Provider Demographics
NPI:1942532189
Name:THE ARIZONA PARTNERSHIP FOR IMMUNIZATION
Entity Type:Organization
Organization Name:THE ARIZONA PARTNERSHIP FOR IMMUNIZATION
Other - Org Name:THE ARIZONA PARTNERSHIP FOR IMMUNIZATION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:DEBBIE
Authorized Official - Middle Name:
Authorized Official - Last Name:MCCUNE-DAVIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-288-7566
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:602-253-0090
Mailing Address - Fax:602-252-3620
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:602-253-0090
Practice Address - Fax:602-252-3620
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-12
Last Update Date:2014-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ251300000X
251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
No251300000XAgenciesLocal Education Agency (LEA)