avondale, AZ 85323-1506 | 2016-02-16 |
| 1205295581 | Maricopa County Special Health Care District | Clinic/Center | 2525 E Roosevelt St, Phoenix, AZ 85008-4948 | 2016-02-16 |
| 1851750137 | Maricopa County Special Health Care District | Clinic/Center | 33 W Tamarisk St, Phoenix, AZ 85041-2422 | 2016-02-16 |
| Street Address |
59 S HIBBERT |
| City | MESA |
| State | AZ |
| Zip Code | 85210-1414 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386691988 | Renuka B. Nigam | Pediatrics | 59 S Hibbert, Mesa, AZ 85210-1414 | 2006-05-28 |
| 1356853824 | Stephanie Peishan Yu | Physician Assistant | 59 S Hibbert, Mesa, AZ 85210-1414 | 2017-10-24 |
| 1275952525 | Jayakrishna Paineni | Family Medicine | 59 S Hibbert, Mesa, AZ 85210-1414 | 2014-04-15 |
| 1306265145 | Maricopa County Special Health Care District | General Acute Care Hospital | 59 S Hibbert, Mesa, AZ 85210-1414 | 2014-04-09 |
| 1710229406 | Jamie Bohannon | Nurse Practitioner | 59 S Hibbert, Mesa, AZ 85210-1414 | 2013-03-21 |
| 1750391272 | Michael Wahbah | Dentist | 59 S Hibbert, Mesa, AZ 85210-1414 | 2006-08-08 |
| 1518902725 | Maricopa County Special Health Care District | Pharmacy | 59 S Hibbert, Mesa, AZ 85210-1414 | 2006-06-19 |
| 1043254261 | Pacita Tee Opulencia | Pediatrics | 59 S Hibbert, Mesa, AZ 85210-1414 | 2006-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497382501 | Mesa Center for Family Medicine | Internal Medicine | 2034 S Alma School Road, Suite #101, Mesa, AZ 85210 | 2020-03-26 |
| 1780177121 | Jessica Cannata | Speech-Language Pathologist | 2150 S Country Club Rd, Suite 20, Mesa, AZ 85210 | 2018-06-11 |
| 1831680305 | Alexandra Katherine Ebong | Nurse Practitioner | 1950 S. Country Club Drive, Ste 102, Mesa, AZ 85210 | 2018-05-21 |
| 1548762719 | Russell D. Meldrum, M.d. Pllc | Orthopaedic Surgery | 855 W. Southern Ave., #1114, Mesa, AZ 85210 | 2018-03-05 |
| 1023510435 | Denise M Bruno-krupp | Counselor | 1830 S. Alma School Rd. Suite 101, Mesa, AZ 85210 | 2018-03-01 |
| 1609374529 | Gene R Lullo | Social Worker | 1830 S Alma School Rd Suite 101, Mesa, AZ 85210 | 2018-01-25 |
| 1295264000 | Ashley P Smith | Naturopath | 601 S Alma School Rd, Apt 101, Mesa, AZ 85210 | 2017-06-06 |
| 1386184059 | Brittany Johnson | Counselor | 1745 S Alma School Rd Ste 230, Mesa, AZ 85210 | 2017-03-01 |
| 1487190880 | Mesa Valley Modern Dentistry, LLP | Dentist | 1712 S, Country Club Drive, Ste 104, Mesa, AZ 85210 | 2017-01-10 |
| 1821544529 | Sandra Coren | Licensed Practical Nurse | 32 S Mcdonald, Tlc, Mesa, AZ 85210 | 2016-09-01 |
| Find all providers in zip 85210 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770058190 | Gentle Behavioral Health Pllc | Clinic/Center | 1041 S Lebaron Ste P, Mesa, AZ 85210-3630 | 2018-10-11 |
| 1902114648 | Marc Community Resources, Inc. | Clinic/Center | 647 W Frito Ave, Mesa, AZ 85210-4621 | 2010-09-15 |
| 1770812497 | Marc Community Resources, Inc. | Clinic/Center | 422 W Ivyglen St, Mesa, AZ 85201-2107 | 2009-12-08 |
| 1619912029 | Marc Community Resources, Inc. | Clinic/Center | 4250 E Florian Ave, Building 1, Mesa, AZ 85206 | 2006-06-19 |
| 1851914634 | Beitler Health LLC | Clinic/Center | 3707 E Southern Ave Ste 2020, Mesa, AZ 85206-6213 | 2020-05-27 |
| 1306155122 | Marc Community Resources, Inc. | Clinic/Center | 120 N Beverly, Mesa, AZ 85201-6322 | 2010-09-28 |
| 1346474343 | Partners In Recovery, LLC | Clinic/Center | 3450 N Higley Rd, Mesa, AZ 85215-9702 | 2009-05-06 |
| 1518101237 | People of Color Network | Clinic/Center | 310 S Extension Rd, Mesa, AZ 85210-1292 | 2009-04-24 |
| 1003935289 | June Siegel Msw Cisw PC | Clinic/Center | 1830 S Alma School Rd, Suite 135, Mesa, AZ 85210-3056 | 2007-03-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497372908 | A Path of Resilience - Aprbhs - Rose House - LLC | Clinic/Center | 2258 W Wayland Rd, Phoenix, AZ 85041-3753 | 2020-06-30 |
| 1083237630 | The Heart Program | Clinic/Center | 4041 E Flower St, Phoenix, AZ 85018-6433 | 2020-05-18 |
| 1316569056 | Desert Heart Counseling Corp | Clinic/Center | 1536 E Maryland Ave Ste B300, Phoenix, AZ 85014-1475 | 2020-05-16 |
| 1922638055 | Lotus Health Arizona | Clinic/Center | 2600 E Southern Ave Ste I3, Tempe, AZ 85282-7738 | 2020-01-16 |
| 1689218687 | Devine Momentum Phoenix | Clinic/Center | 15342 W Turney Ave, Goodyear, AZ 85395-6323 | 2019-11-01 |
| 1588212195 | Tamarria Denga | Clinic/Center | 10000 N 31st Ave Ste D411, Phoenix, AZ 85051-1358 | 2019-08-27 |
| 1932768975 | Evolve Counseling & Behavioral Health Services | Clinic/Center | 1206 E Warner Rd # 203, Gilbert, AZ 85296-3132 | 2019-06-12 |
| 1073171153 | Heart Song Wellness LLC | Clinic/Center | 8617 W Union Hills Dr Ste 100, Peoria, AZ 85382-7001 | 2019-06-03 |
| 1659936680 | Sedona Family Counseling | Clinic/Center | 130 Castle Rock Rd Unit 65, Sedona, AZ 86351-8876 | 2019-05-06 |
| 1043778756 | Aye Wellness, Pllc | Clinic/Center | 2406 S 24th St Ste E100, Phoenix, AZ 85034-6801 | 2019-03-12 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.