MARYVALE CENTER
NPI 1003061862
Clinic/Center - Ambulatory Family Planning Facility in Phoenix, AZ

NPI Status: Active since November 20, 2008

Contact Information

2020 N 75TH AVE STE 11
PHOENIX, AZ
ZIP 85035
Phone: (623) 272-6691
Fax: (623) 209-9843

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  • Organization
  • Clinic/Center
  • Ambulatory Family Planning Facility
  • Accepts Insurance
  • CLIA Number: 03D1084768
  • CLIA Cert. Type: End Stage Renal Disease Dialysis Facility
  • CLIA Exp. Date: 06-02-2028

About MARYVALE CENTER

This page provides the complete NPI Profile along with additional information for Maryvale Center, a provider established in Phoenix, Arizona operating as a Clinic/center, focusing in ambulatory family planning facility . The healthcare provider is registered in the NPI registry with number 1003061862 assigned on November 2008. The practitioner's primary taxonomy code is 261QA0005X with license number OTC4308 (AZ). The provider is registered as an organization and their NPI record was last updated 5 years ago. The provider's other name is Maryvale Center. The authorized official of this NPI record is Samantha Pullen (Interim Ceo/president)

NPI
1003061862
Provider Legal Name
PLANNED PARENTHOOD
Other Organization Name
MARYVALE CENTER
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
2020 N 75TH AVE STE 11 PHOENIX, AZ 85035
Location Phone
(623) 272-6691
Location Fax
(623) 209-9843
Mailing Address
4751 N 15TH ST PHOENIX, AZ 85014
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-20-2008
Last Update Date
05-05-2021
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Ambulatory Family Planning Facility

Taxonomy Code
261QA0005X
Type
Ambulatory Health Care Facilities
License No.
OTC4308
License State
AZ
Taxonomy Description
An abortion/family planning facility where services are provided at a fixed specific location. An Ambulatory Family Planning Facility does not provide overnight accommodations. The following procedures may be performed at an Ambulatory Family Planning Facility: abortions, laproscopy, hysterectomies, tubule ligation and other related procedures. Abortion is considered voluntary termination of pregnancy.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Choice Bronze HSA - HMO
  • Choice Bronze HSA + Vision + Adult Dental - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Silver - HMO
  • Complete Silver + Vision + Adult Dental - HMO
  • Elite Gold - HMO
  • Elite Gold + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Standard Expanded Bronze - HMO
  • Standard Expanded Bronze + Vision + Adult Dental - HMO
  • Standard Gold - HMO
  • Standard Gold + Vision + Adult Dental - HMO
  • Standard Silver - HMO
  • Standard Silver + Vision + Adult Dental - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

SAMANTHA PULLEN

Authorized Official Title
INTERIM CEO/PRESIDENT
Authorized Official Phone
(480) 292-0023

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
03D1084768
Facility Type
End Stage Renal Disease Dialysis Facility
Certificate Effective Date
June 03, 2026
Certificate Expiration Date
June 02, 2028
Laboratory Director
RONALD HYDE
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Maryvale Center to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1003061862, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 48. The final step is to find the difference between that total and the next multiple of ten (50 - 48 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
0
Doubled → 0
Pos 4
3
Unchanged
Pos 5
0
Doubled → 0
Pos 6
6
Unchanged
Pos 7
1
Doubled → 2
Pos 8
8
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
2
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 0 → 0 1 → 2 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 0 + 3 + 0 + 6 + 2 + 8 + 1 + 2 + 24 = 48

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 48 is 50. The difference is the calculated check digit.

50 - 48 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1003061862.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Nurse Practitioner (Women's Health)
2020 N 75TH AVE STE 11
PHOENIX, AZ 85035

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003061862, enumerated as an "organization" on November 20, 2008.

The provider is located at 2020 N 75TH AVE STE 11 PHOENIX, AZ 85035 and the phone number is (623) 272-6691.

Clinic/Center with taxonomy code 261QA0005X and a focus in Ambulatory Family Planning Facility.

The provider might be accepting Accepts: Ambetter from Arizona Complete Health. Please consult your insurance carrier or call the provider to verify.