OrganizationActive
Maricopa County Department of Public Health
NPI 1275322604 · State or Local Public Health Clinic/Center · Mesa, AZ
Provider details
- NPI number
- 1275322604
- Entity type
- Organization
- Primary specialty
- State or Local Public Health Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Maricopa County
- Authorized official
- Joel Kodicek, Specialized Services Supervisor
Practice location
1950 S Country Club Dr
Mesa, AZ 85210-6043
Phone: (602) 291-4414
Fax: (602) 372-0342
Mailing address
1645 E Roosevelt St
Phoenix, AZ 85006-3638
Registry dates
- Enumerated
- 2025-05-02
- Last updated
- 2025-05-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.