NPIMap

Organization Active NPI

Devereux Foundation

Doing business as Devereux Arizona

  • Community Health Clinic/Center
  • Mesa, AZ
National Provider Identifier
1033614060
Registry record updated Mar 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
Legal business name
DEVEREUX FOUNDATION
Doing business as
Devereux Arizona
Practice address
1837 S Mesa Dr Ste A200
Mesa, AZ 85210-6219
Phone
(602) 283-1547
NPI assigned
Mar 30, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2018

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

Authorized official

Name
Ms. Lane Barker
Title
Executive Director
Phone
(480) 998-2920

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X Primary

Addresses

Primary practice location

1837 S Mesa Dr Ste A200
Mesa, AZ 85210-6219

Mailing address

2025 N 3Rd St Ste 250
Phoenix, AZ 85004-1472
Phone (602) 283-1573

Other names 1

  • Devereux Arizona Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Devereux Florida331 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 13

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 13

Locations

1837 S Mesa Dr
Ste A200
Mesa, AZ 85210
Phone (602) 283-1547

NPI Registry JSON

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

{
    "created_epoch": "1522368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522368000000",
    "number": "1033614060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2025 N 3RD ST STE 250",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850041472",
            "telephone_number": "602-283-1573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1837 S MESA DR STE A200",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852106219",
            "telephone_number": "602-283-1547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEVEREUX FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-30",
        "last_updated": "2018-03-30",
        "status": "A",
        "authorized_official_last_name": "BARKER",
        "authorized_official_first_name": "LANE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "480-998-2920",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Devereux Arizona",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Devereux Arizona",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2018; 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.