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PROVIDENCIA
NPI 1588764427
Clinic/Center - Mental Health (Including Community Mental Health Center) in Phoenix, AZ

Active since September 22, 2006
3602 W THOMAS RD, PHOENIX, AZ 85019(602) 455-4626(602) 455-4624 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Providencia NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PROVIDENCIA (NPI 1588764427) is a healthcare organization registered as a mental health (including community mental health center) in Phoenix, Arizona and active in the NPI registry since September 2006. The organization lists David Hedgcock, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1588764427
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NamePROVIDENCE OF ARIZONA, INC.
Location Address3602 W THOMAS RDPhoenix, AZ 85019-4442
Mailing Address620 N Craycroft RdTucson, AZ 85711-1448 · (520) 747-6676 · Fax (520) 747-6605
Phone(602) 455-4626
Fax(602) 455-4624
Organization SubpartNo
Authorized OfficialDavid HedgcockExecutive Director · (602) 455-4626
Enumeration DateSeptember 22, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1588764427 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
License✔ Licensed in AZ · BH-2200
3602 W THOMAS RD, Phoenix, AZ 85019
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Other Names 1

Other NameProvidencia

Other Identifiers 1

Medicaid796021AZ

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Providence Of Arizona, Inc.'s NPI number?

The NPI number for Providence Of Arizona, Inc. is 1588764427. It was assigned to this organization in the NPPES registry on September 22, 2006. The provider is also known as Providencia.

Where is Providence Of Arizona, Inc. located?

Providence Of Arizona, Inc. is located at 3602 W Thomas Rd, Phoenix, AZ 85019. The listed phone number is (602) 455-4626.

What is Providence Of Arizona, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Providence Of Arizona, Inc. was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.