Maricopa Integrated Health System

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

License

RN038285 Issued in AZ

Legal business name

MARICOPA INTEGRATED HEALTH SYSTEM

Practice address

2601 E Roosevelt St
Department of Medicine
Phoenix, AZ 85008-4973

Phone

(602) 344-5366

NPI assigned

Jun 13, 2012

Last updated

Jun 13, 2012By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kelly Zehentbauer, PMP

Title

Project Manager

Phone

(602) 344-8435

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1339545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339545600000",
    "number": "1003178229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5110 N 32ND ST",
            "address_2": "312",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850181451",
            "telephone_number": "310-801-8491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 E ROOSEVELT ST",
            "address_2": "DEPARTMENT OF MEDICINE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850084973",
            "telephone_number": "602-344-5366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARICOPA INTEGRATED HEALTH SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-13",
        "last_updated": "2012-06-13",
        "status": "A",
        "authorized_official_last_name": "ZEHENTBAUER",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "PROJECT MANAGER",
        "authorized_official_telephone_number": "602-344-8435",
        "authorized_official_credential": "PMP"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "AZ",
            "license": "RN038285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maricopa County Special Health Care District (Valleywise Community Health Center - Sunnyslope Pharmacy)
• Maricopa County Special Health Care District (Valleywise Health)
• Maricopa County Special Health Care District (Valleywise Health)
• Maricopa County Special Health Care District (Valleywise Health Medical Center - Discharge Pharmacy)
• Maricopa Crisis Recovery Network, Inc.
• Maricopa Integrated Health System
• Maricopa Integrated Health System
• Maricopa Mobile Med, Inc.
• Maricopa OBGYN
• Maricopa Physicians PLLC

• General Acute Care Hospital in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• General Acute Care Hospital in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.