County of Gila
Organization Active NPI Public Health or Welfare Agency · Globe, AZ
NPI 1700941507 · NPPES record last updated Oct 7, 2013
Key facts
- NPI
- 1700941507
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Public Health or Welfare Agency 251K00000X
- License
- OTC 3426 (AZ)
- Legal business name
- COUNTY OF GILA
- Practice address
- 5515 S Apache Ave
Suite 100
Globe, AZ 85501-4428 - Phone
- (928) 402-8811
- Fax
- (928) 425-0794
- NPI assigned
- Dec 22, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Michael A Pastor
- Title
- Chairman, Board of Supervisors
- Phone
- (928) 402-8756
Corporate family (same tax ID) 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AZ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040623001163 | AZ | Part B Supplier - Public Health/Welfare Agency | 7810972783 | Practice locations: Globe, AZ; Payson, AZ |
National Provider Directory
- Tax ID family
- County of Gila
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health or Welfare Agency | 251K00000X | OTC 3426 | AZ | Yes |
Addresses
Primary practice location
5515 S Apache Ave
Suite 100
Globe, AZ 85501-4428
Mailing address
5515 S Apache Ave
Suite 100
Globe, AZ 85501-4428
Phone (928) 402-8811
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 479718 | Medicaid | AZ | |
| 2046559 | Medicaid | AZ |
Other names
- Gila County Division of Health and Community Services
Other providers in Globe, AZ
- Concordia Oncology, PC
- Copper Giraffe PLLC
- Copper Mountain Inn, Inc.
- Copper State Home Health, LLC
- Copper Sun Enterprises, Inc
- Michelle Anne Craft
- Scott T. Croft
- Crossroads OBGYN, PC
- Fernando Cruzado
- CV OB GYN Women'S Healthcare
All providers in Globe, AZ · Public Health or Welfare Agency in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 7, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.