OrganizationActive
Maricopa County Department of Public Health
NPI 1780473108 · State or Local Public Health Clinic/Center · Goodyear, AZ
Provider details
- NPI number
- 1780473108
- Entity type
- Organization
- Primary specialty
- State or Local Public Health Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Maricopa County
- Organization subpart
- Yes
- Authorized official
- Joel Kodicek, Specialized Services Supervisor(480) 662-5475
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
14130 W Mcdowell Rd
Goodyear, AZ 85395-2514
Phone: (602) 291-4414
Fax: (602) 372-0342
Street-level locationGet directions
Mailing address
1645 E Roosevelt St
Phoenix, AZ 85006-3638
Registry dates
- Enumerated
- 2025-05-02
- Last updated
- 2025-05-02
- Certified
- 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.