NPI | 1629840137 |
---|---|
Doing Business As | VALLEYWISE MOBILE HEALTH CLINIC |
Entity Type | Organization |
Authorized Contact | PAMELA S FOWLER System Director Of Reimbursement 602-344-2830 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 282N00000X General Acute Care Hospital |
Enumeration Date | 2023-10-27 |
Last Update Date | 2024-04-25 |