NPIMap

Organization Active NPI

Maricopa County Special Health Care District

  • Federally Qualified Health Center (FQHC)
  • Mesa, AZ
National Provider Identifier
1306265145
Registry record updated Apr 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
MARICOPA COUNTY SPECIAL HEALTH CARE DISTRICT
Practice address
950 E Main St
Mesa, AZ 85203-8820
Phone
(602) 655-6200
NPI assigned
Apr 9, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2023

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

Authorized official

Name
Kathleen Kirkland
Title
PFS Director
Phone
(602) 344-8178

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary
General Acute Care Hospital 282N00000X H3673 AZ

Addresses

Primary practice location

950 E Main St
Mesa, AZ 85203-8820

Mailing address

PO Box 29670
Phoenix, AZ 85038-9670
Phone (602) 344-8180

Other identifiers 1

IdentifierTypeStateIssuer
946384MedicaidAZ

Other names 2

  • Maricopa Integrated Heatlh Doing business as
  • Valleywise Health Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20071002000192 AZ Part A Provider - Hospital 4688583651 14 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Phoenix, AZ; Peoria, AZ; Mesa, AZ
O20260211002642 AZ Part A Provider - Federally Qualified Health Center (FQHC) 4688583651 Practice locations: Mesa, AZ

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

Federally qualified health center certification: CCN 031074

Legal name
MARICOPA COUNTY SPECIAL HEALTH CARE DISTRICT
Doing business as
VALLEYWISE COMMUNITY HEALTH CENTER - MESA
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Oct 15, 2025
Last certification
Oct 15, 2025
Ownership / control type
For profit – corporation
Organization structure
GovernmentNon-profit
Enrollment address
950 E Main St
Mesa, AZ 85203-8820

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

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 11

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Valleywise Health Medical CenterCCN 030022
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

950 E Van Buren St
Avondale, AZ 85323
Phone (623) 344-6800

1465 W Chandler Blvd
#A
Chandler, AZ 85224
Phone (480) 344-6100

4330 E University Dr
#B
Mesa, AZ 85205
Phone (480) 344-6200

8088 W Whitney Dr
Ste 1
Peoria, AZ 85345
Phone (602) 655-2000

2025 W Northern Ave
Phoenix, AZ 85021
Phone (602) 344-5253

7808 W Thomas Rd
Phoenix, AZ 85033
Phone (480) 271-7576

10240 N 31st Ave
Ste 210B
Phoenix, AZ 85051
Phone (480) 344-6300

10550 W Mariposa St
Ste 1
Phoenix, AZ 85037
Phone (602) 344-2520

1035 E Jefferson St
Ste B
Phoenix, AZ 85034
Phone (602) 344-2503

1205 S 7th Ave
Phoenix, AZ 85007
Phone (602) 229-8800

1540 W Van Buren St
#B
Phoenix, AZ 85007
Phone (480) 344-6600

10240 N 31st Ave
#210B
Phoenix, AZ 85051
Phone (408) 344-6300

2525 E Roosevelt St
Ste 1C
Phoenix, AZ 85008
Phone (602) 344-1015

2611 E Pierce St
#2
Phoenix, AZ 85008
Phone (602) 344-2600

1540 W Van Buren St
#Bseventh
Phoenix, AZ 85007
Phone (480) 344-6600

2525 E Roosevelt St
Ste 1A
Phoenix, AZ 85008
Phone (833) 855-9973

1144 E McDowell Rd
Ste 300
Phoenix, AZ 85006
Phone (602) 344-6550

Ownership & related parties

All disclosed owners & managing parties 9

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

NameRoleSinceShare
Martin Demos Individual Corporate DirectorDirector Dec 2, 2024
Virginia Korte Individual Corporate DirectorDirector Dec 2, 2024
Barbara Mundell Individual Corporate DirectorDirector Feb 11, 2025
Maricopa County Special Health Care District Organization, Phoenix, AZ Medical provider/supplier, Non-profit Operational/Managerial Control Jan 1, 2005 100%
Earl Wilcox Individual Corporate DirectorDirector Dec 2, 2024
Claire Frieda Agnew Individual Corporate OfficerInterim Cfo Aug 1, 2020
Corporate OfficerExecutive VP & Cfo Aug 1, 2020
W-2 Managing EmployeeExecutive VP & Cfo Aug 1, 2020
James W. Thomas Individual Corporate Director Dec 4, 2018
Pamela Fowler Individual W-2 Managing Employee Jul 23, 2018
Operational/Managerial ControlDirector Jul 23, 2018
Corporate DirectorSystem Director of Reimbursement Jul 23, 2018
W-2 Managing EmployeeSystem Director of Reimbursement Jul 23, 2018
Stephen Purves Individual Corporate Officer Sep 30, 2013
W-2 Managing EmployeePresident and Chief Executive Offic Sep 30, 2013
Corporate OfficerPresident & Ceo Apr 24, 2014
W-2 Managing EmployeePresident & Ceo Apr 24, 2014

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 12

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

FacilityTypeRoleSince
Valleywise HealthPhoenix, AZ, CCN 03S022 Hospital Operational/Managerial Control Jan 1, 2005
Valleywise HealthPhoenix, AZ, CCN 030022 Hospital Operational/Managerial Control (100%) Jan 1, 2005
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 - 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 281

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 281

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": "1397001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682467200000",
    "number": "1306265145",
    "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": "602-344-8180",
            "fax_number": "602-344-8122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 E MAIN ST",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852038820",
            "telephone_number": "602-655-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARICOPA COUNTY SPECIAL HEALTH CARE DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-09",
        "last_updated": "2023-04-26",
        "certification_date": "2023-04-26",
        "status": "A",
        "authorized_official_last_name": "KIRKLAND",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_title_or_position": "PFS DIRECTOR",
        "authorized_official_telephone_number": "602-344-8178"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "AZ",
            "license": "H3673",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "946384",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Maricopa Integrated Heatlh",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Maricopa Integrated Heatlh",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Valleywise Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.