Maricopa County Special Health Care District
Organization Active NPI Federally Qualified Health Center (FQHC) · Phoenix, AZ
NPI 1891114641 · NPPES record last updated Apr 26, 2023
Key facts
- NPI
- 1891114641
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Federally Qualified Health Center (FQHC) 261QF0400X
- Legal business name
- MARICOPA COUNTY SPECIAL HEALTH CARE DISTRICT
- Practice address
- 5650 S 35TH Ave
Phoenix, AZ 85041 - Phone
- (602) 655-6400
- NPI assigned
- Apr 9, 2014
- Organization subpart
- No
Authorized official
- Name
- Pamela S Fowler
- Title
- Director of Reimbursement
- Phone
- (602) 344-8430
Owners & managing parties with NPI records 13
Owned or controlled facilities with NPI records 17
Other NPIs on the same Medicare enrollment 11
Other NPIs with the same Medicare PAC ID 13
Related certifications (CCN) 6
Facilities with the same owner 11
Practitioners 124
-
Elana B Addis, M.D
-
Nyima S. Ali, MD
-
Hana Alkahlout, DO
-
Clint Anthony, MD
-
Fadi Assaf, MD
-
Joel Barkley, MD
-
Samantha Bianchi, PA-C
-
Daphne Bichotte, MEDICAL DOCTOR
-
Jacqueline Blanch, APRN
-
Sonia Darlene Blau, WHNP-BC
-
Ari Blechner, LCSW
-
Sarah Lynn Braun, FNP-C
-
Merima Bucaj, D.O.
-
Wendy Anne Byers, FNP-C
-
Evette S. Campos, FNP
-
Anita Chacko, DO
-
Elena Minju Cho, DO
-
Mara Clawson, DNP
Affiliated clinicians 409
-
Shelley Abdel-Sayed, M.D.
-
Elahhe Afkhamnejad, M.D.
-
Basil Al Khatib, M.D.
-
Hatim S Al-Jaroushi, M.D
-
Lemya Alarab, CRNA
-
Nyima S. Ali, MD
-
Hana Alkahlout, DO
-
Jared M Allred, CRNA
-
Rebecca Altschuler, PHD
-
Tiba Alwardi, MD
-
Surabhi Amar, M.D.
-
Neelesh Kumar Anand, M.D.
-
Ezekiel John Anderson, D.O.
-
Sarah Bansuan Arabit, FNP
-
Brian Arnett, CRNA
-
Waqas Arslan, M.D.
-
Jesus Ryan Arvizo Jr., FNP-C
-
Fadi Assaf, MD
Medicare Care Compare: Hospital
- Listed as
- Valleywise Health Medical Center
- Overall star rating
- ★☆☆☆☆ 1 of 5
- Type
- Acute Care Hospitals
- Ownership
- Government - Local
- Medicare certification status
- Active
- Emergency services
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in AZ
Hospital certification: CCN 030022
- Legal name
- MARICOPA COUNTY SPECIAL HEALTH CARE DISTRICT
- Doing business as
- VALLEYWISE HEALTH
- Certification status
- Active
- Provider type (POS)
- Hospital – Short-term
- Participating since
- Jul 1, 1966
- Last certification
- Aug 20, 2018
- Beds
- 758
- Ownership / control type
- Local
- Organization structure
- Government · Non-profit
- Enrollment address
- 2601 E Roosevelt St
Phoenix, AZ 85008-4973 - Hospital subgroups
- General, Acute care
Federally qualified health center certification: CCN 031071
- Legal name
- MARICOPA COUNTY SPECIAL HEALTH CARE DISTRICT
- Doing business as
- VALLEYWISE COMMUNITY HEALTH CENTER - SOUTH PHOENIX LAVEEN
- Certification status
- Active
- Provider type (POS)
- Federally qualified health center
- Participating since
- Dec 12, 2025
- Last certification
- Dec 12, 2025
- Ownership / control type
- For profit – corporation
- Organization structure
- Government · Non-profit
- Enrollment address
- 5650 S 35TH Ave
Phoenix, AZ 85041-3531
All disclosed owners & managing parties 9
| Name | Role | Since | Share |
|---|---|---|---|
| Martin Demos |
Corporate Director |
Dec 2, 2024 | |
| Virginia Korte |
Corporate Director |
Dec 2, 2024 | |
| Barbara Mundell |
Corporate Director |
Feb 11, 2025 | |
| Maricopa County Special Health Care District |
Operational/Managerial Control | Jan 1, 2005 | 100% |
| Earl Wilcox |
Corporate Director |
Dec 2, 2024 | |
| Claire Frieda Agnew |
Corporate Officer |
Aug 1, 2020 | |
| Corporate Officer |
Aug 1, 2020 | ||
| W-2 Managing Employee |
Aug 1, 2020 | ||
| James W. Thomas |
Corporate Director | Dec 4, 2018 | |
| Pamela Fowler |
W-2 Managing Employee | Jul 23, 2018 | |
| Operational/Managerial Control |
Jul 23, 2018 | ||
| Corporate Director |
Jul 23, 2018 | ||
| W-2 Managing Employee |
Jul 23, 2018 | ||
| Stephen Purves |
Corporate Officer | Sep 30, 2013 | |
| W-2 Managing Employee |
Sep 30, 2013 | ||
| Corporate Officer |
Apr 24, 2014 | ||
| W-2 Managing Employee |
Apr 24, 2014 |
All facility ownership & control disclosures 12
| Facility | Type | Role | Since |
|---|---|---|---|
| Valleywise Health |
Hospital | Operational/Managerial Control | Jan 1, 2005 |
| Valleywise Health |
Hospital | Operational/Managerial Control (100%) | Jan 1, 2005 |
| Valleywise Comprehensive Health Center - Peoria |
Federally qualified health center | Operational/Managerial Control (100%) | Jan 1, 2005 |
| Valleywise Community Health Center - McDowell |
Federally qualified health center | Operational/Managerial Control (100%) | Jan 1, 2005 |
| Valleywise Health Community Health Center - Guadalupe |
Federally qualified health center | Operational/Managerial Control (100%) | Jan 1, 2005 |
| Valleywise Community Health Center - North Phoenix |
Federally qualified health center | Operational/Managerial Control (100%) | Jan 1, 2005 |
| Valleywise Community Health Center - West Maryvale |
Federally qualified health center | Operational/Managerial Control (100%) | Jan 1, 2005 |
| Valleywise Comprehensive Health Center - Phoenix |
Federally qualified health center | Operational/Managerial Control (100%) | Jan 1, 2005 |
| Valleywise Community Health Center - Chandler |
Federally qualified health center | Operational/Managerial Control (100%) | Jan 1, 2005 |
| Valleywise Community Health Center - Avondale |
Federally qualified health center | Operational/Managerial Control (100%) | Jan 1, 2005 |
| Valleywise Community Health Center - Mesa |
Federally qualified health center | Operational/Managerial Control (100%) | Jan 1, 2005 |
| Valleywise Community Health Center - South Central |
Federally qualified health center | Operational/Managerial Control (100%) | Jan 1, 2005 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20071002000192 | AZ | Part a Provider - Hospital | 4688583651 |
14 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Phoenix, AZ; Peoria, AZ; Mesa, AZ |
| O20251222003402 | AZ | Part a Provider - Federally Qualified Health Center (FQHC) | 4688583651 | Practice locations: Phoenix, AZ |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | Yes | ||
| General Acute Care Hospital | 282N00000X | H3673 | AZ |
Addresses
Primary practice location
5650 S 35TH Ave
Phoenix, AZ 85041
Mailing address
PO Box 29670
Phoenix, AZ 85038-9670
Phone (602) 344-8180
Other practice location 1
33 W Tamarisk St
Phoenix, AZ 85041-2422
Phone (602) 344-8180
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 946475 | Medicaid | AZ |
Other names
- Valleywise Health
Other providers in Phoenix, AZ
- Maricopa County Special Health Care District
- Maricopa County Special Health Care District
- Maricopa County Special Health Care District
- Maricopa County Special Health Care District
- Maricopa County Special Health Care District
- Maricopa County Special Health Care District
- Maricopa Crisis Recovery Network, Inc.
- Maricopa Integrated Health System
- Maricopa Integrated Health System
- Maricopa Integrated Health System
All providers in Phoenix, AZ · Federally Qualified Health Center (FQHC) in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 26, 2023. 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.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.