NPIMap

Organization Active NPI

Phoenix Allies for Community Health

  • Migrant Health Clinic/Center
  • Phoenix, AZ
National Provider Identifier
1669974853
Registry record updated Mar 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Migrant Health Clinic/CenterTaxonomy code 261QM1000X
License
OTC7852 Issued in AZ
Legal business name
PHOENIX ALLIES FOR COMMUNITY HEALTH
Practice address
2902 W Clarendon Ave
Phoenix, AZ 85017-4609
Phone
(623) 455-6470
NPI assigned
Mar 2, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2018

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

Authorized official

Name
Mr. Jason Anthony Odhner, RNNPI 1447933114
Title
President
Phone
(602) 762-1975

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Migrant Health Clinic/Center 261QM1000X OTC7852 AZ Primary

Addresses

Primary practice location

2902 W Clarendon Ave
Phoenix, AZ 85017-4609

Mailing address

2902 W Clarendon Ave
Phoenix, AZ 85017-4609

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17515/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 1

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": "1519948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519948800000",
    "number": "1669974853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2902 W CLARENDON AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850174609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2902 W CLARENDON AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850174609",
            "telephone_number": "623-455-6470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX ALLIES FOR COMMUNITY HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-02",
        "last_updated": "2018-03-02",
        "status": "A",
        "authorized_official_last_name": "ODHNER",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "602-762-1975",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QM1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Migrant Health",
            "state": "AZ",
            "license": "OTC7852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Mar 2, 2018; 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.