Valleywise Community Health Center - Avondale Pharmacy

LBN: Maricopa County Special Health Care District
Valleywise Community Health Center - Avondale Pharmacy is an health care organization with primary practice located at 950 E Van Buren St , Avondale AZ 85323-1506. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Maricopa County Special Health Care District can be contacted via phone (623) 344-6823, or through Sogard, Anna via phone (602) 344-5253.

Contact Information

Primary practice address
950 E Van Buren St Avondale AZ 85323-1506
Phone: (623) 344-6823
Fax: (623) 344-6806
Website:
Map and Directions
Authorized official contact:
Name: Sogard, Anna
Phone: (602) 344-5253

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X Y004179 Arizona

Profile Details

NPI number 1568407880
LBN Legal business name Maricopa County Special Health Care District
DBA Doing business as Valleywise Community Health Center - Avondale Pharmacy
Authorized official Sogard, Anna
Entity Organization
Organization subpart 1 No
Enumeration date Jun 19th, 2006
Last updated Oct 24th, 2019 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568407880 NPPES
Arizona MEDICAID 155706
Arizona Other 1990727

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