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Arizona State University — NPI 1194058917, Tempe, AZ | NPI Central

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NPI 1194058917

OrganizationActive

Arizona State University

NPI 1194058917 · Clinic/Center · Tempe, AZ

Provider details

NPI number: 1194058917
Entity type: Organization
Primary specialty: Clinic/CenterAmbulatory Health Care Facilities
Organization subpart: No
Authorized official: Denise Link, Associate Dean for Clinical Practic(602) 496-0893
License: OTC3716 (AZ)

Specialties & taxonomies

Clinic/CenterPrimary261Q00000XLicense OTC3716 (AZ)
Ambulatory Health Care Facilities

Practice location

2150 E Orange St

Tempe, AZ 85281-4814

Phone: (480) 350-5878

Approximate (ZIP-level) locationGet directions

More AZ providers

Mailing address

500 N 3rd St

Phoenix, AZ 85004-2135

Other names (DBA / former)

Doing business as: Escalante Health Center

Registry dates

Enumerated: 2009-09-11
Last updated: 2009-10-26

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.