NPIMap

Organization Active NPI

Maricopa County Special Health Care District

Doing business as Valleywise Health

  • General Acute Care Hospital
  • Phoenix, AZ
National Provider Identifier
1073576740
Registry record updated Apr 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
H3673 Issued in AZ
Legal business name
MARICOPA COUNTY SPECIAL HEALTH CARE DISTRICT
Doing business as
Valleywise Health
Practice address
2601 E Roosevelt St
Phoenix, AZ 85008
Phone
(602) 344-8152
Fax
(602) 344-8136
NPI assigned
Apr 11, 2006
Last updated
Apr 23, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2025

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

Authorized official

Name
Pamela S Fowler
Title
System Director of Reimbursement
Phone
(602) 344-2830

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X OTC3680 AZ
Health Service Clinic/Center 261QH0100X
Psychiatric Hospital Unit 273R00000X H3673 AZ
General Acute Care Hospital 282N00000X H3673 AZ Primary
Psychiatric Hospital 283Q00000X BHH745 AZ

Addresses

Primary practice location

2601 E Roosevelt St
Phoenix, AZ 85008

Mailing address

PO Box 29670
Phoenix, AZ 85038-9670
Phone (602) 344-8152

Other practice location 1

2619 E Pierce St
Phoenix, AZ 85008-6092
Phone (602) 344-5011

Other practice location 2

8088 W Whitney Dr
Peoria, AZ 85345-6564
Phone (833) 855-9973

Other practice location 3

5102 W Campbell Ave
Phoenix, AZ 85031-1703
Phone (602) 655-1000

Other identifiers 13

IdentifierTypeStateIssuer
29517OtherAZPHOENIX INDIAN MED CENTER
020107MedicaidAZ
030022AOtherAZSECTION 1011
126434OtherAZBCCF KOMEN GRANT
AZ0205850OtherAZBLUE CROSS BLUE SHIELD
007212MedicaidAZ
500005OtherAZEVERCARE CHOICE
631935OtherAZAETNA
F00968OtherAZPHOENIX HEALTH PLAN
AZ0947OtherAZHEALTHNET OF AZ
1203013OtherAZVALUE OPTIONS BLOCK
1203013OtherAZVALUE OPTIONS
189350800OtherAZUS DEPT OF LABOR

Other names 1

  • Valleywise Health Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ5 enrollments

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
O20031204000823 AZ Part B Supplier - Clinic/Group Practice 4688583651 Receives reassigned benefits from 301 practitioners
7 other NPIs on this enrollment
Practice locations: Chandler, AZ; Phoenix, AZ; Peoria, AZ; Mesa, AZ; Guadalupe, AZ; Avondale, AZ
O20040513001268 AZ Part A Provider - End-Stage Renal Disease Facility (ESRD) 4688583651 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Peoria, AZ
O20060628000355 AZ Part A Provider - End-Stage Renal Disease Facility (ESRD) 4688583651 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Phoenix, AZ
O20070811000121 AZ Part A Provider - Hospital 4688583651 6 other NPIs on this enrollment
Practice locations: Avondale, AZ; Mesa, AZ; Phoenix, AZ
O20071002000192 AZ Part A Provider - Hospital 4688583651 14 other NPIs on this enrollment
Practice locations: Phoenix, AZ; Peoria, AZ; Mesa, AZ

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1073576740. Details of each certification follow.

Hospital certification: CCN 03S022

Legal name
MARICOPA COUNTY SPECIAL HEALTH CARE DISTRICT
Doing business as
VALLEYWISE HEALTH
Organization structure
GovernmentNon-profit
Enrollment address
2619 E Pierce St
Phoenix, AZ 85008-6092
Hospital Psychiatric Unit
Hospital subgroups
Psychiatric unit

Hospital certification: CCN 030022

Legal name
MARICOPA COUNTY SPECIAL HEALTH CARE DISTRICT
Doing business as
VALLEYWISE HEALTH
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Aug 20, 2018
Beds
758
Ownership / control type
Local
Organization structure
GovernmentNon-profit
Enrollment address
2601 E Roosevelt St
Phoenix, AZ 85008-4973
Other Hospital Practice Location
Hospital subgroups
General, Acute care

Facilities connected through Provider of Services related, parent or unit certification numbers.

View all 16

Other NPIs with the same Medicare PAC ID 13

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 13

Other NPIs on the same Medicare enrollment 20

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 20

Care Compare: Hospital

Medicare Care Compare
Listed as
Valleywise Health Medical CenterCCN 030022 · All quality measures
Overall star rating
1 of 5
Type
Acute Care Hospitals
Ownership
Government - Local
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
No

National Provider Directory

National Provider Directory

Locations

59 S Hibbert
Mesa, AZ 85210
Phone (480) 344-6200

10550 W Mariposa St
Ste 115
Phoenix, AZ 85037

934 W Hatcher Rd
Phoenix, AZ 85021
Phone (602) 344-6300

Ownership & related parties

All disclosed owners & managing parties 14

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Maricopa County Special Health Care District Organization, Phoenix, AZ Operational/Managerial Control Jan 1, 2005
Operational/Managerial Control Jan 1, 2005 100%
Claire Frieda Agnew Individual Corporate Director Aug 3, 2020
Corporate OfficerInterim Cfo Aug 1, 2020
James W. Thomas Individual Corporate Director Oct 24, 2018
Corporate Director Dec 4, 2018
Susan Gerard Individual Corporate Director Nov 1, 2010
Eugene Cavallo Individual Corporate Director May 10, 2007
W-2 Managing Employee May 10, 2007
Mary Rose Wilcox Individual Corporate Director Dec 5, 2016
Pamela Fowler Individual W-2 Managing Employee Jul 23, 2018
Operational/Managerial ControlDirector Jul 23, 2018
Mark Dewane Individual Corporate Director Nov 1, 2012
Stephen Purves Individual W-2 Managing Employee Sep 30, 2013
Corporate Officer Sep 30, 2013
W-2 Managing EmployeePresident and Chief Executive Offic Sep 30, 2013
Mary Harden Individual Corporate Director Nov 1, 2012
Martin Demos Individual Corporate DirectorDirector Dec 2, 2024
Virginia Korte Individual Corporate DirectorDirector Dec 2, 2024
Barbara Mundell Individual Corporate DirectorDirector Feb 11, 2025
Earl Wilcox Individual Corporate DirectorDirector Dec 2, 2024

Owners & managing parties with NPI records 13

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

View all 13

All facility ownership & control disclosures 11

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Valleywise Comprehensive Health Center - PeoriaPeoria, AZ, CCN 031073 Federally qualified health center Operational/Managerial Control (100%) Jan 1, 2005
Valleywise Community Health Center - McDowellPhoenix, AZ, CCN 031065 Federally qualified health center Operational/Managerial Control (100%) Jan 1, 2005
Valleywise Health Community Health Center - GuadalupeGuadalupe, AZ, CCN 031066 Federally qualified health center Operational/Managerial Control (100%) Jan 1, 2005
Valleywise Community Health Center - North PhoenixPhoenix, AZ, CCN 031067 Federally qualified health center Operational/Managerial Control (100%) Jan 1, 2005
Valleywise Community Health Center - West MaryvalePhoenix, AZ, CCN 031075 Federally qualified health center Operational/Managerial Control (100%) Jan 1, 2005
Valleywise Comprehensive Health Center - PhoenixPhoenix, AZ, CCN 031072 Federally qualified health center Operational/Managerial Control (100%) Jan 1, 2005
Valleywise Community Health Center - South Phoenix LaveenPhoenix, AZ, CCN 031071 Federally qualified health center Operational/Managerial Control (100%) Jan 1, 2005
Valleywise Community Health Center - ChandlerChandler, AZ, CCN 031082 Federally qualified health center Operational/Managerial Control (100%) Jan 1, 2005
Valleywise Community Health Center - AvondaleAvondale, AZ, CCN 031080 Federally qualified health center Operational/Managerial Control (100%) Jan 1, 2005
Valleywise Community Health Center - MesaMesa, AZ, CCN 031074 Federally qualified health center Operational/Managerial Control (100%) Jan 1, 2005
Valleywise Community Health Center - South CentralPhoenix, AZ, CCN 031083 Federally qualified health center Operational/Managerial Control (100%) Jan 1, 2005

Owned or controlled facilities with NPI records 17

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

View all 17

Facilities with the same owner 11

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 455

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 455

Affiliated clinicians 409

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 409

NPI Registry JSON

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

{
    "created_epoch": "1144713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745366400000",
    "number": "1073576740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 29670",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850389670",
            "telephone_number": "602-344-8152",
            "fax_number": "602-344-8136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 E ROOSEVELT ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85008",
            "telephone_number": "602-344-8152",
            "fax_number": "602-344-8136"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2619 E Pierce St",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850086092",
            "country_code": "US",
            "telephone_number": "602-344-5011",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8088 W Whitney Dr",
            "address_purpose": "LOCATION",
            "city": "Peoria",
            "state": "AZ",
            "postal_code": "853456564",
            "country_code": "US",
            "telephone_number": "833-855-9973",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5102 W Campbell Ave",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850311703",
            "country_code": "US",
            "telephone_number": "602-655-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MARICOPA COUNTY SPECIAL HEALTH CARE DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-11",
        "last_updated": "2025-04-23",
        "certification_date": "2025-04-23",
        "status": "A",
        "authorized_official_last_name": "FOWLER",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "SYSTEM DIRECTOR OF REIMBURSEMENT",
        "authorized_official_telephone_number": "602-344-2830"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "AZ",
            "license": "OTC3680",
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "AZ",
            "license": "H3673",
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "AZ",
            "license": "H3673",
            "primary": true
        },
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "AZ",
            "license": "BHH745",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHOENIX INDIAN MED CENTER",
            "identifier": "29517",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "020107",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SECTION 1011",
            "identifier": "030022A",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCCF KOMEN GRANT",
            "identifier": "126434",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "AZ0205850",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "007212",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EVERCARE CHOICE",
            "identifier": "500005",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "631935",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHOENIX HEALTH PLAN",
            "identifier": "F00968",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET OF AZ",
            "identifier": "AZ0947",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS BLOCK",
            "identifier": "1203013",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "1203013",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DEPT OF LABOR",
            "identifier": "189350800",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Valleywise Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.