Provider Demographics
NPI:1821828153
Name:SAGUARO VALLEY HEALTH
Entity type:Organization
Organization Name:SAGUARO VALLEY HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:MAE
Authorized Official - Last Name:WALLS
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:623-313-5005
Mailing Address - Street 1:32531 N SCOTTSDALE RD
Mailing Address - Street 2:STE 105 #562
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85266-1519
Mailing Address - Country:US
Mailing Address - Phone:623-313-5005
Mailing Address - Fax:
Practice Address - Street 1:3828 W LAPENNA DR
Practice Address - Street 2:
Practice Address - City:NEW RIVER
Practice Address - State:AZ
Practice Address - Zip Code:85087-6133
Practice Address - Country:US
Practice Address - Phone:623-313-5005
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-02
Last Update Date:2024-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult HealthGroup - Multi-Specialty
No163WG0000XNursing Service ProvidersRegistered NurseGeneral PracticeGroup - Multi-Specialty
No363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute CareGroup - Multi-Specialty
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty
No163WA2000XNursing Service ProvidersRegistered NurseAdministratorGroup - Multi-Specialty