NPIMap

Organization Active NPI

Pinal County Arizona

  • Public Health or Welfare Agency
  • Coolidge, AZ
National Provider Identifier
1528113859
Registry record updated Aug 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
PINAL COUNTY ARIZONA
Practice address
119 W. Central Avenue
Coolidge, AZ 85128
Phone
(520) 866-7319
Fax
(520) 866-7066
NPI assigned
Jan 25, 2007
Last updated
Aug 10, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
PINAL COUNTYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 10, 2026

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

Authorized official

Name
Merissa Mendoza
Title
Director
Phone
(520) 866-7326

Specialties & licenses 1

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

Addresses

Primary practice location

119 W. Central Avenue
Coolidge, AZ 85128

Mailing address

PO Box 2945
Florence, AZ 85132-3055
Phone (520) 866-7320

Other identifiers 1

IdentifierTypeStateIssuer
155847MedicaidAZ

Other names 2

  • Public Health Department Other name
  • Public Health Department Coolidge Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040713001333 AZ Part B Supplier - Mass Immunization (Roster Biller Only) 8426036559 Practice locations: Casa Grande, AZ; Superior, AZ; San Tan Valley, AZ; Maricopa, AZ; Mammoth, AZ; Florence, AZ; Eloy, AZ; Coolidge, AZ…

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

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786320000000",
    "number": "1528113859",
    "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": "520-866-7320",
            "fax_number": "520-866-7358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 W. CENTRAL AVENUE",
            "city": "COOLIDGE",
            "state": "AZ",
            "postal_code": "85128",
            "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": "2007-01-25",
        "last_updated": "2026-08-10",
        "certification_date": "2026-08-10",
        "status": "A",
        "authorized_official_last_name": "MENDOZA",
        "authorized_official_first_name": "MERISSA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "520-866-7326"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "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"
        },
        {
            "organization_name": "Public Health Department",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Public Health Department Coolidge",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Coolidge, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.