NPIMap

Organization Active NPI

Pinal County Arizona

  • Public Health or Welfare Agency
  • Kearny, AZ
National Provider Identifier
1295168995
Registry record updated Aug 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
License
OTC3523 Issued in AZ
Legal business name
PINAL COUNTY ARIZONA
Practice address
355 Alden
Kearny, AZ 85137
Phone
(520) 866-7319
Fax
(520) 866-7066
NPI assigned
Aug 16, 2013
Last updated
Aug 16, 2013By the provider in NPPES
Organization subpart
Yes
Parent organization
PINAL COUNTYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 16, 2013

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

Authorized official

Name
Susie C Escalante
Title
Account Clerk-Billing
Phone
(520) 866-7319

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X OTC3523 AZ Primary

Addresses

Primary practice location

355 Alden
Kearny, AZ 85137

Mailing address

PO Box 2945
Florence, AZ 85132-3055
Phone (520) 866-7319

Other identifiers 1

IdentifierTypeStateIssuer
155847MedicaidAZ

Other names 1

  • Public Health Department Other name

National Provider Directory

National Provider Directory
Tax ID family
Pinal County Arizona14 organizations share this tax ID, including this one
Part of
Pinal County Arizona

Other organizations with this tax ID 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1376611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376611200000",
    "number": "1295168995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2945",
            "city": "FLORENCE",
            "state": "AZ",
            "postal_code": "851323055",
            "telephone_number": "520-866-7319",
            "fax_number": "520-866-7066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 ALDEN",
            "city": "KEARNY",
            "state": "AZ",
            "postal_code": "85137",
            "telephone_number": "520-866-7319",
            "fax_number": "520-866-7066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINAL COUNTY ARIZONA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PINAL COUNTY",
        "enumeration_date": "2013-08-16",
        "last_updated": "2013-08-16",
        "status": "A",
        "authorized_official_last_name": "ESCALANTE",
        "authorized_official_first_name": "SUSIE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "ACCOUNT CLERK-BILLING",
        "authorized_official_telephone_number": "520-866-7319"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "AZ",
            "license": "OTC3523",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "155847",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Public Health Department",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Kearny, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2013; 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.