OrganizationActive
Federal Correctional Institution
NPI 1205193893 · Federal Public Health Clinic/Center · Phoenix, AZ
Provider details
- NPI number
- 1205193893
- Entity type
- Organization
- Primary specialty
- Federal Public Health Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Ricardo Willis, Health Services Administrator
Practice location
37900 N 45th Ave Dept 1680
Phoenix, AZ 85086-7008
Phone: (623) 465-5797
Fax: (623) 465-5116
Mailing address
37900 N 45th Ave Dept 1680
Phoenix, AZ 85086-7008
Registry dates
- Enumerated
- 2012-04-19
- Last updated
- 2012-04-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.