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NPI Code Detail

MEDICARE: STATE OF ARIZONA STATE DEPT OF FINANCE

MEDICARE: STATE OF ARIZONA STATE DEPT OF FINANCE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1283Q00000XPsychiatric Hospital

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1184731804
Entity Type Code : Organization
Provider Name (Legal Business Name) : STATE OF ARIZONA STATE DEPT OF FINANCE
Provider Business Mailing Address
First Line : 2500 E VAN BUREN ST
Second Line : ATTN: FINANCE
City : PHOENIX
State : AZ
Zip : 85008-6037
Country : US
Telephone Number : 602-220-6000
Fax Number :
Provider Business Practice Location Address
First Line : 2500 E VAN BUREN ST
Second Line :
City : PHOENIX
State : AZ
Zip : 85008-6037
Country : US
Telephone Number : 602-220-6000
Fax Number :
Authorized Official
Title or Position : CHIEF FINANCIAL OFFICER
Name : MR. RYAN F RODNEY
Credential : CPA, CGFM
Telephone Number : 602-220-6372
Provider Enumeration Date : 08/25/2006
Last Update Date : 04/07/2021

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Directions to “STATE OF ARIZONA STATE DEPT OF FINANCE ” Practice Location

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