NPIMap

Organization Active NPI

Arizona Department of Corrections

  • Legal Medicine
  • Phoenix, AZ
National Provider Identifier
1336339258
Registry record updated Aug 3, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Legal MedicineTaxonomy code 173000000X
Legal business name
ARIZONA DEPARTMENT OF CORRECTIONS
Practice address
2500 E Van Buren St
Aspc Phoenix Health Unit
Phoenix, AZ 85008-6037
Phone
(602) 685-3100
Fax
(602) 685-3111
NPI assigned
Jul 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2007

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

Authorized official

Name
Dr. Dennis Kendall, PHD
Title
Bureau Administrator
Phone
(602) 364-2900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Legal MedicineGroup: 193200000X MULTI-SPECIALTY GROUP 173000000X AZ Primary

Addresses

Primary practice location

2500 E Van Buren St
Aspc Phoenix Health Unit
Phoenix, AZ 85008-6037

Mailing address

1601 W Jefferson St
Phoenix, AZ 85007-3002
Phone (602) 364-2900

Other names 1

  • ADC Health Services Bureau Other name

National Provider Directory

National Provider Directory
Tax ID family
Arizona Training Program - Pinchot32 organizations share this tax ID, including this one

Other organizations with this tax ID 31

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

View all 31

Locations

1601 W Jefferson St
Phoenix, AZ 85007
Phone (520) 868-4011

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1185408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186099200000",
    "number": "1336339258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 W JEFFERSON ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850073002",
            "telephone_number": "602-364-2900",
            "fax_number": "602-364-2958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 E VAN BUREN ST",
            "address_2": "ASPC PHOENIX HEALTH UNIT",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850086037",
            "telephone_number": "602-685-3100",
            "fax_number": "602-685-3111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA DEPARTMENT OF CORRECTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-26",
        "last_updated": "2007-08-03",
        "status": "A",
        "authorized_official_last_name": "KENDALL",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_title_or_position": "BUREAU ADMINISTRATOR",
        "authorized_official_telephone_number": "602-364-2900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Legal Medicine",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ADC Health Services Bureau",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2007; 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.