Dhew Ind HLTH SV HLTH SVS & MNTL HLTH Adm.
Organization Active NPI Public Health or Welfare Agency · Scottsdale, AZ
NPI 1093739740 · NPPES record last updated May 26, 2021
Key facts
- NPI
- 1093739740
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Public Health or Welfare Agency 251K00000X
- Legal business name
- DHEW IND HLTH SV HLTH SVS & MNTL HLTH ADM.
- Practice address
- 10005 E Osborn Rd
Scottsdale, AZ 85256-4019 - Phone
- (602) 263-1200
- Fax
- (602) 263-1618
- NPI assigned
- Jul 26, 2006
- Organization subpart
- No
Authorized official
- Name
- Miss Laura A Tillman, MD
- Title
- Cmo
- Phone
- (602) 263-1674
Other NPIs on the same Medicare enrollment 6
Practitioners 15
-
Eunis Bello, DPM
-
Ana Burns, DPM
-
Naomi Hixson, AU.D.
-
Christina Interpreter, FNP-C
-
Tamara S. Miller, MD
-
Matthew Pettengill, DPM
-
Mariel Stroschein, M.D.
-
Bruce David Weaver, O.D.
-
Raquel Irene Cisneros, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031105000797 | TX | Part B Supplier - Clinic/Group Practice | 1759290901 |
Receives reassigned benefits from 636 practitioners 25 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Camp Verde, AZ; Gila Bend, AZ; Maricopa, AZ; Phoenix, AZ |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health or Welfare Agency | 251K00000X | Yes |
Addresses
Primary practice location
10005 E Osborn Rd
Scottsdale, AZ 85256-4019
Mailing address
PO Box 95460
Cleveland, OH 44101-0033
Phone (602) 581-6088
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 092453 | Medicaid | AZ | |
| P0109880 | Other | AZ | BCBS |
Other names
- Salt River Facility
Other providers in Scottsdale, AZ
- Radhika Dhamija
- Dhew Ind HLTH SV HLTH SVS & MNTL HLTH Adm
- Dhew Ind HLTH SV HLTH SVS & MNTL HLTH Adm
- Dhew Ind HLTH SV HLTH SVS & MNTL HLTH Adm
- Dhew Ind HLTH SV HLTH SVS & MNTL HLTH Adm
- Satinder Kaur Dhillon-Dougher
- Tejkaran Dhillon
- DHT Hand Therapy Limited Partnership
- Dominic Di Loreto
- Joseph Michael Di Marius
All providers in Scottsdale, AZ · Public Health or Welfare Agency in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 26, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.