| NPI | 1831678721 |
|---|---|
| Doing Business As | PCMH |
| Entity Type | Organization |
| Authorized Contact | JOHN HOGEBOOM President/CEO 480-831-7566 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AZ OTC8969) |
| Additional Taxonomies | 251B00000X Case Management (Licence: AZ OTC8969) |
| 251J00000X Nursing Care (Licence: AZ OTC8969) | |
| 261QH0100X Clinic/Center Health Service (Licence: AZ OTC8969) | |
| 261QM0850X Clinic/Center Adult Mental Health (Licence: AZ OTC8969) | |
| 261QP2300X Clinic/Center Primary Care (Licence: AZ OTC8969) | |
| 291U00000X Clinical Medical Laboratory (Licence: AZ OTC8969) | |
| 343900000X Non-emergency Medical Transport (VAN) (Licence: AZ OTC8969) | |
| Enumeration Date | 2018-08-10 |
| Last Update Date | 2022-07-14 |