NPIMap

Organization Active NPI

Maricopa County Department of Public Health

  • State or Local Public Health Clinic/Center
  • Glendale, AZ
National Provider Identifier
1710776133
Registry record updated May 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
State or Local Public Health Clinic/CenterTaxonomy code 261QP0905X
Legal business name
MARICOPA COUNTY DEPARTMENT OF PUBLIC HEALTH
Practice address
5141 W Lamar Rd
Glendale, AZ 85301-3423
Phone
(602) 291-4414
Fax
(602) 372-0342
NPI assigned
May 2, 2025
Last updated
May 2, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
MARICOPA COUNTYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 2, 2025

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

Authorized official

Name
Ladonna Ballard
Title
Regional Services Manager
Phone
(602) 291-4414

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
State or Local Public Health Clinic/Center 261QP0905X NU Primary

Addresses

Primary practice location

5141 W Lamar Rd
Glendale, AZ 85301-3423

Mailing address

1645 E Roosevelt St
Phoenix, AZ 85006-3638
Phone (602) 291-4414

National Provider Directory

National Provider Directory
Tax ID family
Maricopa County LTC13 organizations share this tax ID, including this one
Part of
Maricopa County LTC

Other organizations with this tax ID 12

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

Locations

1645 E Roosevelt St
Phoenix, AZ 85006
Phone (602) 506-6660

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1746144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746144000000",
    "number": "1710776133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1645 E ROOSEVELT ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850063638",
            "telephone_number": "602-291-4414",
            "fax_number": "602-372-0342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5141 W LAMAR RD",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853013423",
            "telephone_number": "602-291-4414",
            "fax_number": "602-372-0342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARICOPA COUNTY DEPARTMENT OF PUBLIC HEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MARICOPA COUNTY",
        "enumeration_date": "2025-05-02",
        "last_updated": "2025-05-02",
        "certification_date": "2025-05-02",
        "status": "A",
        "authorized_official_last_name": "BALLARD",
        "authorized_official_first_name": "LADONNA",
        "authorized_official_title_or_position": "REGIONAL SERVICES MANAGER",
        "authorized_official_telephone_number": "602-291-4414"
    },
    "taxonomies": [
        {
            "code": "261QP0905X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, State or Local",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2025; 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.