Provider Demographics
NPI:1619222353
Name:ARIZONA PARTNERSHIP FOR IMMUNIZATION
Entity Type:Organization
Organization Name:ARIZONA PARTNERSHIP FOR IMMUNIZATION
Other - Org Name:THE ARIZONA PARTNERSHIP FOR IMMUNIZATION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:REVENUE CYCLE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:DYE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-288-7572
Mailing Address - Street 1:700 E JEFFERSON ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85034-2201
Mailing Address - Country:US
Mailing Address - Phone:602-288-7568
Mailing Address - Fax:602-218-3901
Practice Address - Street 1:700 E JEFFERSON ST
Practice Address - Street 2:SUITE 100
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85034-2201
Practice Address - Country:US
Practice Address - Phone:602-288-7568
Practice Address - Fax:602-218-3901
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-18
Last Update Date:2012-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable