NPIMap

Organization Active NPI

Maricopa County Department of Public Health

  • State or Local Public Health Clinic/Center
  • Mesa, AZ
National Provider Identifier
1275322604
Registry record updated May 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
State or Local Public Health Clinic/CenterTaxonomy code 261QP0905X
Legal business name
MARICOPA COUNTY DEPARTMENT OF PUBLIC HEALTH
Practice address
1950 S Country Club Dr
Mesa, AZ 85210-6043
Phone
(602) 291-4414
Fax
(602) 372-0342
NPI assigned
May 2, 2025
Organization subpart
Yes
Parent organization
MARICOPA COUNTYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 2, 2025

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

Authorized official

Name
Joel Kodicek
Title
Specialized Services Supervisor
Phone
(480) 662-5475

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
State or Local Public Health Clinic/Center 261QP0905X Primary

Addresses

Primary practice location

1950 S Country Club Dr
Mesa, AZ 85210-6043

Mailing address

1645 E Roosevelt St
Phoenix, AZ 85006-3638
Phone (602) 291-4414

National Provider Directory

National Provider Directory
Tax ID family
McDowell Clinic13 organizations share this tax ID, including this one
Part of
McDowell Clinic

Other organizations with this tax ID 12

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1746144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746144000000",
    "number": "1275322604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1645 E ROOSEVELT ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850063638",
            "telephone_number": "602-291-4414",
            "fax_number": "602-372-0342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 S COUNTRY CLUB DR",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852106043",
            "telephone_number": "602-291-4414",
            "fax_number": "602-372-0342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARICOPA COUNTY DEPARTMENT OF PUBLIC HEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MARICOPA COUNTY",
        "enumeration_date": "2025-05-02",
        "last_updated": "2025-05-02",
        "certification_date": "2025-05-02",
        "status": "A",
        "authorized_official_last_name": "KODICEK",
        "authorized_official_first_name": "JOEL",
        "authorized_official_title_or_position": "SPECIALIZED SERVICES SUPERVISOR",
        "authorized_official_telephone_number": "480-662-5475"
    },
    "taxonomies": [
        {
            "code": "261QP0905X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, State or Local",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 May 2, 2025; 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.