OrganizationActive
Target
NPI 1487050589 · Community Health Clinic/Center · Phoenix, AZ
Provider details
- NPI number
- 1487050589
- Entity type
- Organization
- Primary specialty
- Community Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Katherine Stein, Etl Rx(480) 893-0588
- License
- S011164 (AZ)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
4734 E Ray Rd
Phoenix, AZ 85044-6225
Phone: (480) 893-0588
Approximate (ZIP-level) locationGet directions
Mailing address
4732 E Ray Rd
Phoenix, AZ 85044
Registry dates
- Enumerated
- 2014-11-17
- Last updated
- 2014-11-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.