County: Apache County (18 sites listed) Billy Creek Clinic Family Practice UDS Number: 562260 Approved: 2/20/2013 Address: 830 E Main St Unit 110 Expires: 12/31/2016 Springerville, AZ 85938-5353 Contact: Tisha Jones Telephone: 928-333-4041 Address: 830 E Main St Unit 110 Vacancies: 0 Springerville, AZ 85938-5353 Clinicians: 0 Telephone: 928-333-4041 Site Profile: Not available Email: billycreekclinic@yahoo.com --- 10499904E3 Saint Johns 16 Designated CCHCF - Chinle High School Teen Clinic UDS Number: 676792 Approved: 9/3/2013 Address: Highway 191 Expires: 12/31/2016 Chinle, AZ 86503 Contact: HEIDI ARNHOLM Telephone: 928-674-9592 Address: Hwy 191 & Hospital Dr Vacancies: 0 Chinle, AZ 86503 Clinicians: 0 Telephone: 970-882-1550 Site Profile: Not available Email: heidi.arnholm@ihs.gov www.ihs.gov/navajo/index.cfm?module=nao_hcc_chinle 10499904E8 Chinle Comprehensive Health Center 18 Designated 7049990436 Chinle Comprehensive Health Center 22 Designated HRSA Data Warehouse 1 of 224 July 4, 2016
County: Apache County (18 sites listed) CCHCF - Many Farms Dental Clinic UDS Number: 680707 Approved: 9/5/2013 Address: Hwy 191 Lake Rd Expires: 12/31/2016 Many Farms, AZ 86538 Contact: HEIDI ARNHOLM Telephone: 928-781-3801 Address: Hwy 191 & Hospital Dr Vacancies: 0 Chinle, AZ 86503 Clinicians: 0 Telephone: 970-882-1550 Site Profile: Not available Email: heidi.arnholm@ihs.gov www.ihs.gov/navajo/index.cfm?module=nao_hcc_chinle 604999040D Many Farms Clinic 20 Designated CCHCF - Pinon High School Teen Clinic UDS Number: 680763 Approved: 9/5/2013 Address: Highway 41 1 Mile Expires: 12/31/2016 Pinon, AZ 86545 Contact: HEIDI ARNHOLM Telephone: 928-725-2478 Address: Hwy 191 & Hospital Dr Vacancies: 0 Chinle, AZ 86503 Clinicians: 0 Telephone: 970-882-1550 Site Profile: Not available Email: heidi.arnholm@ihs.gov www.ihs.gov/navajo/index.cfm?module=nao_hcc_chinle 104999040B Pinon Health Center 18 Designated 7049990436 Chinle Comprehensive Health Center 22 Designated HRSA Data Warehouse 2 of 224 July 4, 2016
County: Apache County (18 sites listed) CCHCF - Rockpoint Clinic UDS Number: 680754 Approved: 9/5/2013 Address: High School Rd Expires: 12/31/2016 Rock Point, AZ 86545 Contact: HEIDI ARNHOLM Telephone: 928-659-4282 Address: Hwy 191 & Hospital Dr Vacancies: 0 Chinle, AZ 86503 Clinicians: 0 Telephone: 970-882-1550 Site Profile: Not available Email: heidi.arnholm@ihs.gov www.ihs.gov/navajo/index.cfm?module=nao_hcc_chinle 104999040E Rockpoint Health Clinic 20 Designated CCHCF - Tsaile Health Center UDS Number: 12000580 Approved: 4/11/2009 Address: Navajo Route 64 & Route 12 Expires: 12/31/2099 Tsaile, AZ 86556 Contact: HEIDI ARNHOLM Telephone: 970-882-1550 Address: Hwy 191 & Hospital Dr Vacancies: 1 Chinle, AZ 86503 Clinicians: 0 Telephone: 970-882-1550 Site Profile: Not available Email: heidi.arnholm@ihs.gov www.ihs.gov/navajo/index.cfm?module=nao_hcc_tsaile 10499904E8 Chinle Comprehensive Health Center 18 Designated 10499904G1 Tsaile Indian Health Center 16 Designated 6049990497 Tsaile Indian Health Center 22 Designated 7049990403 Northern Arizona Mental Health Catchment Area 18 Designated 7049990447 Tsaile Indian Health Center 23 Designated HRSA Data Warehouse 3 of 224 July 4, 2016
County: Apache County (18 sites listed) Chinle Comprehensive Health Care Facility (CCHCF) UDS Number: 12000340 Approved: 9/12/2013 Address: Highway 191 & Hospital Dr Expires: 12/31/2016 Chinle, AZ 86503 Contact: HEIDI ARNHOLM Telephone: 970-882-1550 Address: Hwy 191 & Hospital Dr Vacancies: 7 Chinle, AZ 86503 Clinicians: 9 Telephone: 970-882-1550 Site Profile: Not available Email: heidi.arnholm@ihs.gov www.ihs.gov/navajo/index.cfm?module=nao_hcc_chinle 10499904E8 Chinle Comprehensive Health Center 18 Designated 6049990486 Chinle Comprehensive Health Center 21 Designated 7049990403 Northern Arizona Mental Health Catchment Area 18 Designated 7049990436 Chinle Comprehensive Health Center 22 Designated Four Corners Regional Health Center UDS Number: 12000080 Approved: 1/29/2007 Address: U S Highway 160 Expires: 12/31/2099 Teec Nos Pos, AZ 86514 Contact: Shannon J. Hopkins Telephone: 928-656-5000 Address: Po Box 9020 Vacancies: 0 Window Rock, AZ 86515-9020 Clinicians: 4 Telephone: 928-871-5884 Site Profile: Not available Email: Shannon.Hopkins@ihs.gov www.ihs.gov/navajo/index.cfm?module=nao_hcc 10499904N6 Round Valley 17 Designated 60499904EH Navajo Division of Social Services 17 Designated 7049990403 Northern Arizona Mental Health Catchment Area 18 Designated HRSA Data Warehouse 4 of 224 July 4, 2016
County: Apache County (18 sites listed) Joseph D. Tenney, DDS UDS Number: 0933410 Approved: 12/14/2015 Address: 133 W Central Ave Expires: 12/31/2018 Eagar, AZ 85925 Contact: Joseph Tenney Telephone: 928-333-4121 Address: --- Vacancies: 0 Clinicians: 2 Telephone: 928-333-4121 Site Profile: Not available Email: gocougsgo@hotmail.com --- 60499904FT Round Valley 12 Designated Little Colorado Behavioral Health Centers - Springerville UDS Number: 09825A Approved: 12/22/2015 Address: 50 N Hopi St Expires: 12/31/2018 Springerville, AZ 85938-5221 Contact: Scott Poche Telephone: 928-333-2683 Address: Po Box 699 Vacancies: 0 Springerville, AZ 85938-0699 Clinicians: 0 Telephone: 928-333-2683 Site Profile: Not available Email: spoche@lcbhc.org www.lcbhc.org 7049990403 Northern Arizona Mental Health Catchment 18 Designated Area HRSA Data Warehouse 5 of 224 July 4, 2016
County: Apache County (18 sites listed) Little Colorado Behavioral Health Centers - St. Johns UDS Number: 098250 Approved: 12/22/2015 Address: 470 W Cleveland St Expires: 12/31/2018 Saint Johns, AZ 85936 Contact: Scott Poche Telephone: 928-337-4301 Address: Po Box 699 Vacancies: 0 Springerville, AZ 85938-0699 Clinicians: 0 Telephone: 928-333-2683 Site Profile: Not available Email: spoche@lcbhc.org www.lcbhc.org 7049990403 Northern Arizona Mental Health Catchment 18 Designated Area Mountain Avenue Clinic UDS Number: 0922330 Approved: 4/15/2013 Address: 606 N Main St Expires: 12/31/2016 Eagar, AZ 85925-9813 Contact: Lori LeSueur Telephone: 928-333-5333 Address: 606 N Main St Vacancies: 0 Eagar, AZ 85925-9813 Clinicians: 1 Telephone: 928-333-5333 Site Profile: Not available Email: mountainave@frontiernet.net --- 10499904N6 Round Valley 17 Designated HRSA Data Warehouse 6 of 224 July 4, 2016
County: Apache County (18 sites listed) North Country HealthCare - Round Valley/Springerville UDS Number: 09289G Approved: 4/15/2009 Address: 488 S Mountain Ave Expires: 4/14/2012 Springerville, AZ 85938-5103 Contact: Sandy Seby Telephone: 928-522-9514 Address: 2920 N 4th St Vacancies: 1 Flagstaff, AZ 86004-1816 Clinicians: 0 Telephone: 928-522-9514 Site Profile: Not available Email: sseby@northcountryhealthcare.org www.northcountryhealthcare.org/where/round-valley.php 10499904C3 North Country Community Health Center 17 Designated 10499904N6 Round Valley 17 Designated 7049990403 Northern Arizona Mental Health Catchment Area 18 Designated 7049990429 North Country Community Health Center 23 Designated North Country HealthCare - St. Johns UDS Number: 09289F Approved: 5/18/2009 Address: 625 N 13th West St Expires: 5/17/2012 Saint Johns, AZ 85936 Contact: Sandy Seby Telephone: 928-327-3705 Address: 2920 N 4th St Vacancies: 0 Flagstaff, AZ 86004-1816 Clinicians: 0 Telephone: 928-522-9514 Site Profile: Not available Email: sseby@northcountryhealthcare.org www.northcountryhealthcare.org/where/st-johns.php 10499904C3 North Country Community Health Center 17 Designated 10499904E3 Saint Johns 16 Designated 7049990403 Northern Arizona Mental Health Catchment Area 18 Designated 7049990429 North Country Community Health Center 23 Designated HRSA Data Warehouse 7 of 224 July 4, 2016
County: Apache County (18 sites listed) Sage Memorial Hospital - Critical Access Hospital & Outpatient Services UDS Number: 090060 Approved: 7/18/2012 Address: Arizona Highway 264 & Highway 191 Expires: 12/31/2015 Ganado, AZ 86505 Contact: Netrisha Dalgai Telephone: 928-755-4559 Address: Po Box 457 Vacancies: 0 Ganado, AZ 86505-0457 Clinicians: 0 Telephone: 928-755-4658 Site Profile: Not available Email: netrisha.dalgai@razaghihealthcare.com www.sagememorial.com 10499904QF Navajo Health Foundation Dba Sage Memorial 19 Designated Hospita 60499904FN Sage Memorial Hospital 24 Designated 7049990403 Northern Arizona Mental Health Catchment Area 18 Designated Sage Memorial Hospital - Greasewood Field Clinic UDS Number: 09006B Approved: 9/20/2010 Address: Arizona Highway 191 & Highway 264 Expires: 9/17/2013 Ganado, AZ 86505 Contact: Netrisha Dalgai Telephone: 928-755-4500 Address: Po Box 457 Vacancies: 0 Ganado, AZ 86505-0457 Clinicians: 0 Telephone: 928-755-4658 Site Profile: Not available Email: netrisha.dalgai@razaghihealthcare.com sagememorial.org/index.html 10499904QF Navajo Health Foundation Dba Sage Memorial 19 Designated Hospita 60499904FN Sage Memorial Hospital 24 Designated 7049990403 Northern Arizona Mental Health Catchment Area 18 Designated HRSA Data Warehouse 8 of 224 July 4, 2016
County: Apache County (18 sites listed) Sage Memorial Hospital - Wide Ruins Clinic UDS Number: 09006C Approved: 4/18/2012 Address: Arizona Highway 191 Expires: 12/31/2015 Chambers, AZ 86502 Contact: Netrisha Dalgai Telephone: 928-652-3231 Address: Po Box 457 Vacancies: 0 Ganado, AZ 86505-0457 Clinicians: 0 Telephone: 928-755-4658 Site Profile: Not available Email: netrisha.dalgai@razaghihealthcare.com sagememorial.org/index.html 10499904QF Navajo Health Foundation Dba Sage Memorial 19 Designated Hospita 602180 Nome Area 19 Designated 60499904FN Sage Memorial Hospital 24 Designated 7049990403 Northern Arizona Mental Health Catchment Area 18 Designated Tséhootsooí Medical Center - Fort Defiance UDS Number: 12000360 Approved: 5/23/2009 Address: Corner Of Route 12 & Route 7 Expires: 5/22/2012 Fort Defiance, AZ 86504 Contact: Ophelia Anthony Telephone: 928-729-8309 Address: Po Box 649 Vacancies: 6 Fort Defiance, AZ 86504-0649 Clinicians: 2 Telephone: 928-729-8165 Site Profile: Not available Email: ophelia.anthony@fdihb.org www.fdihb.org 10499904E9 Fort Defiance PHS Indian Hospital 18 Designated 6049990487 Fort Defiance PHS Indian Hospital 17 Designated 7049990403 Northern Arizona Mental Health Catchment Area 18 Designated 7049990437 Fort Defiance PHS Indian Hospital 17 Designated HRSA Data Warehouse 9 of 224 July 4, 2016
County: Cochise County (26 sites listed) Arizona Counseling & Treatment Services - Benson UDS Number: 787146 Approved: 7/1/2014 Address: 500 S Highway 80 Expires: 12/31/2017 Benson, AZ 85602-7067 Contact: Edgar Carbajal Telephone: 928-376-0220 Address: 1590 S 2nd Ave Vacancies: 0 Yuma, AZ 85364-4728 Clinicians: 0 Telephone: 928-376-0220 Site Profile: Not available Email: ecarbajal@actsaz.com www.actsaz.com/ 7049990452 Southeast Arizona Catchment Area 18 Designated Arizona Counseling & Treatment Services - Bisbee UDS Number: 787167 Approved: 7/1/2014 Address: 24 Howell St Expires: 12/31/2017 Bisbee, AZ 85603 Contact: Edgar Carbajal Telephone: 928-376-0220 Address: 1590 S 2nd Ave Vacancies: 0 Yuma, AZ 85364-4728 Clinicians: 0 Telephone: 928-376-0220 Site Profile: Not available Email: ecarbajal@actsaz.com www.actsaz.com/ 7049990452 Southeast Arizona Catchment Area 18 Designated HRSA Data Warehouse 10 of 224 July 4, 2016
County: Cochise County (26 sites listed) Arizona Counseling & Treatment Services - Sierra Vista UDS Number: 788258 Approved: 7/1/2014 Address: 2039 E Wilcox Dr Expires: 12/31/2017 Sierra Vista, AZ 85635-2781 Contact: Edgar Carbajal Telephone: 928-376-0220 Address: 1590 S 2nd Ave Vacancies: 0 Yuma, AZ 85364-4728 Clinicians: 0 Telephone: 928-376-0220 Site Profile: Not available Email: ecarbajal@actsaz.com www.actsaz.com/ 7049990452 Southeast Arizona Catchment Area 18 Designated Arizona Counseling & Treatment Services - Willcox UDS Number: 788302 Approved: 7/1/2014 Address: 114 & 116 S Arizona Avenue Expires: 12/31/2017 Willcox, AZ 85643 Contact: Mayra Romero Telephone: 928-376-0220 Address: 1590 S 2nd Ave Vacancies: 0 Yuma, AZ 85364-4728 Clinicians: 0 Telephone: 928-376-0220 Site Profile: Not available Email: mromero@actsaz.com www.actsaz.com/ 7049990452 Southeast Arizona Catchment Area 18 Designated HRSA Data Warehouse 11 of 224 July 4, 2016
County: Cochise County (26 sites listed) Arizona State Prison Complex - Douglas UDS Number: 091060E Approved: 10/14/2015 Address: 6911 N Bdi Blvd Expires: 12/31/2018 Douglas, AZ 85607-6202 Contact: Blake Farrill Telephone: 314-919-9502 Address: 12647 Olive Blvd Vacancies: 0 Saint Louis, MO 63141-6393 Clinicians: 0 Telephone: 314-919-9351 Site Profile: Not available Email: blake.farrill@corizonhealth.com www.corizonjobs.com 1049990496 Arizona State Prison - Douglas 15 Designated 6049990452 Arizona State Prison - Douglas 21 Designated 7049990417 Arizona State Prison - Douglas 21 Designated Arizona's Children Association - Sierra Vista UDS Number: 093722F Approved: 4/1/2013 Address: 174 S Coronado Dr Expires: 12/31/2016 Sierra Vista, AZ 85635-6353 Contact: Tifney Tihey Telephone: 520-458-2131 Address: 711 E Missouri 200 Vacancies: 0 Phoenix, AZ 85014 Clinicians: 0 Telephone: 602-234-3733 Site Profile: Not available Email: ttihey@arizonaschildren.org www.arizonaschildren.org 7049990452 Southeast Arizona Catchment Area 18 Designated HRSA Data Warehouse 12 of 224 July 4, 2016
County: Cochise County (26 sites listed) CCHCI - Bisbee Clinic UDS Number: 09287D Approved: 12/13/2007 Address: 108 Arizona St Expires: 9/30/2011 Bisbee, AZ 85603-1804 Contact: Bonnie Gomez Telephone: 520-432-3309 Address: 1205 F Ave Vacancies: 2 Douglas, AZ 85607-1920 Clinicians: 0 Telephone: 520-364-1429 Site Profile: Not available Email: bogomez@cchci.org www.cchci.org/ 1049990483 Bisbee 14 Designated 10499904C2 Chiricahua Community Health Center 14 Designated 7049990428 Chiricahua Community Health Center 19 Designated 7049990452 Southeast Arizona Catchment Area 18 Designated CCHCI - Cliff Whetten Clinic UDS Number: 092870 Approved: 11/15/2007 Address: 10566 N Highway 191 Expires: 9/30/2011 Elfrida, AZ 85610-9021 Contact: Bonnie Gomez Telephone: 520-642-2222 Address: 1205 F Ave Vacancies: 1 Douglas, AZ 85607-1920 Clinicians: 2 Telephone: 520-364-1429 Site Profile: Not available Email: bogomez@cchci.org www.cchci.org 1049990440 Elfrida 16 Designated 10499904C2 Chiricahua Community Health Center 14 Designated 6049990419 Elfrida 18 Designated 6049990477 Chiricahua Community Health Center 20 Designated 60499904A9 Douglas 14 Designated 7049990428 Chiricahua Community Health Center 19 Designated HRSA Data Warehouse 13 of 224 July 4, 2016
County: Cochise County (26 sites listed) CCHCI - Jennifer "Ginger" Ryan Clinic UDS Number: 09287A Approved: 8/25/2008 Address: 1100 F Ave Expires: 6/30/2012 Douglas, AZ 85607-1919 Contact: Bonnie Gomez Telephone: 520-364-3285 Address: 1205 F Ave Vacancies: 3 Douglas, AZ 85607-1920 Clinicians: 0 Telephone: 520-364-1429 Site Profile: Not available Email: bogomez@cchci.org www.cchci.org 10499904C2 Chiricahua Community Health Center 14 Designated 10499904N2 Douglas Service Area 13 Designated 6049990477 Chiricahua Community Health Center 20 Designated 60499904A9 Douglas 14 Designated 7049990428 Chiricahua Community Health Center 19 Designated 7049990452 Southeast Arizona Catchment Area 18 Designated CCHCI - Mobile Dental Unit UDS Number: 237937 Approved: 8/27/2011 Address: 1100 F Ave Expires: --- Elfrida, AZ 85610 Contact: Bonnie Gomez Telephone: 520-364-3285 Address: 1205 F Ave Vacancies: 0 Douglas, AZ 85607-1920 Clinicians: 0 Telephone: 520-364-1429 Site Profile: Not available Email: bogomez@cchci.org www.cchci.org/ 6049990419 Elfrida 18 Designated 6049990477 Chiricahua Community Health Center 20 Designated 60499904A9 Douglas 14 Designated HRSA Data Warehouse 14 of 224 July 4, 2016
County: Cochise County (26 sites listed) CCHCI - Mobile Medical Unit UDS Number: 09287E Approved: 8/27/2011 Address: 1100 F Ave Expires: --- Douglas, AZ 85607-1919 Contact: Bonnie Gomez Telephone: 520-364-3285 Address: 1205 F Ave Vacancies: 0 Douglas, AZ 85607-1920 Clinicians: 0 Telephone: 520-364-1429 Site Profile: Not available Email: bogomez@cchci.org www.cchci.org/ 10499904C2 Chiricahua Community Health Center 14 Designated 10499904N2 Douglas Service Area 13 Designated CCHCI - Mobile Medical/Behavioral Health Clinic UDS Number: 12096 Approved: 7/27/2010 Address: 1100 F Ave Expires: 7/26/2013 Elfrida, AZ 85610 Contact: Bonnie Gomez Telephone: 520-459-3011 Address: 1205 F Ave Vacancies: 0 Douglas, AZ 85607-1920 Clinicians: 0 Telephone: 520-364-1429 Site Profile: Not available Email: bogomez@cchci.org www.cchci.org 1049990414 Sierra Vista-Tombstone 10 Designated 10499904C2 Chiricahua Community Health Center 14 Designated 7049990428 Chiricahua Community Health Center 19 Designated 7049990452 Southeast Arizona Catchment Area 18 Designated HRSA Data Warehouse 15 of 224 July 4, 2016
County: Cochise County (26 sites listed) CCHCI - Pediatric Center of Excellence UDS Number: 179485 Approved: 8/31/2011 Address: 815 E 15th St Expires: --- Douglas, AZ 85607-1631 Contact: Bonnie Gomez Telephone: 520-364-5437 Address: 1205 F Ave Vacancies: 2 Douglas, AZ 85607-1920 Clinicians: 2 Telephone: 520-364-1429 Site Profile: Not available Email: bogomez@cchci.org www.cchci.org 10499904C2 Chiricahua Community Health Center 14 Designated 10499904N2 Douglas Service Area 13 Designated 7049990428 Chiricahua Community Health Center 19 Designated 7049990452 Southeast Arizona Catchment Area 18 Designated CCHCI - Sierra Vista Adult Clinic UDS Number: 872876 Approved: 9/21/2015 Address: 155 Calle Portal Expires: 12/31/2018 Sierra Vista, AZ 85635-2900 Contact: Bonnie Gomez Telephone: 520-459-3011 Address: 1205 F Ave Vacancies: 1 Douglas, AZ 85607-1920 Clinicians: 0 Telephone: 520-364-1429 Site Profile: Not available Email: bogomez@cchci.org cchci.org/_about_us/locations/?location_id=2377 10499904C2 Chiricahua Community Health Center 14 Designated 7049990428 Chiricahua Community Health Center 19 Designated HRSA Data Warehouse 16 of 224 July 4, 2016
County: Cochise County (26 sites listed) CCHCI - Sierra Vista Dental Clinic UDS Number: 781428 Approved: 6/7/2014 Address: 4525 Campus Dr Expires: 12/31/2017 Sierra Vista, AZ 85635-2232 Contact: Bonnie Gomez Telephone: 520-459-3011 Address: 1205 F Ave Vacancies: 0 Douglas, AZ 85607-1920 Clinicians: 0 Telephone: 520-364-1429 Site Profile: Not available Email: bogomez@cchci.org www.cchci.org 6049990477 Chiricahua Community Health Center 20 Designated CCHCI - Sierra Vista Pediatrics UDS Number: 781441 Approved: 6/7/2014 Address: 155 Calle Portal Expires: 12/31/2017 Sierra Vista, AZ 85635-2900 Contact: Julie King Telephone: 520-459-3011 Address: 1205 F Ave Vacancies: 0 Douglas, AZ 85607-1920 Clinicians: 1 Telephone: 520-364-1429 Site Profile: Not available Email: jking@cchci.org www.cchci.org 10499904C2 Chiricahua Community Health Center 14 Designated HRSA Data Warehouse 17 of 224 July 4, 2016
County: Cochise County (26 sites listed) Community Health Associates - Bisbee UDS Number: 758517 Approved: 5/2/2014 Address: 1326 W Highway 92 Ste J Expires: 12/31/2017 Bisbee, AZ 85603-1151 Contact: Leigh Anderton Telephone: 928-376-0026 Address: 2851 S Avenue B Vacancies: 0 Yuma, AZ 85364-7726 Clinicians: 0 Telephone: 928-446-1038 Site Profile: Not available Email: landerton@ciayuma.com www.chaarizona.com/ 7049990452 Southeast Arizona Catchment Area 18 Designated Community Health Associates - Douglas UDS Number: 758434 Approved: 5/2/2014 Address: 1701 N Douglas Ave Expires: 12/31/2017 Douglas, AZ 85607-1019 Contact: Leigh Anderton Telephone: 928-376-0026 Address: 2851 S Avenue B Vacancies: 0 Yuma, AZ 85364-7726 Clinicians: 1 Telephone: 928-446-1038 Site Profile: Not available Email: landerton@ciayuma.com www.chaarizona.com/ 7049990452 Southeast Arizona Catchment Area 18 Designated HRSA Data Warehouse 18 of 224 July 4, 2016
County: Cochise County (26 sites listed) Copper Queen Community Hospital - Critical Access Hospital UDS Number: 091050A Approved: 9/16/2014 Address: 101 Cole Ave Expires: 12/31/2017 Bisbee, AZ 85603-1327 Contact: VIRGINIA MARTINEZ Telephone: 520-432-5383 Address: 101 Cole Ave Vacancies: 0 Bisbee, AZ 85603-1327 Clinicians: 0 Telephone: 520-432-6470 Site Profile: Not available Email: vmartinez@cqch.org copperqueenhospital.wix.com/cqch# 1049990483 Bisbee 14 Designated Copper Queen Medical Associates - Bisbee UDS Number: 092470 Approved: 3/25/2013 Address: 101 Cole Ave Expires: 12/31/2016 Bisbee, AZ 85603-1327 Contact: VIRGINIA MARTINEZ Telephone: 520-432-6481 Address: 101 Cole Ave Vacancies: 0 Bisbee, AZ 85603-1327 Clinicians: 0 Telephone: 520-432-6470 Site Profile: Not available Email: vmartinez@cqch.org copperqueenhospital.wix.com/cqch#!about1/c27s 1049990483 Bisbee 14 Designated 10499904QD Copper Queen Medical Associates-Bisbee 14 Designated HRSA Data Warehouse 19 of 224 July 4, 2016
County: Cochise County (26 sites listed) Copper Queen Medical Associates - Douglas UDS Number: 0910500 Approved: 8/10/2015 Address: 100 E 5th St Expires: 12/31/2018 Douglas, AZ 85607-2859 Contact: VIRGINIA MARTINEZ Telephone: 520-364-7659 Address: 101 Cole Ave Vacancies: 0 Bisbee, AZ 85603-1327 Clinicians: 0 Telephone: 520-432-6470 Site Profile: Not available Email: vmartinez@cqch.org copperqueenhospital.wix.com/cqch#!douglas/c1idm 10499904N2 Douglas Service Area 13 Designated 10499904QC Copper Queen Medical Associates - Douglas 13 Designated Copper Queen Medical Associates - Palominas UDS Number: 09247A Approved: 8/10/2015 Address: 10524 E Highway 92 Expires: 12/31/2018 Hereford, AZ 85615-8371 Contact: VIRGINIA MARTINEZ Telephone: 520-366-0300 Address: 101 Cole Ave Vacancies: 0 Bisbee, AZ 85603-1327 Clinicians: 0 Telephone: 520-432-6470 Site Profile: Not available Email: vmartinez@cqch.org copperqueenhospital.wix.com/cqch#!palominas-hereford/cthr 1049990483 Bisbee 14 Designated 10499904QE Palominas/Hereford Rural Health Clinics 15 Designated HRSA Data Warehouse 20 of 224 July 4, 2016
County: Cochise County (26 sites listed) Pinal Hispanic Council - Centro de Bien Estar UDS Number: 538601 Approved: 2/21/2013 Address: 1940 E 11th St Expires: 12/31/2016 Douglas, AZ 85607-2413 Contact: Maria Tarango Telephone: 520-364-4508 Address: 107 E 4th St Vacancies: 0 Eloy, AZ 85131-2506 Clinicians: 0 Telephone: 520-466-7765 Site Profile: Not available Email: mtarango@pinalhispaniccouncil.org www.pinalhispaniccouncil.org/ 7049990452 Southeast Arizona Catchment Area 18 Designated SEABHS - Benson Outpatient UDS Number: 092575D Approved: 2/2/2015 Address: 611 W Union St Expires: 12/31/2018 Benson, AZ 85602-6718 Contact: Elaine Miller Telephone: 520-586-0800 Address: 611 W Union St Vacancies: 1 Benson, AZ 85602-6718 Clinicians: 0 Telephone: 520-586-6929 Site Profile: Not available Email: Elaine_Miller@seabhssolutions.org www.seabhs.org/ 7049990452 Southeast Arizona Catchment Area 18 Designated HRSA Data Warehouse 21 of 224 July 4, 2016
County: Cochise County (26 sites listed) SEABHS - Sierra Vista Outpatient UDS Number: 092575C Approved: 2/2/2015 Address: 4755 Campus Dr Expires: 12/31/2018 Sierra Vista, AZ 85635-2449 Contact: Elaine Miller Telephone: 520-458-3932 Address: 611 W Union St Vacancies: 1 Benson, AZ 85602-6718 Clinicians: 0 Telephone: 520-586-6929 Site Profile: Not available Email: Elaine_Miller@seabhssolutions.org www.seabhs.org/ 7049990452 Southeast Arizona Catchment Area 18 Designated SEABHS - Willcox Outpatient UDS Number: 092575H Approved: 2/2/2015 Address: 404 W Rex Allen Dr Expires: 12/31/2018 Willcox, AZ 85643-1120 Contact: Elaine Miller Telephone: 520-384-2521 Address: 611 W Union St Vacancies: 1 Benson, AZ 85602-6718 Clinicians: 0 Telephone: 520-586-6929 Site Profile: Not available Email: Elaine_Miller@seabhssolutions.org www.seabhs.org/ 7049990452 Southeast Arizona Catchment Area 18 Designated HRSA Data Warehouse 22 of 224 July 4, 2016
County: Coconino County (21 sites listed) Arizona's Children Association - Flagstaff UDS Number: 093722E Approved: 4/1/2013 Address: 906 W University Ave Expires: 12/31/2016 Flagstaff, AZ 86001-2986 Contact: Tifney Tihey Telephone: 928-527-1000 Address: 711 E Missouri 200 Vacancies: 0 Phoenix, AZ 85014 Clinicians: 0 Telephone: 602-234-3733 Site Profile: Not available Email: ttihey@arizonaschildren.org www.arizonaschildren.org 7049990403 Northern Arizona Mental Health Catchment 18 Designated Area Canyonlands Healthcare - Fredonia UDS Number: 09130C Approved: 6/29/2009 Address: 100 E Wood Hill Rd Expires: 6/28/2012 Fredonia, AZ 86022 Contact: Janeen Bjork Telephone: 928-643-6215 Address: 467 Vista Ave Vacancies: 0 Page, AZ 86040 Clinicians: 0 Telephone: 928-645-9675 Site Profile: Not available Email: j.bjork@cchcaz.org www.canyonlandschc.org 10499904A6 Fredonia Service Area 13 Designated 10499904A8 Canyonlands Community Health Center 16 Designated HRSA Data Warehouse 23 of 224 July 4, 2016
County: Coconino County (21 sites listed) Canyonlands Healthcare - Kaibeto Boarding School Clinic UDS Number: 09130A Approved: 6/29/2009 Address: 4 Dorm Expires: 6/28/2012 Kaibeto, AZ 86053 Contact: Janeen Bjork Telephone: 928-673-3491 Address: 467 Vista Ave Vacancies: 0 Page, AZ 86040 Clinicians: 0 Telephone: 928-645-9675 Site Profile: Not available Email: j.bjork@cchcaz.org www.canyonlandschc.org 10499904A8 Canyonlands Community Health Center 16 Designated Canyonlands Healthcare - Lake Powell UDS Number: 09130E Approved: 6/10/2009 Address: 467 Vista Ave Expires: 6/9/2012 Page, AZ 86040 Contact: Janeen Bjork Telephone: 928-645-8123 Address: 467 Vista Ave Vacancies: 0 Page, AZ 86040 Clinicians: 0 Telephone: 928-645-9675 Site Profile: Not available Email: j.bjork@cchcaz.org www.canyonlandschc.org 10499904A8 Canyonlands Community Health Center 16 Designated HRSA Data Warehouse 24 of 224 July 4, 2016
County: Coconino County (21 sites listed) Canyonlands Healthcare - Urgent Care UDS Number: 09130J Approved: 6/23/2009 Address: 440 N Navajo Dr Expires: 6/22/2012 Page, AZ 86040 Contact: Janeen Bjork Telephone: 928-645-1700 Address: 467 Vista Ave Vacancies: 1 Page, AZ 86040 Clinicians: 2 Telephone: 928-645-9675 Site Profile: Not available Email: j.bjork@cchcaz.org www.canyonlandschc.org 10499904A8 Canyonlands Community Health Center 16 Designated Colorado River Service Unit - Supai Clinic UDS Number: 12606430 Approved: 7/12/2008 Address: 129 Main Trl Expires: 12/31/2099 Supai, AZ 86435 Contact: Stephen Navarro Telephone: 520-448-2641 Address: 40 N Central Ave Vacancies: 2 Phoenix, AZ 85004-4424 Clinicians: 0 Telephone: 602-364-5222 Site Profile: Not available Email: stephen.navarro@ihs.gov www.ihs.gov/phoenix/healthcarefacilities/co 10499904QX Supai Clinic 17 Designated HRSA Data Warehouse 25 of 224 July 4, 2016
County: Coconino County (21 sites listed) Kayenta Service Unit - Dennehotso Clinic UDS Number: 758952 Approved: 4/17/2014 Address: Highway 160 Expires: 12/31/2017 Dennehotso, AZ 86535 Contact: Shannon J. Hopkins Telephone: 928-658-3377 Address: Po Box 9020 Vacancies: 0 Window Rock, AZ 86515-9020 Clinicians: 0 Telephone: 928-871-5884 Site Profile: Not available Email: Shannon.Hopkins@ihs.gov www.ihs.gov/navajo/index.cfm?module=nao_hcc_kayenta 10499904F6 Kayenta PHS Indian Health Center 18 Designated Kayenta Service Unit - Inscription House Health Center UDS Number: 13393 Approved: 3/29/2011 Address: Highway 98 & Navajo Route 16 Expires: 3/28/2014 Tonalea, AZ 86044 Contact: Shannon J. Hopkins Telephone: 928-672-3000 Address: Po Box 9020 Vacancies: 0 Window Rock, AZ 86515-9020 Clinicians: 0 Telephone: 928-871-5884 Site Profile: Not available Email: Shannon.Hopkins@ihs.gov www.ihs.gov/navajo/index.cfm?module=nao_hcc_inscription 10499904K1 Inscription House Health Center 16 Designated 60499904A7 Hopi Nation 22 Designated 60499904FA Inscription House Health Center 15 Designated 7049990403 Northern Arizona Mental Health Catchment Area 18 Designated 704999047I Inscription House Health Center 14 Designated HRSA Data Warehouse 26 of 224 July 4, 2016
County: Coconino County (21 sites listed) Native Americans for Community Action - Family Health & Wellness Center UDS Number: 0937080 Approved: 4/14/2011 Address: 1500 E Cedar Ave Expires: 1/1/2099 Flagstaff, AZ 86004-1641 Contact: Monica Polingyouma Telephone: 928-526-2968 Address: 2717 N Steves Blvd Ste 11 Vacancies: 1 Flagstaff, AZ 86004-3959 Clinicians: 0 Telephone: 928-526-2968 Site Profile: Not available Email: mpolingyouma@nacainc.org www.nacainc.org 10499904Q7 Native Americans for Community Action 16 Designated 7049990403 Northern Arizona Mental Health Catchment Area 18 Designated 704999047W Native Americans for Community Action 15 Designated North Country HealthCare - Flagstaff UDS Number: 09289D Approved: 5/16/2009 Address: 2920 N 4th St Expires: 5/15/2012 Flagstaff, AZ 86004-1816 Contact: Sandy Seby Telephone: 928-522-9514 Address: 2920 N 4th St Vacancies: 4 Flagstaff, AZ 86004-1816 Clinicians: 6 Telephone: 928-522-9514 Site Profile: Not available Email: sseby@northcountryhealthcare.org www.northcountryhealthcare.org/where/flagstaff.php 10499904C3 North Country Community Health Center 17 Designated 6049990478 North Country Community Health Center 21 Designated 7049990403 Northern Arizona Mental Health Catchment Area 18 Designated 7049990429 North Country Community Health Center 23 Designated HRSA Data Warehouse 27 of 224 July 4, 2016
County: Coconino County (21 sites listed) North Country HealthCare - Flagstaff Co-Location Site UDS Number: 229924 Approved: 8/27/2011 Address: 2187 N Vickey St Expires: --- Flagstaff, AZ 86004-6121 Contact: Sandy Seby Telephone: 928-527-1899 Address: 2920 N 4th St Vacancies: 0 Flagstaff, AZ 86004-1816 Clinicians: 0 Telephone: 928-522-9514 Site Profile: Not available Email: sseby@northcountryhealthcare.org www.northcountryhealthcare.org/ 10499904C3 North Country Community Health Center 17 Designated 7049990403 Northern Arizona Mental Health Catchment Area 18 Designated 7049990429 North Country Community Health Center 23 Designated North Country HealthCare - Grand Canyon UDS Number: 09289H Approved: 5/16/2009 Address: 1 Clinic Rd Expires: 5/15/2012 Grand Canyon, AZ 86023 Contact: Sandy Seby Telephone: 928-638-2551 Address: 2920 N 4th St Vacancies: 2 Flagstaff, AZ 86004-1816 Clinicians: 1 Telephone: 928-522-9514 Site Profile: Not available Email: sseby@northcountryhealthcare.org www.northcountryhealthcare.org/where/grand-canyon.php 1049990479 Williams 15 Designated 10499904C3 North Country Community Health Center 17 Designated 7049990403 Northern Arizona Mental Health Catchment Area 18 Designated 7049990429 North Country Community Health Center 23 Designated HRSA Data Warehouse 28 of 224 July 4, 2016
County: Coconino County (21 sites listed) North Country HealthCare - West Flagstaff UDS Number: 880462 Approved: 12/17/2015 Address: 1120 W University Ave Expires: 12/31/2018 Flagstaff, AZ 86001-2851 Contact: Sandy Seby Telephone: 928-522-1300 Address: 2920 N 4th St Vacancies: 0 Flagstaff, AZ 86004-1816 Clinicians: 0 Telephone: 928-522-9514 Site Profile: Not available Email: sseby@northcountryhealthcare.org www.northcountryhealthcare.org 10499904C3 North Country Community Health Center 17 Designated North Country HealthCare - Williams UDS Number: 245265 Approved: 8/27/2011 Address: 301 S 7th St Expires: --- Williams, AZ 86046-2324 Contact: Sandy Seby Telephone: 928-635-4441 Address: 2920 N 4th St Vacancies: 1 Flagstaff, AZ 86004-1816 Clinicians: 3 Telephone: 928-522-9514 Site Profile: Not available Email: sseby@northcountryhealthcare.org northcountryhealthcare.org 1049990479 Williams 15 Designated 10499904C3 North Country Community Health Center 17 Designated 7049990403 Northern Arizona Mental Health Catchment Area 18 Designated 7049990429 North Country Community Health Center 23 Designated HRSA Data Warehouse 29 of 224 July 4, 2016
County: Coconino County (21 sites listed) OnSite Dental - Mobile Clinic UDS Number: 871119 Approved: 8/18/2015 Address: 9e Mfh Expires: 12/31/2018 Many Farms, AZ 86535 Contact: James Hisrich Telephone: 928-593-0218 Address: Po Box 2248 Vacancies: 1 Camp Verde, AZ 86322-2248 Clinicians: 0 Telephone: 928-593-0218 Site Profile: Not available Email: thesmilesmovement@gmail.com thesmilesmovement.com 60499904EG Navajo Division of Health 17 Designated Sacred Peaks Health Center UDS Number: 628020 Approved: 1/9/2013 Address: 3480 E Route 66 Expires: 12/31/2016 Flagstaff, AZ 86004-4032 Contact: Cynthia Soria Telephone: 928-863-7333 Address: Po Box 600 Vacancies: 0 Tuba City, AZ 86045-0600 Clinicians: 0 Telephone: 928-283-2432 Site Profile: Not available Email: cynthia.soria@tchealth.org tchealth.org/sacredpeaks/ 10499904QT Sacred Peaks Health Center 16 Designated 60499904FZ Sacred Peaks Health Center 20 Designated 7049990482 Sacred Peaks Health Center 21 Designated HRSA Data Warehouse 30 of 224 July 4, 2016
County: Coconino County (21 sites listed) Southwest Behavioral & Health Services - Flagstaff Outpatient UDS Number: 12002 Approved: 12/10/2013 Address: 1515 E Cedar Ave Expires: 12/31/2016 Flagstaff, AZ 86004-1600 Contact: Jessica Mori Telephone: 928-779-4550 Address: 3450 N 3rd St Vacancies: 0 Phoenix, AZ 85012-2331 Clinicians: 1 Telephone: 602-285-4231 Site Profile: Not available Email: jessicamor@sbhservices.org https://www.sbhservices.org/#area 7049990403 Northern Arizona Mental Health Catchment 18 Designated Area The Guidance Center - Industrial Drive (out-patient services only) UDS Number: 09156H Approved: 12/30/2015 Address: 2695 E Industrial Dr Expires: 12/31/2018 Flagstaff, AZ 86004-6109 Contact: Michael Lerch Telephone: 928-527-1899 Address: 2187 N Vickey St Vacancies: 0 Flagstaff, AZ 86004-6121 Clinicians: 3 Telephone: 928-527-1899 Site Profile: Not available Email: mlerch@tgcaz.org https://www.tgcaz.org/ 7049990403 Northern Arizona Mental Health Catchment 18 Designated Area HRSA Data Warehouse 31 of 224 July 4, 2016
County: Coconino County (21 sites listed) The Guidance Center - Vickey Street (out-patient services only) UDS Number: 09156A Approved: 12/30/2015 Address: 2187 N Vickey St Expires: 12/31/2018 Flagstaff, AZ 86004-6121 Contact: Michael Lerch Telephone: 928-527-1899 Address: 2187 N Vickey St Vacancies: 0 Flagstaff, AZ 86004-6121 Clinicians: 4 Telephone: 928-527-1899 Site Profile: Not available Email: mlerch@tgcaz.org https://www.tgcaz.org/ 7049990403 Northern Arizona Mental Health Catchment 18 Designated Area The Guidance Center - Williams/Grand Canyon (out-patient services only) UDS Number: 09156D Approved: 12/30/2015 Address: 220 W Grant Ave Expires: 12/31/2018 Williams, AZ 86046-2535 Contact: Michael Lerch Telephone: 928-635-4272 Address: 2187 N Vickey St Vacancies: 0 Flagstaff, AZ 86004-6121 Clinicians: 0 Telephone: 928-527-1899 Site Profile: Not available Email: mlerch@tgcaz.org https://www.tgcaz.org/ 7049990403 Northern Arizona Mental Health Catchment 18 Designated Area HRSA Data Warehouse 32 of 224 July 4, 2016
County: Coconino County (21 sites listed) Tuba City Regional Health Care Corporation UDS Number: 0933400 Approved: 8/11/2009 Address: 167 N Main St Expires: 6/30/2013 Tuba City, AZ 86045 Contact: Cynthia Soria Telephone: 928-283-2131 Address: Po Box 600 Vacancies: 4 Tuba City, AZ 86045-0600 Clinicians: 13 Telephone: 928-283-2432 Site Profile: Not available Email: cynthia.soria@tchealth.org www.tchealth.org 10499904K4 Tuba City Regional Health Care Corporation 19 Designated 6049990495 Tuba City Regional Health Care Corporation 19 Designated 7049990403 Northern Arizona Mental Health Catchment Area 18 Designated 7049990445 Tuba City Regional Health Care Corporation 17 Designated County: Gila County (9 sites listed) Canyonlands Healthcare - Globe UDS Number: 594117 Approved: 11/21/2012 Address: 5860 S Hospital Dr Expires: 12/31/2015 Globe, AZ 85501-9449 Contact: Janeen Bjork Telephone: 928-402-0491 Address: 467 Vista Ave Vacancies: 0 Page, AZ 86040 Clinicians: 1 Telephone: 928-645-9675 Site Profile: Not available Email: j.bjork@cchcaz.org www.canyonlandschc.org 10499904A8 Canyonlands Community Health Center 16 Designated HRSA Data Warehouse 33 of 224 July 4, 2016
County: Gila County (9 sites listed) Horizon Health & Wellness - Outpatient Adult (Globe, AZ) UDS Number: 09173F Approved: 10/22/2015 Address: 415 W Baseline Spur Expires: 12/31/2018 Globe, AZ 85501 Contact: Fred Karst Telephone: 928-402-9297 Address: 625 N Plaza Dr Vacancies: 0 Apache Junction, AZ 85120-5501 Clinicians: 0 Telephone: 480-226-4574 Site Profile: Not available Email: FredK@mhwaz.org www.horizonhumanservices.org 7049990401 Pinal/Gila Catchment Area 18 Designated North Country HealthCare - Payson UDS Number: 730420 Approved: 1/22/2014 Address: 708 S Coeur D Alene Ln Expires: 12/31/2017 Payson, AZ 85541-5662 Contact: Sandy Seby Telephone: 928-468-8610 Address: 2920 N 4th St Vacancies: 0 Flagstaff, AZ 86004-1816 Clinicians: 1 Telephone: 928-522-9514 Site Profile: Not available Email: sseby@northcountryhealthcare.org www.northcountryhealthcare.org/ 10499904C3 North Country Community Health Center 17 Designated HRSA Data Warehouse 34 of 224 July 4, 2016
County: Gila County (9 sites listed) San Carlos Apache Healthcare Corporation - Peridot (outpatient services) UDS Number: 12000200 Approved: 11/8/2006 Address: 103 Medicine Way Rd Expires: 12/31/2099 Peridot, AZ 85542 Contact: Janet James Telephone: 928-475-1400 Address: 103 Medicine Way Rd Vacancies: 4 Peridot, AZ 85542 Clinicians: 3 Telephone: 928-475-1232 Site Profile: Not available Email: janet.james@scahealth.org www.scahealth.org/ 10499904J6 San Carlos Apache Tribe 16 Designated 60499904D6 San Carlos Apache Tribe 21 Designated San Carlos Apache Tribe - Public Health Department UDS Number: 0936830 Approved: 3/21/2012 Address: 102 Medicine Way Rd Expires: 12/31/2015 Peridot, AZ 85542 Contact: Regina Hovet Telephone: 928-475-2361 Address: Po Box 0 Vacancies: 0 San Carlos, AZ 85550 Clinicians: 0 Telephone: 928-475-2798 Site Profile: Not available Email: regina.hovet@scat-nsn.gov www.sancarlosapache.com/home.htm 10499904J6 San Carlos Apache Tribe 16 Designated HRSA Data Warehouse 35 of 224 July 4, 2016
County: Gila County (9 sites listed) San Carlos Apache Tribe Wellness Center - Peridot UDS Number: 781224 Approved: 6/6/2014 Address: 4th Building - New Hospital Complex Expires: 12/31/2017 Peridot, AZ 85542 Contact: Thea Wilshire Telephone: 928-475-4875 Address: Po Box 0 Vacancies: 4 San Carlos, AZ 85550 Clinicians: 0 Telephone: 928-475-4875 Site Profile: Not available Email: thea.wilshire@scatwellness.net www.scatwellness.com 7049990471 San Carlos Apache Tribe 18 Designated San Carlos Apache Tribe Wellness Center - San Carlos UDS Number: 12459 Approved: 11/5/2012 Address: 5 San Carlos Ave Expires: 12/31/2015 San Carlos, AZ 85550 Contact: Thea Wilshire Telephone: 928-475-4875 Address: Po Box 0 Vacancies: 4 San Carlos, AZ 85550 Clinicians: 2 Telephone: 928-475-4875 Site Profile: Not available Email: thea.wilshire@scatwellness.net www.scatwellness.com 7049990401 Pinal/Gila Catchment Area 18 Designated 7049990471 San Carlos Apache Tribe 18 Designated HRSA Data Warehouse 36 of 224 July 4, 2016
County: Gila County (9 sites listed) SEABHS - Globe Outpatient UDS Number: 092575E Approved: 2/2/2015 Address: 996 N Broad St Expires: 12/31/2018 Globe, AZ 85501-2300 Contact: Elaine Miller Telephone: 928-425-2185 Address: 611 W Union St Vacancies: 1 Benson, AZ 85602-6718 Clinicians: 0 Telephone: 520-586-6929 Site Profile: Not available Email: Elaine_Miller@seabhssolutions.org www.seabhs.org/ 7049990452 Southeast Arizona Catchment Area 18 Designated Southwest Behavioral & Health Services - Payson Outpatient UDS Number: 0932530 Approved: 12/21/2015 Address: 404 W Aero Dr Expires: 12/31/2018 Payson, AZ 85541-5407 Contact: Jessica Mori Telephone: 928-474-3303 Address: 3450 N 3rd St Vacancies: 0 Phoenix, AZ 85012-2331 Clinicians: 0 Telephone: 602-285-4231 Site Profile: Not available Email: jessicamor@sbhservices.org www.sbhservices.org 7049990401 Pinal/Gila Catchment Area 18 Designated HRSA Data Warehouse 37 of 224 July 4, 2016
County: Graham County (8 sites listed) Arizona Counseling & Treatment Services - Safford UDS Number: 787294 Approved: 7/1/2014 Address: 301 E 4th St Expires: 12/31/2017 Safford, AZ 85546-2074 Contact: Edgar Carbajal Telephone: 928-376-0220 Address: 1590 S 2nd Ave Vacancies: 0 Yuma, AZ 85364-4728 Clinicians: 0 Telephone: 928-376-0220 Site Profile: Not available Email: ecarbajal@actsaz.com www.actsaz.com/ 7049990452 Southeast Arizona Catchment Area 18 Designated Arizona State Prison Complex - Safford UDS Number: 091060G Approved: 10/14/2015 Address: 896 S Cook Rd Expires: 12/31/2018 Safford, AZ 85546-7526 Contact: Blake Farrill Telephone: 314-919-9836 Address: 12647 Olive Blvd Vacancies: 0 Saint Louis, MO 63141-6393 Clinicians: 0 Telephone: 314-919-9351 Site Profile: Not available Email: blake.farrill@corizonhealth.com www.corizonhealth.com 1049990495 Arizona State Prison - Safford 9 Designated 6049990450 Arizona State Prison - Safford 15 Designated 7049990415 Arizona State Prison - Safford 21 Designated HRSA Data Warehouse 38 of 224 July 4, 2016
County: Graham County (8 sites listed) Canyonlands Healthcare - Safford UDS Number: 09130G Approved: 5/27/2009 Address: 2016 W 16th St Expires: 5/26/2012 Safford, AZ 85546-4026 Contact: Janeen Bjork Telephone: 928-428-1500 Address: 467 Vista Ave Vacancies: 0 Page, AZ 86040 Clinicians: 2 Telephone: 928-645-9675 Site Profile: Not available Email: j.bjork@cchcaz.org www.canyonlandschc.org 10499904A8 Canyonlands Community Health Center 16 Designated 10499904QH Graham-Southern 11 Designated 6049990475 Canyonlands Community Health Center 19 Designated 60499904C8 Low Income - Graham Southern 17 Designated Federal Bureau of Prisons (BOP)- Federal Correctional Institution (FCI) SAFFORD UDS Number: 130450 Approved: 10/11/2006 Address: 1529 W State Route 366 Expires: 12/31/2099 Safford, AZ 85546-7732 Contact: Recruitment Team Telephone: 800-800-2676 Address: 320 1st St Nw Vacancies: 0 Washington, DC 20534-0002 Clinicians: 0 Telephone: 800-800-2676 Site Profile: Not available Email: BOP-HSD/Recruitment@bop.gov www.bop.gov/locations/institutions/saf/index.jsp 1049990497 Federal Correctional Institution - Safford 18 Designated 6049990455 Federal Correctional Institution - Safford 15 Designated HRSA Data Warehouse 39 of 224 July 4, 2016
County: Graham County (8 sites listed) Gila Valley Clinic UDS Number: 12296 Approved: 10/24/2013 Address: 1680 S 20th Ave Expires: 12/31/2016 Safford, AZ 85546-4011 Contact: Donna Coca Telephone: 928-428-1377 Address: 1680 S 20th Ave Vacancies: 0 Safford, AZ 85546-4011 Clinicians: 0 Telephone: 928-428-1377 Site Profile: Not available Email: dscoca@gilavalleyclinic.com www.gilavalleyclinic.com 10499904QH Graham-Southern 11 Designated San Carlos Apache Healthcare Corporation - Bylas (outpatient services) UDS Number: 0936350 Approved: 4/14/2011 Address: 101 Medical Dr Expires: 1/1/2099 Bylas, AZ 85530 Contact: Janet James Telephone: 928-475-2686 Address: 103 Medicine Way Rd Vacancies: 2 Peridot, AZ 85542 Clinicians: 0 Telephone: 928-475-1232 Site Profile: Not available Email: janet.james@scahealth.org www.scahealth.org/ 10499904J5 Bylas Health Center 16 Designated 60499904B8 Bylas Health Center 23 Designated HRSA Data Warehouse 40 of 224 July 4, 2016
County: Graham County (8 sites listed) San Carlos Apache Tribe Wellness Center - Bylas UDS Number: 781266 Approved: 6/6/2014 Address: 105 Medical Dr Expires: 12/31/2017 Bylas, AZ 85530 Contact: Thea Wilshire Telephone: 928-475-4875 Address: Po Box 0 Vacancies: 0 San Carlos, AZ 85550 Clinicians: 0 Telephone: 928-475-4875 Site Profile: Not available Email: thea.wilshire@scatwellness.net www.scatwellness.com 7049990471 San Carlos Apache Tribe 18 Designated SEABHS - Safford Outpatient UDS Number: 092575F Approved: 2/2/2015 Address: 1615 S 1st Ave Expires: 12/31/2018 Safford, AZ 85546-2103 Contact: Elaine Miller Telephone: 928-428-4550 Address: 611 W Union St Vacancies: 1 Benson, AZ 85602-6718 Clinicians: 0 Telephone: 520-586-6929 Site Profile: Not available Email: Elaine_Miller@seabhssolutions.org www.seabhs.org/ 7049990452 Southeast Arizona Catchment Area 18 Designated HRSA Data Warehouse 41 of 224 July 4, 2016
County: Greenlee County (4 sites listed) Arizona Counseling & Treatment Services - Clifton UDS Number: 787180 Approved: 7/1/2014 Address: 562 N Coronado Blvd Expires: 12/31/2017 Clifton, AZ 85533 Contact: Edgar Carbajal Telephone: 928-376-0220 Address: 1590 S 2nd Ave Vacancies: 0 Yuma, AZ 85364-4728 Clinicians: 0 Telephone: 928-376-0220 Site Profile: Not available Email: ecarbajal@actsaz.com www.actsaz.com/ 7049990452 Southeast Arizona Catchment Area 18 Designated Canyonlands Healthcare - Clifton UDS Number: 09130H Approved: 6/29/2009 Address: 10-A Ward Canyon Rd Expires: 6/28/2012 Clifton, AZ 85533-8233 Contact: Janeen Bjork Telephone: 928-865-4511 Address: 467 Vista Ave Vacancies: 0 Page, AZ 86040 Clinicians: 0 Telephone: 928-645-9675 Site Profile: Not available Email: j.bjork@cchcaz.org www.canyonlandschc.org 1049990481 Low Income - Greenlee County 13 Designated 10499904A8 Canyonlands Community Health Center 16 Designated HRSA Data Warehouse 42 of 224 July 4, 2016
County: Greenlee County (4 sites listed) Canyonlands Healthcare - Duncan UDS Number: 09130I Approved: 6/29/2009 Address: 227 Main St Expires: 6/28/2012 Duncan, AZ 85534-9790 Contact: Janeen Bjork Telephone: 928-359-1380 Address: 467 Vista Ave Vacancies: 0 Page, AZ 86040 Clinicians: 1 Telephone: 928-645-9675 Site Profile: Not available Email: j.bjork@cchcaz.org www.canyonlandschc.org 1049990481 Low Income - Greenlee County 13 Designated 10499904A8 Canyonlands Community Health Center 16 Designated SEABHS - Clifton Outpatient UDS Number: 092575G Approved: 2/2/2015 Address: 430 N Coronado Blvd Expires: 12/31/2018 Clifton, AZ 85533-8086 Contact: Elaine Miller Telephone: 928-865-4531 Address: 611 W Union St Vacancies: 1 Benson, AZ 85602-6718 Clinicians: 0 Telephone: 520-586-6929 Site Profile: Not available Email: Elaine_Miller@seabhssolutions.org www.seabhs.org/ 7049990452 Southeast Arizona Catchment Area 18 Designated HRSA Data Warehouse 43 of 224 July 4, 2016
County: La Paz County (11 sites listed) Arizona Counseling & Treatment Services - Parker UDS Number: 787129 Approved: 7/1/2014 Address: 1021 S Kofa Ave Expires: 12/31/2017 Parker, AZ 85344-5021 Contact: Edgar Carbajal Telephone: 928-376-0220 Address: 1590 S 2nd Ave Vacancies: 0 Yuma, AZ 85364-4728 Clinicians: 0 Telephone: 928-376-0220 Site Profile: Not available Email: ecarbajal@actsaz.com www.actsaz.com/ 7049990408 Southwest Arizona Catchment Area 18 Designated Arizona Counseling & Treatment Services - Quartzsite UDS Number: 787249 Approved: 7/1/2014 Address: 100 E Main St Expires: 12/31/2017 Quartzsite, AZ 85346 Contact: Edgar Carbajal Telephone: 928-376-0220 Address: 1590 S 2nd Ave Vacancies: 0 Yuma, AZ 85364-4728 Clinicians: 0 Telephone: 928-376-0220 Site Profile: Not available Email: ecarbajal@actsaz.com www.actsaz.com/ 7049990408 Southwest Arizona Catchment Area 18 Designated HRSA Data Warehouse 44 of 224 July 4, 2016
County: La Paz County (11 sites listed) Colorado River Indian Tribes Behavioral Health Services UDS Number: 0922090 Approved: --- Address: 12033 Agency Rd Expires: --- Parker, AZ 85344-7718 Contact: Lacie Ampadu Telephone: 928-669-3256 Address: 12302 Kennedy Dr Vacancies: 0 Parker, AZ 85344-9734 Clinicians: 1 Telephone: 928-669-6577 Site Profile: Not available Email: lacie.ampadu@crit-dhs.org www.crit-nsn.gov/critbehavioralhealth/ 7049990408 Southwest Arizona Catchment Area 18 Designated 704999047F Colorado River Indian Community 19 Designated Colorado River Service Unit - Parker Indian Hospital (Critical Access Hospital) UDS Number: 12000180 Approved: 3/18/2016 Address: 12033 Agency Rd Expires: 12/31/2019 Parker, AZ 85344-7718 Contact: Stephen Navarro Telephone: 928-669-2137 Address: 40 N Central Ave Vacancies: 0 Phoenix, AZ 85004-4424 Clinicians: 0 Telephone: 602-364-5222 Site Profile: Not available Email: stephen.navarro@ihs.gov https://www.ihs.gov/phoenix/healthcarefacilities/coloradoriver/ 10499904F4 Parker PHS Indian Hospital 17 Designated 7049990441 Parker PHS Indian Hospital 12 Designated HRSA Data Warehouse 45 of 224 July 4, 2016
County: La Paz County (11 sites listed) Colorado River Service Unit - Parker Indian Hospital (Outpatient Services) UDS Number: 12000420 Approved: 7/12/2008 Address: 12033 Agency Rd Expires: 12/31/2099 Parker, AZ 85344-7718 Contact: Stephen Navarro Telephone: 928-669-2137 Address: 40 N Central Ave Vacancies: 2 Phoenix, AZ 85004-4424 Clinicians: 1 Telephone: 602-364-5222 Site Profile: Not available Email: stephen.navarro@ihs.gov www.ihs.gov/phoenix/index.cfm?module=dsp_phx_hf_coloradoriver 104012 La Paz County 14 Designated 10499904F4 Parker PHS Indian Hospital 17 Designated 6049990491 Parker PHS Indian Hospital 18 Designated 60499904EB Quartzsite 16 Designated La Paz Regional Hospital - Critical Access Hospital UDS Number: 091480 Approved: 11/20/2014 Address: 1200 W Mohave Rd Expires: 12/31/2017 Parker, AZ 85344-6349 Contact: REGINA MARTINEZ Telephone: 928-669-9201 Address: 1200 W Mohave Rd Vacancies: 0 Parker, AZ 85344-6349 Clinicians: 0 Telephone: 928-669-7306 Site Profile: Not available Email: rmartinez@lapazhospital.org www.lapazhospital.org 104012 La Paz County 14 Designated HRSA Data Warehouse 46 of 224 July 4, 2016
County: La Paz County (11 sites listed) LPRH Bouse Medical Clinic - Rural Health Clinic UDS Number: 12133 Approved: 11/20/2014 Address: 44031 E Plumosa Rd Expires: 12/31/2017 Bouse, AZ 85325 Contact: REGINA MARTINEZ Telephone: 928-851-2177 Address: 1200 W Mohave Rd Vacancies: 0 Parker, AZ 85344-6349 Clinicians: 0 Telephone: 928-669-7306 Site Profile: Not available Email: rmartinez@lapazhospital.org www.lapazhospital.org 104012 La Paz County 14 Designated LPRH La Paz Medical Services - Rural Health Clinic UDS Number: 12132 Approved: 11/20/2014 Address: 150 E Tyson Rd Expires: 12/31/2017 Quartzsite, AZ 85359 Contact: REGINA MARTINEZ Telephone: 928-669-5550 Address: 1200 W Mohave Rd Vacancies: 1 Parker, AZ 85344-6349 Clinicians: 0 Telephone: 928-669-7306 Site Profile: Not available Email: rmartinez@lapazhospital.org www.lapazhospital.org 104012 La Paz County 14 Designated HRSA Data Warehouse 47 of 224 July 4, 2016
County: La Paz County (11 sites listed) LPRH Tri-Valley Medical Clinic - Rural Health Clinic UDS Number: 12134 Approved: 11/20/2014 Address: 39726 Harquahala Rd Expires: 12/31/2017 Salome, AZ 85348 Contact: REGINA MARTINEZ Telephone: 928-859-3460 Address: 1200 W Mohave Rd Vacancies: 2 Parker, AZ 85344-6349 Clinicians: 0 Telephone: 928-669-7306 Site Profile: Not available Email: rmartinez@lapazhospital.org www.lapazhospital.org 104012 La Paz County 14 Designated Parker Family Practice UDS Number: 12400 Approved: 11/7/2013 Address: 1713 S Kofa Ave Expires: 12/31/2016 Parker, AZ 85344-6477 Contact: Ellyn Lee Telephone: 928-669-9700 Address: 1713 S Kofa Ave Ste A Vacancies: 0 Parker, AZ 85344-6401 Clinicians: 0 Telephone: 928-669-9700 Site Profile: Not available Email: parkerfamilypractice@yahoo.com --- 104012 La Paz County 14 Designated HRSA Data Warehouse 48 of 224 July 4, 2016
County: La Paz County (11 sites listed) Parker Medical Center - Rural Health Clinic UDS Number: 0911620 Approved: 12/2/2015 Address: 905 S Fiesta Ave Expires: 12/31/2018 Parker, AZ 85344-5152 Contact: ALICIA SHILLITO Telephone: 928-669-2225 Address: 905 S Fiesta Ave Vacancies: 0 Parker, AZ 85344-5152 Clinicians: 1 Telephone: 928-669-2225 Site Profile: Not available Email: aliciashillito@yahoo.com --- 104012 La Paz County 14 Designated County: Maricopa County (139 sites listed) A New Leaf - Dorothy B. Mitchell Counseling Center UDS Number: 684838 Approved: 12/2/2013 Address: 1655 E University Dr Expires: 12/31/2016 Mesa, AZ 85203-8169 Contact: Connie Orr Telephone: 480-969-6955 Address: 868 E University Dr Vacancies: 0 Mesa, AZ 85203-8033 Clinicians: 2 Telephone: 480-464-7466 Site Profile: Not available Email: corr@turnanewleaf.org www.turnanewleaf.org 704013 Maricopa County 16 Designated HRSA Data Warehouse 49 of 224 July 4, 2016
County: Maricopa County (139 sites listed) A New Leaf - East Valley Counseling Services UDS Number: 709436 Approved: 12/2/2013 Address: 625 E Broadway Rd Expires: 12/31/2016 Mesa, AZ 85204-2023 Contact: Connie Orr Telephone: 480-733-3088 Address: 868 E University Dr Vacancies: 0 Mesa, AZ 85203-8033 Clinicians: 0 Telephone: 480-464-7466 Site Profile: Not available Email: corr@turnanewleaf.org www.turnanewleaf.org 704013 Maricopa County 16 Designated A New Leaf - West Valley Behavioral Health Services UDS Number: 701895 Approved: 12/2/2013 Address: 8581 A N 61st Ave Expires: 12/31/2016 Glendale, AZ 85302 Contact: Connie Orr Telephone: 623-934-1991 Address: 868 E University Dr Vacancies: 0 Mesa, AZ 85203-8033 Clinicians: 2 Telephone: 480-464-7466 Site Profile: Not available Email: corr@turnanewleaf.org www.turnanewleaf.org 704013 Maricopa County 16 Designated HRSA Data Warehouse 50 of 224 July 4, 2016
County: Maricopa County (139 sites listed) Adelante Healthcare - Buckeye UDS Number: 09303C Approved: 3/29/2007 Address: 306 E Monroe Ave Expires: 9/30/2011 Buckeye, AZ 85326-2706 Contact: Audrey Bohanan Telephone: 623-386-4814 Address: 9520 W Palm Ln Ste 500 Vacancies: 1 Phoenix, AZ 85037-4403 Clinicians: 0 Telephone: 623-583-3001 Site Profile: Not available Email: PeopleServices@adelantehealthcare.com adelantehealthcare.com/locations/adelante-healthcare-buckeye/ 1049990485 Buckeye 14 Designated 10499904C4 Adelante Healthcare, Inc. 15 Designated 6049990479 Adelante Healthcare, Inc. 15 Designated 60499904F9 Buckeye 11 Designated Adelante Healthcare - Central Phoenix UDS Number: 09303K Approved: 3/29/2007 Address: 500 W Thomas Rd Expires: 9/30/2011 Phoenix, AZ 85013-4224 Contact: Audrey Bohanan Telephone: 877-809-5092 Address: 9520 W Palm Ln Ste 500 Vacancies: 0 Phoenix, AZ 85037-4403 Clinicians: 1 Telephone: 623-583-3001 Site Profile: Not available Email: PeopleServices@adelantehealthcare.com www.adelantehealthcare.com/locations/central-phoenix/ 10499904C4 Adelante Healthcare, Inc. 15 Designated 10499904N8 Low Income - Phoenix Central 10 Designated 704013 Maricopa County 16 Designated 7049990430 Adelante Healthcare, Inc. 14 Designated HRSA Data Warehouse 51 of 224 July 4, 2016
County: Maricopa County (139 sites listed) Adelante Healthcare - Gila Bend UDS Number: 09303A Approved: 3/29/2007 Address: 100 N Gila Ave Expires: 9/30/2011 Gila Bend, AZ 85337 Contact: Audrey Bohanan Telephone: 602-583-3001 Address: 9520 W Palm Ln Ste 500 Vacancies: 0 Phoenix, AZ 85037-4403 Clinicians: 0 Telephone: 623-583-3001 Site Profile: Not available Email: PeopleServices@adelantehealthcare.com adelantehealthcare.com/locations/adelante-healthcare-gila-bend/ 1049990467 Guadalupe 14 Designated 10499904C4 Adelante Healthcare, Inc. 15 Designated Adelante Healthcare - Mesa UDS Number: 09303H Approved: 3/29/2007 Address: 1705 W Main St Expires: 9/30/2011 Mesa, AZ 85201-6920 Contact: Audrey Bohanan Telephone: 877-809-5092 Address: 9520 W Palm Ln Ste 500 Vacancies: 0 Phoenix, AZ 85037-4403 Clinicians: 4 Telephone: 623-583-3001 Site Profile: Not available Email: PeopleServices@adelantehealthcare.com adelantehealthcare.com/locations/adelante-healthcare-mesa/ 104999040I Low Income - Tempe 15 Designated 10499904C4 Adelante Healthcare, Inc. 15 Designated 604999040V Low Income - Tempe 13 Designated 6049990479 Adelante Healthcare, Inc. 15 Designated 704013 Maricopa County 16 Designated 7049990430 Adelante Healthcare, Inc. 14 Designated HRSA Data Warehouse 52 of 224 July 4, 2016
County: Maricopa County (139 sites listed) Adelante Healthcare - Peoria UDS Number: 802131 Approved: 10/15/2014 Address: 15525 N 83rd Ave Expires: 12/31/2017 Peoria, AZ 85382-5820 Contact: Audrey Bohanan Telephone: 877-809-5092 Address: 9520 W Palm Ln Ste 500 Vacancies: 0 Phoenix, AZ 85037-4403 Clinicians: 0 Telephone: 623-583-3001 Site Profile: Not available Email: PeopleServices@adelantehealthcare.com www.adelantehealthcare.com 10499904C4 Adelante Healthcare, Inc. 15 Designated Adelante Healthcare - Phoenix UDS Number: 09303G Approved: 3/9/2011 Address: 7725 N 43rd Ave Expires: 3/8/2014 Phoenix, AZ 85051-5770 Contact: Audrey Bohanan Telephone: 623-583-3001 Address: 9520 W Palm Ln Ste 500 Vacancies: 0 Phoenix, AZ 85037-4403 Clinicians: 0 Telephone: 623-583-3001 Site Profile: Not available Email: PeopleServices@adelantehealthcare.com adelantehealthcare.com/locations/adelante-healthcare-phoenix/ 1049990498 Glendale 14 Designated 10499904C4 Adelante Healthcare, Inc. 15 Designated HRSA Data Warehouse 53 of 224 July 4, 2016
County: Maricopa County (139 sites listed) Adelante Healthcare - Surprise UDS Number: 09303E Approved: 3/29/2007 Address: 15351 W Bell Rd Expires: 9/30/2011 Surprise, AZ 85374-4580 Contact: Audrey Bohanan Telephone: 623-583-3001 Address: 9520 W Palm Ln Ste 500 Vacancies: 4 Phoenix, AZ 85037-4403 Clinicians: 3 Telephone: 623-583-3001 Site Profile: Not available Email: PeopleServices@adelantehealthcare.com www.adelantehealthcare.com/careers 10499904C4 Adelante Healthcare, Inc. 15 Designated 10499904P6 El Mirage 9 Designated 704013 Maricopa County 16 Designated 7049990430 Adelante Healthcare, Inc. 14 Designated Adelante Healthcare - Wickenburg UDS Number: 09303D Approved: 3/29/2007 Address: 811 N Tegner St Expires: 9/30/2011 Wickenburg, AZ 85390-5409 Contact: Audrey Bohanan Telephone: 928-684-9555 Address: 9520 W Palm Ln Ste 500 Vacancies: 1 Phoenix, AZ 85037-4403 Clinicians: 0 Telephone: 623-583-3001 Site Profile: Not available Email: PeopleServices@adelantehealthcare.com adelantehealthcare.com/locations/adelante-healthcare-wickenburg/ 1049990471 Wickenburg 14 Designated 10499904C4 Adelante Healthcare, Inc. 15 Designated HRSA Data Warehouse 54 of 224 July 4, 2016
County: Maricopa County (139 sites listed) Adelante Healthcare Dental Care - Surprise UDS Number: 09303J Approved: 8/27/2011 Address: 15317 W Bell Rd Expires: --- Surprise, AZ 85374-3877 Contact: Audrey Bohanan Telephone: 623-544-5189 Address: 9520 W Palm Ln Ste 500 Vacancies: 0 Phoenix, AZ 85037-4403 Clinicians: 1 Telephone: 623-583-3001 Site Profile: Not available Email: PeopleServices@adelantehealthcare.com adelantehealthcare.com/our-services/family-dental/ 604999040J El Mirage/Luke 10 Designated 6049990479 Adelante Healthcare, Inc. 15 Designated Adelante Healthcare Obstetrics & Gynecology - Avondale UDS Number: 12919 Approved: 3/9/2011 Address: 3400 N Dysart Rd Expires: 3/8/2014 Avondale, AZ 85392-1003 Contact: Audrey Bohanan Telephone: 623-583-3001 Address: 9520 W Palm Ln Ste 500 Vacancies: 0 Phoenix, AZ 85037-4403 Clinicians: 0 Telephone: 623-583-3001 Site Profile: Not available Email: PeopleServices@adelantehealthcare.com adelantehealthcare.com/locations/adelante-healthcare-avondale/ 10499904C4 Adelante Healthcare, Inc. 15 Designated 12299922E9 Avondale-Westwego 15 Designated HRSA Data Warehouse 55 of 224 July 4, 2016
County: Maricopa County (139 sites listed) Arizona State Prison Complex - Lewis UDS Number: 091060C Approved: 10/14/2015 Address: 26700 S Us Highway 85 Expires: 12/31/2018 Buckeye, AZ 85326-5024 Contact: Terry Allred Telephone: 314-919-9836 Address: 26700 S Us Highway 85 Vacancies: 0 Buckeye, AZ 85326-5024 Clinicians: 0 Telephone: 623-386-6160 Site Profile: Not available Email: tallred@azcorrections.gov www.corizonhealth.com 10499904C9 Arizona State Prison - Lewis 6 Designated 6049990444 Arizona State Prison Complex - Lewis 12 Designated 7049990409 Arizona State Prison - Lewis 15 Designated Arizona State Prison Complex - Perryville UDS Number: 091060F Approved: 10/14/2015 Address: 2105 N Citrus Rd Expires: 12/31/2018 Goodyear, AZ 85395-9204 Contact: Terry Allred Telephone: 314-919-9836 Address: 26700 S Us Highway 85 Vacancies: 0 Buckeye, AZ 85326-5024 Clinicians: 1 Telephone: 623-386-6160 Site Profile: Not available Email: tallred@azcorrections.gov www.corizonhealth.com 10499904P5 Arizona State Prison - Perryville 6 Designated 7049990419 Arizona State Prison - Perryville 15 Designated HRSA Data Warehouse 56 of 224 July 4, 2016
County: Maricopa County (139 sites listed) Arizona State Prison Complex - Phoenix UDS Number: 0910600 Approved: 10/14/2015 Address: 2500 E Van Buren St Expires: 12/31/2018 Phoenix, AZ 85008-6037 Contact: Blake Farrill Telephone: 314-919-9836 Address: 12647 Olive Blvd Vacancies: 0 Saint Louis, MO 63141-6393 Clinicians: 3 Telephone: 314-919-9351 Site Profile: Not available Email: blake.farrill@corizonhealth.com www.corizonhealth.com 10499904QR Arizona State Prison - Phoenix 3 Designated 6049990446 Arizona State Prison - Phoenix 12 Designated 7049990411 Arizona State Prison - Phoenix 15 Designated Arizona's Children Association - Buckeye UDS Number: 929164 Approved: 6/24/2016 Address: 111 E Monroe Ave Expires: 12/31/2019 Buckeye, AZ 85326-2707 Contact: Tifney Tihey Telephone: 623-889-0091 Address: 711 E Missouri 200 Vacancies: 0 Phoenix, AZ 85014 Clinicians: 0 Telephone: 602-234-3733 Site Profile: Not available Email: ttihey@arizonaschildren.org arizonaschildren.org 704013 Maricopa County 16 Designated HRSA Data Warehouse 57 of 224 July 4, 2016
County: Maricopa County (139 sites listed) Arizona's Children Association - Chandler UDS Number: 929137 Approved: 6/24/2016 Address: 375 E Elliot Rd Expires: 12/31/2019 Chandler, AZ 85225-1129 Contact: Tifney Tihey Telephone: 480-814-7789 Address: 711 E Missouri 200 Vacancies: 0 Phoenix, AZ 85014 Clinicians: 0 Telephone: 602-234-3733 Site Profile: Not available Email: ttihey@arizonaschildren.org www.arizonaschildren.org 704013 Maricopa County 16 Designated Arizona's Children Association - Phoenix (E. Missouri Avenue) UDS Number: 926457 Approved: 6/24/2016 Address: 711 E Missouri Ave Expires: 12/31/2019 Phoenix, AZ 85014-2841 Contact: Tifney Tihey Telephone: 602-234-3733 Address: 711 E Missouri 200 Vacancies: 0 Phoenix, AZ 85014 Clinicians: 0 Telephone: 602-234-3733 Site Profile: Not available Email: ttihey@arizonaschildren.org www.arizonaschildren.org 704013 Maricopa County 16 Designated HRSA Data Warehouse 58 of 224 July 4, 2016
County: Maricopa County (139 sites listed) Arizona's Children Association - Phoenix (W. Thomas Road) UDS Number: 929016 Approved: 6/24/2016 Address: 7910 W Thomas Rd Expires: 12/31/2019 Phoenix, AZ 85033-4829 Contact: Tifney Tihey Telephone: 623-414-4325 Address: 711 E Missouri 200 Vacancies: 0 Phoenix, AZ 85014 Clinicians: 0 Telephone: 602-234-3733 Site Profile: Not available Email: ttihey@arizonaschildren.org www.arizonaschildren.org 704013 Maricopa County 16 Designated Arizona's Children Association - Surprise UDS Number: 929227 Approved: 6/24/2016 Address: 11321 W Bell Rd Expires: 12/31/2019 Surprise, AZ 85378-9363 Contact: Tifney Tihey Telephone: 623-583-2523 Address: 711 E Missouri 200 Vacancies: 0 Phoenix, AZ 85014 Clinicians: 0 Telephone: 602-234-3733 Site Profile: Not available Email: ttihey@arizonaschildren.org www.arizonaschildren.org 704013 Maricopa County 16 Designated HRSA Data Warehouse 59 of 224 July 4, 2016
County: Maricopa County (139 sites listed) Banner Health Center - Verrado UDS Number: 698613 Approved: 11/15/2013 Address: 20751 W Market St Expires: 12/31/2016 Buckeye, AZ 85396-7893 Contact: Joan Cox Telephone: 623-463-5000 Address: 525 W Brown Rd Vacancies: 0 Mesa, AZ 85201-3202 Clinicians: 0 Telephone: 480-684-5003 Site Profile: Not available Email: joan.cox@bannerhealth.com www.bannerhealth.com/_banner+medical+group/office+locations/_banner+health+center+-+family+medicine+pediatrics+- +buckeye/about+us/_about+us.htm 1049990485 Buckeye 14 Designated Bayless Healthcare Group - Bayless Pediatrics UDS Number: 860372 Approved: 8/21/2015 Address: 926 E Mcdowell Rd Expires: 12/31/2018 Phoenix, AZ 85006-2503 Contact: Danielle Diethrich Telephone: 602-230-7373 Address: 3620 N 3rd St Vacancies: 0 Phoenix, AZ 85012-2020 Clinicians: 0 Telephone: 602-230-7373 Site Profile: Not available Email: ddiethrich@baylesshealthcare.com www.baylesshealthcare.com 10499904N9 Low Income - Phoenix-South Central 18 Designated 704013 Maricopa County 16 Designated HRSA Data Warehouse 60 of 224 July 4, 2016
County: Maricopa County (139 sites listed) Bayless Healthcare Group - Central Phoenix Clinic UDS Number: 523614 Approved: 12/24/2015 Address: 3620 N 3rd St Expires: 12/31/2018 Phoenix, AZ 85012-2020 Contact: Danielle Diethrich Telephone: 602-230-7373 Address: 3620 N 3rd St Vacancies: 0 Phoenix, AZ 85012-2020 Clinicians: 0 Telephone: 602-230-7373 Site Profile: Not available Email: ddiethrich@baylesshealthcare.com www.baylesshealthcare.com 704013 Maricopa County 16 Designated Bayless Healthcare Group - South Phoenix Clinic UDS Number: 515485 Approved: 12/24/2015 Address: 9014 S Central Ave Expires: 12/31/2018 Phoenix, AZ 85042-8304 Contact: Danielle Diethrich Telephone: 602-230-7373 Address: 3620 N 3rd St Vacancies: 0 Phoenix, AZ 85012-2020 Clinicians: 0 Telephone: 602-230-7373 Site Profile: Not available Email: ddiethrich@baylesshealthcare.com www.baylesshealthcare.com 704013 Maricopa County 16 Designated HRSA Data Warehouse 61 of 224 July 4, 2016
County: Maricopa County (139 sites listed) Buckeye Pediatric Dentistry UDS Number: 759248 Approved: 7/10/2014 Address: 23374 W Yuma Rd Expires: 12/31/2017 Buckeye, AZ 85326-3118 Contact: Matt Yadegari Telephone: 623-444-9999 Address: 23374 W Yuma Rd Vacancies: 0 Buckeye, AZ 85326-3118 Clinicians: 0 Telephone: 480-415-7212 Site Profile: Not available Email: yyaddy@yahoo.com www.buckeyepedo.com 60499904F9 Buckeye 11 Designated Circle the City - Mobile Medical Clinic UDS Number: 875927 Approved: 11/23/2015 Address: 3522 N 3rd Ave Expires: 12/31/2018 Phoenix, AZ 85013-3903 Contact: Brandi Whisler Telephone: 602-677-9000 Address: 3522 N 3rd Ave Vacancies: 0 Phoenix, AZ 85013-3903 Clinicians: 0 Telephone: 623-900-7672 Site Profile: Not available Email: bwhisler@circlethecity.org www.circlethecity.org/ 10499904QY Circle the City 19 Designated HRSA Data Warehouse 62 of 224 July 4, 2016
County: Maricopa County (139 sites listed) Circle the City - Parsons Family Health Center UDS Number: 875522 Approved: 11/17/2015 Address: 3522 N 3rd Ave Expires: 12/31/2018 Phoenix, AZ 85013-3903 Contact: Brandi Whisler Telephone: 602-677-9000 Address: 3522 N 3rd Ave Vacancies: 0 Phoenix, AZ 85013-3903 Clinicians: 0 Telephone: 623-900-7672 Site Profile: Not available Email: bwhisler@circlethecity.org www.circlethecity.org/ 10499904QY Circle the City 19 Designated 7049990487 Circle the City 18 Designated Community Hospital Clinic - Wickenburg UDS Number: 13599 Approved: 3/9/2015 Address: 519 Rose Ln Expires: 12/31/2018 Wickenburg, AZ 85390-1448 Contact: Richard Wedig Telephone: 928-668-1833 Address: 520 Rose Ln Vacancies: 0 Wickenburg, AZ 85390-1447 Clinicians: 0 Telephone: 928-668-1839 Site Profile: Not available Email: richard.wedig@wickhosp.com www.wickhosp.com 1049990471 Wickenburg 14 Designated 10499904Q4 Community Hospital Clinic 15 Designated HRSA Data Warehouse 63 of 224 July 4, 2016
County: Maricopa County (139 sites listed) Crisis Preparation and Recovery UDS Number: 863227 Approved: 8/14/2015 Address: 2120 S Mcclintock Dr Ste 105 Expires: 12/31/2018 Tempe, AZ 85282-2692 Contact: Michael Boylan Telephone: 480-804-0326 Address: 2120 S Mcclintock Dr Vacancies: 0 Tempe, AZ 85282-2692 Clinicians: 0 Telephone: 480-804-0326 Site Profile: Not available Email: mboylan@crisisprepandrecovery.com cpr.mtninet.com 704013 Maricopa County 16 Designated Desert Bloom Family Medicine UDS Number: 446429 Approved: 11/12/2013 Address: 10240 W Indian School Rd Expires: 12/31/2016 Phoenix, AZ 85037-5904 Contact: Martha Conradson Telephone: 623-385-7900 Address: 10240 W Indian School Rd Vacancies: 0 Phoenix, AZ 85037-5904 Clinicians: 0 Telephone: 623-385-7900 Site Profile: Not available Email: mconradson@desertbloomfamilymedicine.com www.desertbloommedical.com/ 10499904N8 Low Income - Phoenix Central 10 Designated HRSA Data Warehouse 64 of 224 July 4, 2016
County: Maricopa County (139 sites listed) Federal Bureau of Prisons (BOP)- Federal Correctional Institution (FCI) PHOENIX UDS Number: 130370 Approved: 10/11/2006 Address: 37900 N 45th Ave Expires: 12/31/2099 Phoenix, AZ 85086-7008 Contact: Recruitment Team Telephone: 800-800-2676 Address: 320 1st St Nw Vacancies: 0 Washington, DC 20534-0002 Clinicians: 2 Telephone: 800-800-2676 Site Profile: Not available Email: BOP-HSD/Recruitment@bop.gov www.bop.gov/locations/institutions/phx/index.jsp 1042869370 Federal Correctional Institution - Phoenix 12 Designated 6046458449 Federal Correctional Institution - Phoenix 12 Designated 7048182989 Federal Correctional Institution - Phoenix 21 Designated Fort McDowell Yavapai Nation - Wassaja Memorial Health Center UDS Number: 0936840 Approved: 4/14/2011 Address: 16240 N Fort Mcdowell Rd Expires: 1/1/2099 Fort Mcdowell, AZ 85264-3402 Contact: Sarah Gonzales Telephone: 480-789-7890 Address: 17661 E Yavapai Rd Vacancies: 1 Fort Mcdowell, AZ 85264-2337 Clinicians: 0 Telephone: 480-789-7219 Site Profile: Not available Email: sgonzales@ftmcdowell.org www.fmyn.org/ 10499904G9 Fort McDowell Yavapai Nation 17 Designated 704013 Maricopa County 16 Designated 7049990470 Fort McDowell Yavapai Nation 22 Designated HRSA Data Warehouse 65 of 224 July 4, 2016
County: Maricopa County (139 sites listed) Gila River Health Care - Komatke Health Center UDS Number: 628396 Approved: 1/15/2013 Address: 17487 S Healthcare Dr Expires: 12/31/2016 Laveen, AZ 85339-8500 Contact: Sara Phillips Telephone: 520-550-6000 Address: 483 W Seed Farm Rd Vacancies: 1 Sacaton, AZ 85147 Clinicians: 2 Telephone: 602-528-1398 Site Profile: Not available Email: sphillips@grhc.org www.grhc.org/ 10499904QP Gila River Health Care Corporation 18 Designated 60499904FY Gila River Health Care Corporation 17 Designated 7049990481 Gila River Health Care Corporation 21 Designated Horizon Health & Wellness - Queen Creek Outpatient Services UDS Number: 179100 Approved: 4/30/2012 Address: 22711 S Ellsworth Rd Expires: 12/31/2015 Queen Creek, AZ 85142-6788 Contact: Fred Karst Telephone: 480-983-0065 Address: 625 N Plaza Dr Vacancies: 0 Apache Junction, AZ 85120-5501 Clinicians: 1 Telephone: 480-226-4574 Site Profile: Not available Email: FredK@mhwaz.org www.mhwaz.org/locations/ 104999040K Mountain Health and Wellness 14 Designated 704013 Maricopa County 16 Designated 704999040D Mountain Health and Wellness 22 Designated HRSA Data Warehouse 66 of 224 July 4, 2016
County: Maricopa County (139 sites listed) Integrated Medical Services - Buckeye UDS Number: 12151 Approved: 11/1/2013 Address: 1209 N Miller Rd Expires: 12/31/2016 Buckeye, AZ 85326-1043 Contact: Maria Silva Telephone: 623-386-5785 Address: 9250 N 3rd St Ste 4010 Vacancies: 0 Phoenix, AZ 85020-2432 Clinicians: 0 Telephone: 602-633-3818 Site Profile: Not available Email: maria.silva@imsaz.com https://imsaz.com/ 1049990485 Buckeye 14 Designated Integrated Medical Services - Buckeye II UDS Number: 701042 Approved: 11/1/2013 Address: 1500 S Watson Rd Expires: 12/31/2016 Buckeye, AZ 85326-8689 Contact: Maria Silva Telephone: 623-251-7559 Address: 9250 N 3rd St Ste 4010 Vacancies: 0 Phoenix, AZ 85020-2432 Clinicians: 1 Telephone: 602-633-3818 Site Profile: Not available Email: maria.silva@imsaz.com https://www.imsaz.com 1049990485 Buckeye 14 Designated HRSA Data Warehouse 67 of 224 July 4, 2016
County: Maricopa County (139 sites listed) Integrated Medical Services - Phoenix UDS Number: 681952 Approved: 11/1/2013 Address: 3540 E Baseline Rd Expires: 12/31/2016 Phoenix, AZ 85042-9627 Contact: Maria Silva Telephone: 623-251-7559 Address: 9250 N 3rd St Ste 4010 Vacancies: 0 Phoenix, AZ 85020-2432 Clinicians: 0 Telephone: 602-633-3818 Site Profile: Not available Email: maria.silva@imsaz.com https://imsaz.com/ 10499904LY Phoenix-South Mountain 13 Designated Jewish Family & Children's Service - Catalina Health Center UDS Number: 685547 Approved: 11/13/2013 Address: 3001 N 33rd Ave Expires: 12/31/2016 Phoenix, AZ 85017-5202 Contact: Karyn Goldberg Telephone: 602-353-0703 Address: 4747 N 7th St Vacancies: 0 Phoenix, AZ 85014-3653 Clinicians: 0 Telephone: 602-567-8319 Site Profile: Not available Email: karyn.goldberg@jfcsaz.org www.jfcsaz.org 704013 Maricopa County 16 Designated HRSA Data Warehouse 68 of 224 July 4, 2016
County: Maricopa County (139 sites listed) Jewish Family & Children's Service - Glendale UDS Number: 685496 Approved: 11/13/2013 Address: 5701 W Talavi Blvd Expires: 12/31/2016 Glendale, AZ 85306-1886 Contact: Karyn Goldberg Telephone: 623-486-8202 Address: 4747 N 7th St Vacancies: 0 Phoenix, AZ 85014-3653 Clinicians: 2 Telephone: 602-567-8319 Site Profile: Not available Email: karyn.goldberg@jfcsaz.org www.jfcsaz.org 704013 Maricopa County 16 Designated Jewish Family & Children's Service - Mesa UDS Number: 616479 Approved: 2/25/2013 Address: 1255 W Baseline Rd Expires: 12/31/2016 Mesa, AZ 85202-5820 Contact: Karyn Goldberg Telephone: 480-820-0825 Address: 4747 N 7th St Vacancies: 0 Phoenix, AZ 85014-3653 Clinicians: 5 Telephone: 602-567-8319 Site Profile: Not available Email: karyn.goldberg@jfcsaz.org www.jfcsaz.org 704013 Maricopa County 16 Designated HRSA Data Warehouse 69 of 224 July 4, 2016
County: Maricopa County (139 sites listed) Jewish Family & Children's Service - West Valley UDS Number: 685588 Approved: 11/13/2013 Address: 1840 N 95th Ave Expires: 12/31/2016 Phoenix, AZ 85037-4444 Contact: Karyn Goldberg Telephone: 623-234-9811 Address: 4747 N 7th St Vacancies: 0 Phoenix, AZ 85014-3653 Clinicians: 1 Telephone: 602-567-8319 Site Profile: Not available Email: karyn.goldberg@jfcsaz.org www.jfcsaz.org 704013 Maricopa County 16 Designated John Prieve DO Internal Medicine UDS Number: 610839 Approved: 4/9/2013 Address: 8618 N 35th Ave Expires: 12/31/2016 Phoenix, AZ 85051-3800 Contact: John Prieve Telephone: 602-973-2712 Address: --- Vacancies: 0 Clinicians: 1 Telephone: 623-935-2903 Site Profile: Not available Email: imdocjohn@gmail.com --- 1049990498 Glendale 14 Designated HRSA Data Warehouse 70 of 224 July 4, 2016
County: Maricopa County (139 sites listed) Kids Kare Pediatrics UDS Number: 201098 Approved: 10/10/2014 Address: 521 W Thomas Rd Expires: 12/31/2017 Phoenix, AZ 85013-4240 Contact: Doreen Phillips Telephone: 602-254-0390 Address: 3195 S Price Rd Ste 148 Vacancies: 0 Chandler, AZ 85248-3566 Clinicians: 2 Telephone: 602-538-2595 Site Profile: Not available Email: doreenphillips@qwestoffice.net www.kidskarepeds.org 10499904N9 Low Income - Phoenix-South Central 18 Designated La Frontera Arizona EMPACT Suicide Prevention Center - Capitol Center UDS Number: 711049 Approved: 11/27/2013 Address: 1540 W Van Buren St Expires: 12/31/2016 Phoenix, AZ 85007-2414 Contact: Dawn Staples Telephone: 602-252-7330 Address: 21476 N John Wayne Pkwy Vacancies: 0 Maricopa, AZ 85139-8983 Clinicians: 0 Telephone: 520-316-6068 Site Profile: Not available Email: dawn.staples@empact-spc.com www.pcnhealth.com 10499904N9 Low Income - Phoenix-South Central 18 Designated 704013 Maricopa County 16 Designated HRSA Data Warehouse 71 of 224 July 4, 2016
County: Maricopa County (139 sites listed) La Frontera Arizona EMPACT Suicide Prevention Center - Comunidad Clinic UDS Number: 717045 Approved: 11/27/2013 Address: 1035 E Jefferson St Expires: 12/31/2016 Phoenix, AZ 85034-2295 Contact: Dawn Staples Telephone: 602-251-0650 Address: 21476 N John Wayne Pkwy Vacancies: 0 Maricopa, AZ 85139-8983 Clinicians: 0 Telephone: 520-316-6068 Site Profile: Not available Email: dawn.staples@empact-spc.com www.pcnhealth.com 704013 Maricopa County 16 Designated La Frontera Arizona EMPACT Suicide Prevention Center - Glendale UDS Number: 544073 Approved: 11/15/2014 Address: 4425 W Olive Ave Expires: 12/31/2017 Glendale, AZ 85302-3843 Contact: Dawn Staples Telephone: 480-784-1514 Address: 21476 N John Wayne Pkwy Vacancies: 0 Maricopa, AZ 85139-8983 Clinicians: 2 Telephone: 520-316-6068 Site Profile: Not available Email: dawn.staples@empact-spc.com www.lafrontera-empact.org 704013 Maricopa County 16 Designated HRSA Data Warehouse 72 of 224 July 4, 2016
County: Maricopa County (139 sites listed) La Frontera Arizona EMPACT Suicide Prevention Center - Tempe UDS Number: 529821 Approved: 11/15/2014 Address: 618 S Madison Dr Expires: 12/31/2017 Tempe, AZ 85281-7248 Contact: Dawn Staples Telephone: 480-784-1514 Address: 21476 N John Wayne Pkwy Vacancies: 0 Maricopa, AZ 85139-8983 Clinicians: 2 Telephone: 520-316-6068 Site Profile: Not available Email: dawn.staples@empact-spc.com www.lafrontera-empact.org 704013 Maricopa County 16 Designated Life Health and Wellness Health Care UDS Number: 836717 Approved: 8/21/2015 Address: 6605 N 19th Ave Expires: 12/31/2018 Phoenix, AZ 85015-1628 Contact: Cora Thomas Telephone: 888-958-5736 Address: 6605 N 19th Ave Vacancies: 0 Phoenix, AZ 85015-1628 Clinicians: 0 Telephone: 888-958-5726 Site Profile: Not available Email: Lifehealthandwellnesshealthcare@live.com www.lifehealthandwellnesshealthcare.com 10499904N8 Low Income - Phoenix Central 10 Designated HRSA Data Warehouse 73 of 224 July 4, 2016
County: Maricopa County (139 sites listed) LifeWellness Center - Beryl UDS Number: 903775 Approved: 6/7/2016 Address: 2505 W Beryl Ave Expires: 12/31/2019 Phoenix, AZ 85021-1641 Contact: Alexandra Schindler Telephone: 602-808-2800 Address: 202 E Earll Dr Vacancies: 0 Phoenix, AZ 85012-2634 Clinicians: 0 Telephone: 602-808-2800 Site Profile: Not available Email: aschindler@lifewell.us www.lifewell.us 704013 Maricopa County 16 Designated LifeWellness Center - Midtown UDS Number: 334702 Approved: 3/18/2016 Address: 3333 N 7th Ave Expires: 12/31/2019 Phoenix, AZ 85013-4108 Contact: Alexandra Schindler Telephone: 602-808-2800 Address: 202 E Earll Dr Vacancies: 2 Phoenix, AZ 85012-2634 Clinicians: 0 Telephone: 602-808-2800 Site Profile: Not available Email: aschindler@lifewell.us www.lifewell.us/ 704013 Maricopa County 16 Designated HRSA Data Warehouse 74 of 224 July 4, 2016
County: Maricopa County (139 sites listed) LifeWellness Center - Mitchell UDS Number: 850392 Approved: 6/7/2016 Address: 40 E Mitchell Dr Expires: 12/31/2019 Phoenix, AZ 85012-2330 Contact: Alexandra Schindler Telephone: 602-808-2800 Address: 202 E Earll Dr Vacancies: 0 Phoenix, AZ 85012-2634 Clinicians: 0 Telephone: 602-808-2800 Site Profile: Not available Email: aschindler@lifewell.us www.lifewell.us 704013 Maricopa County 16 Designated LifeWellness Center - Oak Clinic UDS Number: 334155 Approved: 3/18/2016 Address: 4451 E Oak St Expires: 12/31/2019 Phoenix, AZ 85008-2410 Contact: Alexandra Schindler Telephone: 602-808-2800 Address: 202 E Earll Dr Vacancies: 2 Phoenix, AZ 85012-2634 Clinicians: 0 Telephone: 602-808-2800 Site Profile: Not available Email: aschindler@lifewell.us www.lifewell.us/ 704013 Maricopa County 16 Designated HRSA Data Warehouse 75 of 224 July 4, 2016
County: Maricopa County (139 sites listed) LifeWellness Center - Power UDS Number: 903686 Approved: 6/7/2016 Address: 6915 E Main St Expires: 12/31/2019 Mesa, AZ 85207-8229 Contact: Alexandra Schindler Telephone: 602-808-2800 Address: 202 E Earll Dr Vacancies: 0 Phoenix, AZ 85012-2634 Clinicians: 0 Telephone: 602-808-2800 Site Profile: Not available Email: aschindler@lifewell.us www.lifewell.us 704013 Maricopa County 16 Designated LifeWellness Center - South Central UDS Number: 334725 Approved: 3/18/2016 Address: 1616 E Roeser Rd Expires: 12/31/2019 Phoenix, AZ 85040-3336 Contact: Alexandra Schindler Telephone: 602-952-3400 Address: 202 E Earll Dr Vacancies: 2 Phoenix, AZ 85012-2634 Clinicians: 0 Telephone: 602-808-2800 Site Profile: Not available Email: aschindler@lifewell.us www.lifewell.us/ 704013 Maricopa County 16 Designated HRSA Data Warehouse 76 of 224 July 4, 2016
County: Maricopa County (139 sites listed) LifeWellness Center - University UDS Number: 903767 Approved: 6/7/2016 Address: 262 E University Dr Expires: 12/31/2019 Mesa, AZ 85201-5932 Contact: Alexandra Schindler Telephone: 602-808-2800 Address: 202 E Earll Dr Vacancies: 0 Phoenix, AZ 85012-2634 Clinicians: 0 Telephone: 602-808-2800 Site Profile: Not available Email: aschindler@lifewell.us www.lifewell.us 704013 Maricopa County 16 Designated M.B. Best Medical Group, Inc. - 8618 N. 35th Avenue UDS Number: 573052 Approved: 1/14/2014 Address: 8618 N 35th Ave Expires: 12/31/2017 Phoenix, AZ 85051-3800 Contact: ALBERT LANCHIAN Telephone: 602-249-6022 Address: 8618 N 35th Ave Ste 3 Vacancies: 1 Phoenix, AZ 85051-3800 Clinicians: 1 Telephone: 602-249-0999 Site Profile: Not available Email: MBBESTGROUP@YAHOO.COM --- 1049990498 Glendale 14 Designated HRSA Data Warehouse 77 of 224 July 4, 2016
County: Maricopa County (139 sites listed) Maria Gonzalez Berlari MD LLC UDS Number: 759403 Approved: 5/14/2014 Address: 5251 W Campbell Ave Expires: 12/31/2017 Phoenix, AZ 85031-1715 Contact: Mandy Francis Telephone: 623-547-5235 Address: 5251 W Campbell Ave Vacancies: 0 Phoenix, AZ 85031-1715 Clinicians: 0 Telephone: 623-547-5235 Site Profile: Not available Email: mandygbfc@gmail.com www.gbfamilycare.com 10499904N8 Low Income - Phoenix Central 10 Designated Maricopa County Department of Public Health - Health Care for the Homeless UDS Number: 090750 Approved: 8/27/2011 Address: 220 S 12th Ave Expires: --- Phoenix, AZ 85007-3101 Contact: Corinne Velasquez Telephone: 602-372-2100 Address: 220 S 12th Ave Vacancies: 0 Phoenix, AZ 85007-3101 Clinicians: 2 Telephone: 602-506-6657 Site Profile: Not available Email: corinnevelasquez@mail.maricopa.gov www.maricopa.gov/publichealth/services/homeless/default.aspx 10499904B9 Maricopa County Community Health Center 13 Designated 10499904N9 Low Income - Phoenix-South Central 18 Designated HRSA Data Warehouse 78 of 224 July 4, 2016
County: Maricopa County (139 sites listed) Maricopa County Healthcare for the Homeless - Crews'n Healthmobile / Mobile Medical Unit UDS Number: 208425 Approved: 8/27/2011 Address: 220 S 12th Ave Expires: --- Phoenix, AZ 85007-3101 Contact: Corinne Velasquez Telephone: 602-372-2105 Address: 220 S 12th Ave Vacancies: 0 Phoenix, AZ 85007-3101 Clinicians: 0 Telephone: 602-506-6657 Site Profile: Not available Email: corinnevelasquez@mail.maricopa.gov www.phoenixchildrens.com/community/healthcare-outreach/crewsnhealthmobile/ 10499904B9 Maricopa County Community Health Center 13 Designated 10499904N9 Low Income - Phoenix-South Central 18 Designated Maryvale Family Practice Group UDS Number: 586427 Approved: 4/9/2013 Address: 4700 N 51st Ave Expires: 12/31/2016 Phoenix, AZ 85031-1237 Contact: ALBERT LANCHIAN Telephone: 623-209-5555 Address: 8618 N 35th Ave Ste 3 Vacancies: 0 Phoenix, AZ 85051-3800 Clinicians: 0 Telephone: 602-249-0999 Site Profile: Not available Email: MBBESTGROUP@YAHOO.COM --- 10499904N8 Low Income - Phoenix Central 10 Designated HRSA Data Warehouse 79 of 224 July 4, 2016
County: Maricopa County (139 sites listed) MIHS - 7th Avenue Family Health Center UDS Number: 092867J Approved: 8/11/2010 Address: 1205 S 7th Ave Expires: 8/10/2013 Phoenix, AZ 85007-3913 Contact: Scott Manning Telephone: 602-344-6600 Address: 2929 E Thomas Rd Vacancies: 0 Phoenix, AZ 85016-8034 Clinicians: 3 Telephone: 602-470-5012 Site Profile: Not available Email: scott_manning@dmgaz.org www.mihs.org/ourfacility/fhc.html 10499904L6 Maricopa County Special Health Care District 16 Designated 10499904N9 Low Income - Phoenix-South Central 18 Designated MIHS - 7th Avenue Walk-In Clinic UDS Number: 092867M Approved: 8/6/2010 Address: 1201 S 7th Ave Expires: 8/5/2013 Phoenix, AZ 85007-3917 Contact: Scott Manning Telephone: 602-344-6655 Address: 2929 E Thomas Rd Vacancies: 0 Phoenix, AZ 85016-8034 Clinicians: 2 Telephone: 602-470-5012 Site Profile: Not available Email: scott_manning@dmgaz.org www.mihs.org/ourfacility/fhc.html 10499904L6 Maricopa County Special Health Care District 16 Designated 10499904N9 Low Income - Phoenix-South Central 18 Designated HRSA Data Warehouse 80 of 224 July 4, 2016
County: Maricopa County (139 sites listed) MIHS - Avondale Family Health Center UDS Number: 092867A Approved: 1/13/2012 Address: 950 E Van Buren St Expires: 12/31/2015 Avondale, AZ 85323-1506 Contact: Scott Manning Telephone: 623-344-6800 Address: 2929 E Thomas Rd Vacancies: 0 Phoenix, AZ 85016-8034 Clinicians: 1 Telephone: 602-470-5012 Site Profile: Not available Email: scott_manning@dmgaz.org www.mihs.org 10499904L6 Maricopa County Special Health Care District 16 Designated 60499904A4 Maricopa County Special Health Care District 20 Designated MIHS - Chandler Family Health Center UDS Number: 092867B Approved: 8/10/2010 Address: 811 S Hamilton St Expires: 8/9/2013 Chandler, AZ 85225-6308 Contact: Scott Manning Telephone: 480-344-6100 Address: 2929 E Thomas Rd Vacancies: 0 Phoenix, AZ 85016-8034 Clinicians: 2 Telephone: 602-470-5012 Site Profile: Not available Email: scott_manning@dmgaz.org www.mihs.org 10499904L6 Maricopa County Special Health Care District 16 Designated 60499904A4 Maricopa County Special Health Care District 20 Designated HRSA Data Warehouse 81 of 224 July 4, 2016
County: Maricopa County (139 sites listed) MIHS - Comprehensive Healthcare Center UDS Number: 092867C Approved: 8/2/2010 Address: 2525 E Roosevelt St Expires: 8/1/2013 Phoenix, AZ 85008-4948 Contact: Scott Manning Telephone: 602-344-5250 Address: 2929 E Thomas Rd Vacancies: 0 Phoenix, AZ 85016-8034 Clinicians: 1 Telephone: 602-470-5012 Site Profile: Not available Email: scott_manning@dmgaz.org www.mihs.org 10499904L6 Maricopa County Special Health Care District 16 Designated 10499904N9 Low Income - Phoenix-South Central 18 Designated 60499904A4 Maricopa County Special Health Care District 20 Designated MIHS - El Mirage Family Health Center UDS Number: 092867D Approved: 8/2/2010 Address: 12428 W Thunderbird Rd Expires: 8/1/2013 El Mirage, AZ 85335-3113 Contact: Scott Manning Telephone: 623-344-6500 Address: 2929 E Thomas Rd Vacancies: 1 Phoenix, AZ 85016-8034 Clinicians: 4 Telephone: 602-470-5012 Site Profile: Not available Email: scott_manning@dmgaz.org www.mihs.org 10499904L6 Maricopa County Special Health Care District 16 Designated 10499904P6 El Mirage 9 Designated HRSA Data Warehouse 82 of 224 July 4, 2016
County: Maricopa County (139 sites listed) MIHS - Glendale Family Health Center UDS Number: 092867E Approved: 7/30/2010 Address: 5141 W Lamar Rd Expires: 7/29/2013 Glendale, AZ 85301-3423 Contact: Scott Manning Telephone: 623-344-6700 Address: 2929 E Thomas Rd Vacancies: 0 Phoenix, AZ 85016-8034 Clinicians: 3 Telephone: 602-470-5012 Site Profile: Not available Email: scott_manning@dmgaz.org www.mihs.org/ourfacility/fhc.html 10499904L6 Maricopa County Special Health Care District 16 Designated 60499904A4 Maricopa County Special Health Care District 20 Designated 704013 Maricopa County 16 Designated MIHS - Guadalupe Family Health Center UDS Number: 092867G Approved: 8/2/2010 Address: 5825 E Calle Guadalupe Expires: 8/1/2013 Guadalupe, AZ 85283-2664 Contact: Scott Manning Telephone: 480-344-6000 Address: 2929 E Thomas Rd Vacancies: 0 Phoenix, AZ 85016-8034 Clinicians: 0 Telephone: 602-470-5012 Site Profile: Not available Email: scott_manning@dmgaz.org www.mihs.org 10499904L6 Maricopa County Special Health Care District 16 Designated HRSA Data Warehouse 83 of 224 July 4, 2016
County: Maricopa County (139 sites listed) MIHS - Maryvale Family Health Center UDS Number: 092867F Approved: 7/29/2010 Address: 4011 N 51st Ave Expires: 7/26/2013 Phoenix, AZ 85031-2601 Contact: Scott Manning Telephone: 623-344-6900 Address: 2929 E Thomas Rd Vacancies: 0 Phoenix, AZ 85016-8034 Clinicians: 0 Telephone: 602-470-5012 Site Profile: Not available Email: scott_manning@dmgaz.org www.mihs.org 10499904L6 Maricopa County Special Health Care District 16 Designated 10499904N8 Low Income - Phoenix Central 10 Designated MIHS - McDowell Family Health Center UDS Number: 092867H Approved: 10/2/2013 Address: 1101 N Central Ave Expires: 12/31/2016 Phoenix, AZ 85004-1818 Contact: Scott Manning Telephone: 602-344-6550 Address: 2929 E Thomas Rd Vacancies: 0 Phoenix, AZ 85016-8034 Clinicians: 0 Telephone: 602-470-5012 Site Profile: Not available Email: scott_manning@dmgaz.org www.mihs.org 10499904L6 Maricopa County Special Health Care District 16 Designated 10499904N9 Low Income - Phoenix-South Central 18 Designated 60499904A4 Maricopa County Special Health Care District 20 Designated 704013 Maricopa County 16 Designated 7049990453 Maricopa County Special Health Care District 19 Designated HRSA Data Warehouse 84 of 224 July 4, 2016
County: Maricopa County (139 sites listed) MIHS - Mesa Family Health Center UDS Number: 092867I Approved: 8/2/2010 Address: 59 S Hibbert Expires: 8/1/2013 Mesa, AZ 85210-1414 Contact: Scott Manning Telephone: 480-344-6200 Address: 2929 E Thomas Rd Vacancies: 0 Phoenix, AZ 85016-8034 Clinicians: 0 Telephone: 602-470-5012 Site Profile: Not available Email: scott_manning@dmgaz.org www.mihs.org 10499904L6 Maricopa County Special Health Care District 16 Designated 60499904A4 Maricopa County Special Health Care District 20 Designated MIHS - Pendergast Family Health Center UDS Number: 814458 Approved: 1/13/2015 Address: 10550 W Mariposa St Expires: 12/31/2018 Phoenix, AZ 85037 Contact: Scott Manning Telephone: 623-772-2319 Address: 2929 E Thomas Rd Vacancies: 0 Phoenix, AZ 85016-8034 Clinicians: 0 Telephone: 602-470-5012 Site Profile: Not available Email: scott_manning@dmgaz.org www.mihs.org 10499904L6 Maricopa County Special Health Care District 16 Designated 60499904A4 Maricopa County Special Health Care District 20 Designated HRSA Data Warehouse 85 of 224 July 4, 2016
County: Maricopa County (139 sites listed) MIHS - South Central Family Health Center UDS Number: 092867K Approved: 8/2/2010 Address: 33 W Tamarisk St Expires: 8/1/2013 Phoenix, AZ 85041-2422 Contact: Scott Manning Telephone: 602-344-6400 Address: 2929 E Thomas Rd Vacancies: 0 Phoenix, AZ 85016-8034 Clinicians: 2 Telephone: 602-470-5012 Site Profile: Not available Email: scott_manning@dmgaz.org www.mihs.org 10499904L6 Maricopa County Special Health Care District 16 Designated 10499904LY Phoenix-South Mountain 13 Designated 60499904A4 Maricopa County Special Health Care District 20 Designated MIHS - Sunnyslope Family Health Center UDS Number: 092867L Approved: 10/9/2013 Address: 934 W Hatcher Rd Expires: 12/31/2016 Phoenix, AZ 85021-3139 Contact: Scott Manning Telephone: 602-344-6307 Address: 2929 E Thomas Rd Vacancies: 1 Phoenix, AZ 85016-8034 Clinicians: 1 Telephone: 602-470-5012 Site Profile: Not available Email: scott_manning@dmgaz.org www.mihs.org 10499904L6 Maricopa County Special Health Care District 16 Designated 10499904N8 Low Income - Phoenix Central 10 Designated HRSA Data Warehouse 86 of 224 July 4, 2016
County: Maricopa County (139 sites listed) Mountain Park Health Center - Baseline Clinic UDS Number: 09307A Approved: 4/15/2009 Address: 635 E Baseline Rd Expires: 4/14/2012 Phoenix, AZ 85042-6551 Contact: Troy Foster Telephone: 602-243-7277 Address: 2702 N 3rd St Ste 4020 Vacancies: 4 Phoenix, AZ 85004-4608 Clinicians: 3 Telephone: 602-323-3475 Site Profile: Not available Email: tfoster@mphc-az.org mountainparkhealth.org/ 10499904C5 Mountain Park Health Center 16 Designated 10499904LY Phoenix-South Mountain 13 Designated 6049990480 Mountain Park Health Center 20 Designated 704013 Maricopa County 16 Designated 7049990431 Mountain Park Health Center 20 Designated Mountain Park Health Center - Gateway Clinic UDS Number: 09307D Approved: 5/18/2009 Address: 3830 E Van Buren St Expires: 5/17/2012 Phoenix, AZ 85008-6920 Contact: Troy Foster Telephone: 602-323-8204 Address: 2702 N 3rd St Ste 4020 Vacancies: 2 Phoenix, AZ 85004-4608 Clinicians: 3 Telephone: 602-323-3475 Site Profile: Not available Email: tfoster@mphc-az.org mountainparkhealth.org/ 10499904C5 Mountain Park Health Center 16 Designated 10499904N9 Low Income - Phoenix-South Central 18 Designated 704013 Maricopa County 16 Designated 7049990431 Mountain Park Health Center 20 Designated HRSA Data Warehouse 87 of 224 July 4, 2016
County: Maricopa County (139 sites listed) Mountain Park Health Center - Goodyear Clinic UDS Number: 09307C Approved: 4/15/2009 Address: 140 N Litchfield Rd Expires: 4/14/2012 Goodyear, AZ 85338-1277 Contact: Troy Foster Telephone: 623-243-7277 Address: 2702 N 3rd St Ste 4020 Vacancies: 2 Phoenix, AZ 85004-4608 Clinicians: 0 Telephone: 602-323-3475 Site Profile: Not available Email: tfoster@mphc-az.org www.mountainparkhealth.org 104999040C Avondale/Tolleson 11 Designated 10499904C5 Mountain Park Health Center 16 Designated 704013 Maricopa County 16 Designated 7049990431 Mountain Park Health Center 20 Designated Mountain Park Health Center - Maryvale Clinic UDS Number: 09307B Approved: 4/15/2009 Address: 6601 W Thomas Rd Expires: 4/14/2012 Phoenix, AZ 85033-5700 Contact: Troy Foster Telephone: 623-243-7277 Address: 2702 N 3rd St Ste 4020 Vacancies: 3 Phoenix, AZ 85004-4608 Clinicians: 6 Telephone: 602-323-3475 Site Profile: Not available Email: tfoster@mphc-az.org mountainparkhealth.org/ 10499904C5 Mountain Park Health Center 16 Designated 10499904N8 Low Income - Phoenix Central 10 Designated 6049990480 Mountain Park Health Center 20 Designated 60499904E7 Low Income - Phoenix-Central 14 Designated 704013 Maricopa County 16 Designated 7049990431 Mountain Park Health Center 20 Designated HRSA Data Warehouse 88 of 224 July 4, 2016
County: Maricopa County (139 sites listed) Mountain Park Health Center - Tempe Clinic UDS Number: 09307F Approved: 5/18/2009 Address: 1492 S Mill Ave Expires: 5/17/2012 Tempe, AZ 85281-5652 Contact: Troy Foster Telephone: 602-243-7277 Address: 2702 N 3rd St Ste 4020 Vacancies: 0 Phoenix, AZ 85004-4608 Clinicians: 0 Telephone: 602-323-3475 Site Profile: Not available Email: tfoster@mphc-az.org mountainparkhealth.org/ 104999040I Low Income - Tempe 15 Designated 10499904C5 Mountain Park Health Center 16 Designated 704013 Maricopa County 16 Designated 7049990431 Mountain Park Health Center 20 Designated NATIVE HEALTH Central UDS Number: 0935970 Approved: 4/14/2011 Address: 4041 N Central Ave Expires: 1/1/2099 Phoenix, AZ 85012-3330 Contact: Deanna Sangster Telephone: 602-279-5262 Address: 4041 N Central Ave Bldg C Vacancies: 3 Phoenix, AZ 85012-3313 Clinicians: 1 Telephone: 602-279-5262 Site Profile: Not available Email: dsangster@nachci.com www.nativehealthphoenix.org 10499904N8 Low Income - Phoenix Central 10 Designated 10499904P1 Native American Community Health Center, I 15 Designated 60499904B3 Native American Community Health Center, I 17 Designated 60499904E7 Low Income - Phoenix-Central 14 Designated 704013 Maricopa County 16 Designated 7049990458 Native American Community Health Center, I 15 Designated HRSA Data Warehouse 89 of 224 July 4, 2016
County: Maricopa County (139 sites listed) NHW Community Health Center UDS Number: 13237 Approved: 3/9/2011 Address: 2423 W Dunlap Ave Expires: 3/8/2014 Phoenix, AZ 85021-2830 Contact: Deanna Sangster Telephone: 602-279-5351 Address: 4041 N Central Ave Bldg C Vacancies: 0 Phoenix, AZ 85012-3313 Clinicians: 1 Telephone: 602-279-5262 Site Profile: Not available Email: dsangster@nachci.com www.nativehealthphoenix.org 10499904N8 Low Income - Phoenix Central 10 Designated 10499904P1 Native American Community Health Center, I 15 Designated 60499904B3 Native American Community Health Center, I 17 Designated 704013 Maricopa County 16 Designated 7049990474 Native American Community Health Center - Dunlap 10 Designated NOAH - Balsz Educare Arizona Center for Health UDS Number: 550057 Approved: 6/6/2012 Address: 1300 N 48th St Expires: 12/31/2015 Phoenix, AZ 85008-5803 Contact: Wendy Armendariz Telephone: 602-845-4201 Address: 3634 N Drinkwater Blvd Vacancies: 0 Scottsdale, AZ 85251-5622 Clinicians: 3 Telephone: 480-882-6073 Site Profile: Not available Email: wendy.armendariz@honorhealth.com www.shc.org/medical-services/community-benefit/report-to-our-community/noah-neighborhood-outreach-access-to-health 10499904N9 Low Income - Phoenix-South Central 18 Designated 10499904QG Neighborhood Outreach Access to Health 18 Designated 60499904FI Neighborhood Outreach Access to Health 20 Designated 704999047S Neighborhood Outreach Access to Health 21 Designated HRSA Data Warehouse 90 of 224 July 4, 2016
County: Maricopa County (139 sites listed) NOAH - Cholla Health Center UDS Number: 825874 Approved: 2/5/2015 Address: 11130 E Cholla St Expires: 12/31/2018 Scottsdale, AZ 85259-3922 Contact: Wendy Armendariz Telephone: 480-882-7520 Address: 3634 N Drinkwater Blvd Vacancies: 0 Scottsdale, AZ 85251-5622 Clinicians: 1 Telephone: 480-882-6073 Site Profile: Not available Email: wendy.armendariz@honorhealth.com www.shc.org/medical-services/community-benefit/report-to-our-community/noah-neighborhood-outreach-access-to-health 10499904QG Neighborhood Outreach Access to Health 18 Designated 60499904FI Neighborhood Outreach Access to Health 20 Designated 704999047S Neighborhood Outreach Access to Health 21 Designated NOAH - Desert Mission Community Healthcare Center UDS Number: 11644 Approved: 11/19/2013 Address: 9201 N 5th St Expires: 12/31/2016 Phoenix, AZ 85020-2532 Contact: Wendy Armendariz Telephone: 602-331-5792 Address: 3634 N Drinkwater Blvd Vacancies: 1 Scottsdale, AZ 85251-5622 Clinicians: 2 Telephone: 480-882-6073 Site Profile: Not available Email: wendy.armendariz@honorhealth.com www.desertmission.com/programs/community-healthcare/ 104999040D Phoenix Sunnyslope 12 Designated 10499904QG Neighborhood Outreach Access to Health 18 Designated 604999040L Phoenix-Sunnyslope 14 Designated 60499904FI Neighborhood Outreach Access to Health 20 Designated 704013 Maricopa County 16 Designated 704999047S Neighborhood Outreach Access to Health 21 Designated HRSA Data Warehouse 91 of 224 July 4, 2016
County: Maricopa County (139 sites listed) NOAH - Heuser Family Practice Center UDS Number: 548168 Approved: 6/6/2012 Address: 7301 E 2nd St Ste 210 Expires: 12/31/2015 Scottsdale, AZ 85251-5620 Contact: Wendy Armendariz Telephone: 480-882-4545 Address: 3634 N Drinkwater Blvd Vacancies: 1 Scottsdale, AZ 85251-5622 Clinicians: 0 Telephone: 480-882-6073 Site Profile: Not available Email: wendy.armendariz@honorhealth.com www.noahhelps.org 10499904QG Neighborhood Outreach Access to Health 18 Designated 60499904FI Neighborhood Outreach Access to Health 20 Designated 704999047S Neighborhood Outreach Access to Health 21 Designated NOAH - Palomino Health Center UDS Number: 549891 Approved: 6/6/2012 Address: 15833 N 29th St Expires: 12/31/2015 Phoenix, AZ 85032-3704 Contact: Wendy Armendariz Telephone: 480-882-4545 Address: 3634 N Drinkwater Blvd Vacancies: 0 Scottsdale, AZ 85251-5622 Clinicians: 1 Telephone: 480-882-6073 Site Profile: Not available Email: wendy.armendariz@honorhealth.com www.shc.org/medical-services/community-benefit/report-to-our-community/noah-neighborhood-outreach-access-to-health 10499904QG Neighborhood Outreach Access to Health 18 Designated 60499904FI Neighborhood Outreach Access to Health 20 Designated 704999047S Neighborhood Outreach Access to Health 21 Designated HRSA Data Warehouse 92 of 224 July 4, 2016
County: Maricopa County (139 sites listed) Partners in Recovery - Arrowhead Campus UDS Number: 724277 Approved: 12/23/2015 Address: 5625 W Bell Rd Expires: 12/31/2018 Glendale, AZ 85308-3878 Contact: Darwyn Chern Telephone: 602-239-4100 Address: --- Vacancies: 0 Clinicians: 2 Telephone: 480-528-0028 Site Profile: Not available Email: darwyn.chern@azpir.org partnersinrecovery.us.com/ 704013 Maricopa County 16 Designated Partners in Recovery - East Valley Campus UDS Number: 521956 Approved: 12/23/2015 Address: 4330 E University Dr Expires: 12/31/2018 Mesa, AZ 85205-7004 Contact: Darwyn Chern Telephone: 480-218-3280 Address: --- Vacancies: 0 Clinicians: 2 Telephone: 480-528-0028 Site Profile: Not available Email: darwyn.chern@azpir.org partnersinrecovery.us.com/ 704013 Maricopa County 16 Designated HRSA Data Warehouse 93 of 224 July 4, 2016
County: Maricopa County (139 sites listed) Partners in Recovery - Metro Center Campus UDS Number: 527001 Approved: 8/10/2015 Address: 10240 N 31st Ave Expires: 12/31/2018 Phoenix, AZ 85051-9558 Contact: Darwyn Chern Telephone: 602-997-9006 Address: --- Vacancies: 0 Clinicians: 2 Telephone: 480-528-0028 Site Profile: Not available Email: darwyn.chern@azpir.org partnersinrecovery.us.com/ 704013 Maricopa County 16 Designated Partners in Recovery - West Valley Campus UDS Number: 528741 Approved: 12/23/2015 Address: 11361 N 99th Ave Expires: 12/31/2018 Peoria, AZ 85345-5470 Contact: Darwyn Chern Telephone: 623-583-0232 Address: --- Vacancies: 0 Clinicians: 0 Telephone: 480-528-0028 Site Profile: Not available Email: darwyn.chern@azpir.org partnersinrecovery.us.com/ 704013 Maricopa County 16 Designated HRSA Data Warehouse 94 of 224 July 4, 2016
County: Maricopa County (139 sites listed) Partners in Recovery - Wickenburg Campus UDS Number: 529523 Approved: 12/23/2015 Address: 811 N Tegner St Expires: 12/31/2018 Wickenburg, AZ 85390-5409 Contact: Darwyn Chern Telephone: 928-684-5131 Address: --- Vacancies: 0 Clinicians: 0 Telephone: 480-528-0028 Site Profile: Not available Email: darwyn.chern@azpir.org partnersinrecovery.us.com/ 704013 Maricopa County 16 Designated Pascua Yaqui Tribe Centered Spirit Behavioral Health - Guadalupe UDS Number: 397372 Approved: 2/2/2012 Address: 9405 S Avenida Del Yaqui Expires: 12/31/2015 Guadalupe, AZ 85283-2529 Contact: Clare Cory Telephone: 480-768-2000 Address: 9405 S Avenida Del Yaqui Vacancies: 1 Guadalupe, AZ 85283-2529 Clinicians: 0 Telephone: 480-768-2025 Site Profile: Not available Email: clare.cory@pascuayaqui-nsn.gov www.pascuayaqui-nsn.gov/ 704013 Maricopa County 16 Designated 7049990450 Pascua Yaqui Tribe Health Programs 23 Designated HRSA Data Warehouse 95 of 224 July 4, 2016
County: Maricopa County (139 sites listed) Phoenix Service Unit - Phoenix Indian Medical Center UDS Number: 12606620 Approved: 4/14/2011 Address: 4212 N 16th St Expires: 1/1/2099 Phoenix, AZ 85016-5319 Contact: George Majus Telephone: 602-263-1200 Address: 4212 N 16th St Vacancies: 4 Phoenix, AZ 85016-5319 Clinicians: 4 Telephone: 602-263-1200 Site Profile: Not available Email: george.majus@ihs.gov www.ihs.gov/phoenix/index.cfm?module=dsp_phx_hf_phx 10499904F7 Phoenix Indian Medical Center 18 Designated 10499904N8 Low Income - Phoenix Central 10 Designated 6049990494 Phoenix Indian Medical Center 18 Designated 60499904E7 Low Income - Phoenix-Central 14 Designated 704013 Maricopa County 16 Designated 7049990444 Phoenix Indian Medical Center 18 Designated Phoenix Service Unit - Salt River Clinic UDS Number: 0936340 Approved: 4/14/2011 Address: 10005 E Osborn Rd Expires: 1/1/2099 Scottsdale, AZ 85256-4019 Contact: Stephen Navarro Telephone: 480-946-9066 Address: 40 N Central Ave Vacancies: 0 Phoenix, AZ 85004-4424 Clinicians: 1 Telephone: 602-364-5222 Site Profile: Not available Email: stephen.navarro@ihs.gov www.ihs.gov/phoenix/index.cfm?module=dsp_phx_hf_phx 10499904M3 Salt River Clinic 15 Designated 60499904B7 Salt River Clinic 16 Designated 60499904FB Salt River Pima-Maricopa Indian Community 17 Designated 704013 Maricopa County 16 Designated 7049990462 Salt River Clinic 13 Designated HRSA Data Warehouse 96 of 224 July 4, 2016
County: Maricopa County (139 sites listed) Southwest Behavioral & Health Services - Broadway Outpatient UDS Number: 691708 Approved: 10/31/2013 Address: 4420 S 32nd St Expires: 12/31/2016 Phoenix, AZ 85040-2804 Contact: Jessica Mori Telephone: 602-268-8748 Address: 3450 N 3rd St Vacancies: 0 Phoenix, AZ 85012-2331 Clinicians: 2 Telephone: 602-285-4231 Site Profile: Not available Email: jessicamor@sbhservices.org www.sbhservices.org 704013 Maricopa County 16 Designated Southwest Behavioral & Health Services - Buckeye Outpatient UDS Number: 692697 Approved: 10/31/2013 Address: 26428 W Us Highway 85 Expires: 12/31/2016 Buckeye, AZ 85326-5002 Contact: Jessica Mori Telephone: 623-882-9906 Address: 3450 N 3rd St Vacancies: 0 Phoenix, AZ 85012-2331 Clinicians: 0 Telephone: 602-285-4231 Site Profile: Not available Email: jessicamor@sbhservices.org sbhservices.org 704013 Maricopa County 16 Designated HRSA Data Warehouse 97 of 224 July 4, 2016
County: Maricopa County (139 sites listed) Southwest Behavioral & Health Services - Community Resilience Center UDS Number: 690535 Approved: 11/1/2013 Address: 5717 N 7th St Expires: 12/31/2016 Phoenix, AZ 85014-5802 Contact: Jessica Mori Telephone: 602-238-3338 Address: 3450 N 3rd St Vacancies: 0 Phoenix, AZ 85012-2331 Clinicians: 0 Telephone: 602-285-4231 Site Profile: Not available Email: jessicamor@sbhservices.org www.sbhservices.org 704013 Maricopa County 16 Designated Southwest Behavioral & Health Services - Erickson Outpatient UDS Number: 691682 Approved: 10/31/2013 Address: 2632 E Thomas Rd Expires: 12/31/2016 Phoenix, AZ 85016-8220 Contact: Jessica Mori Telephone: 602-525-0794 Address: 3450 N 3rd St Vacancies: 0 Phoenix, AZ 85012-2331 Clinicians: 2 Telephone: 602-285-4231 Site Profile: Not available Email: jessicamor@sbhservices.org www.sbhservices.org 704013 Maricopa County 16 Designated HRSA Data Warehouse 98 of 224 July 4, 2016
County: Maricopa County (139 sites listed) Southwest Behavioral & Health Services - Mesa Outpatient UDS Number: 692599 Approved: 10/31/2013 Address: 1255 W Baseline Rd Expires: 12/31/2016 Mesa, AZ 85202-5820 Contact: Jessica Mori Telephone: 480-820-5422 Address: 3450 N 3rd St Vacancies: 0 Phoenix, AZ 85012-2331 Clinicians: 0 Telephone: 602-285-4231 Site Profile: Not available Email: jessicamor@sbhservices.org sbhservices.org 704013 Maricopa County 16 Designated Southwest Behavioral & Health Services - Metro Outpatient UDS Number: 692758 Approved: 10/31/2013 Address: 10220 N 31st Ave Expires: 12/31/2016 Phoenix, AZ 85051-9581 Contact: Jessica Mori Telephone: 602-997-2233 Address: 3450 N 3rd St Vacancies: 0 Phoenix, AZ 85012-2331 Clinicians: 1 Telephone: 602-285-4231 Site Profile: Not available Email: jessicamor@sbhservices.org www.sbhservices.org 704013 Maricopa County 16 Designated HRSA Data Warehouse 99 of 224 July 4, 2016
County: Maricopa County (139 sites listed) Southwest Behavioral & Health Services - School & Community-Based Counseling Services UDS Number: 691491 Approved: 10/31/2013 Address: 3450 N 3rd St Expires: 12/31/2016 Phoenix, AZ 85012-2331 Contact: Jessica Mori Telephone: 602-285-4292 Address: 3450 N 3rd St Vacancies: 0 Phoenix, AZ 85012-2331 Clinicians: 0 Telephone: 602-285-4231 Site Profile: Not available Email: jessicamor@sbhservices.org www.sbhservices.org 704013 Maricopa County 16 Designated Southwest Network, Inc. - Bell Road Children's Clinic UDS Number: 199935 Approved: 11/15/2014 Address: 9051 W Kelton Ln Expires: 12/31/2017 Peoria, AZ 85382-3533 Contact: Lisa Elowson Telephone: 623-815-5700 Address: 2700 N Central Ave Vacancies: 2 Phoenix, AZ 85004-1133 Clinicians: 0 Telephone: 602-266-8402 Site Profile: Not available Email: lisae@southwestnetwork.org www.southwestnetwork.org/medical/default.ht 704013 Maricopa County 16 Designated HRSA Data Warehouse 100 of 224 July 4, 2016
County: Maricopa County (139 sites listed) Southwest Network, Inc. - Bethany Village Adult Clinic UDS Number: 277534 Approved: 10/30/2015 Address: 4210 W Bethany Home Rd Expires: 12/31/2018 Phoenix, AZ 85019-1808 Contact: Lisa Elowson Telephone: 602-353-2340 Address: 2700 N Central Ave Vacancies: 3 Phoenix, AZ 85004-1133 Clinicians: 2 Telephone: 602-266-8402 Site Profile: Not available Email: lisae@southwestnetwork.org www.southwestnetwork.org/medical/default.htm 704013 Maricopa County 16 Designated Southwest Network, Inc. - Central Valley Children's Clinic UDS Number: 200293 Approved: 11/15/2014 Address: 2444 E University Dr Expires: 12/31/2017 Phoenix, AZ 85034-6927 Contact: Lisa Elowson Telephone: 602-304-0014 Address: 2700 N Central Ave Vacancies: 2 Phoenix, AZ 85004-1133 Clinicians: 0 Telephone: 602-266-8402 Site Profile: Not available Email: lisae@southwestnetwork.org www.southwestnetwork.org/medical/default.ht 704013 Maricopa County 16 Designated HRSA Data Warehouse 101 of 224 July 4, 2016
County: Maricopa County (139 sites listed) Southwest Network, Inc. - Chandler Children's Clinic UDS Number: 200077 Approved: 11/15/2014 Address: 3140 N Arizona Ave Expires: 12/31/2017 Chandler, AZ 85225-7165 Contact: Lisa Elowson Telephone: 480-497-4040 Address: 2700 N Central Ave Vacancies: 2 Phoenix, AZ 85004-1133 Clinicians: 0 Telephone: 602-266-8402 Site Profile: Not available Email: lisae@southwestnetwork.org www.southwestnetwork.org/medical/default.ht 704013 Maricopa County 16 Designated Southwest Network, Inc. - Garden Lakes Adult Clinic UDS Number: 272875 Approved: 10/30/2015 Address: 4160 & 4170 North 108th Avenue Expires: 12/31/2018 Phoenix, AZ 85037 Contact: Lisa Elowson Telephone: 623-932-6950 Address: 2700 N Central Ave Vacancies: 3 Phoenix, AZ 85004-1133 Clinicians: 0 Telephone: 602-266-8402 Site Profile: Not available Email: lisae@southwestnetwork.org www.southwestnetwork.org/medical.htm 704013 Maricopa County 16 Designated HRSA Data Warehouse 102 of 224 July 4, 2016
County: Maricopa County (139 sites listed) Southwest Network, Inc. - Hampton Adult Clinic UDS Number: 277865 Approved: 10/30/2015 Address: 1440 S Country Club Dr Expires: 12/31/2018 Mesa, AZ 85210-9701 Contact: Lisa Elowson Telephone: 480-838-5550 Address: 2700 N Central Ave Vacancies: 3 Phoenix, AZ 85004-1133 Clinicians: 2 Telephone: 602-266-8402 Site Profile: Not available Email: lisae@southwestnetwork.org www.southwestnetwork.org/medical.htm 704013 Maricopa County 16 Designated Southwest Network, Inc. - Highland Adult Clinic UDS Number: 276109 Approved: 10/30/2015 Address: 4707 N 12th St Expires: 12/31/2018 Phoenix, AZ 85014-4009 Contact: Lisa Elowson Telephone: 602-241-4600 Address: 2700 N Central Ave Vacancies: 3 Phoenix, AZ 85004-1133 Clinicians: 2 Telephone: 602-266-8402 Site Profile: Not available Email: lisae@southwestnetwork.org www.southwestnetwork.org/medical/default.htm 704013 Maricopa County 16 Designated HRSA Data Warehouse 103 of 224 July 4, 2016
County: Maricopa County (139 sites listed) Southwest Network, Inc. - Osborn Adult Clinic UDS Number: 276034 Approved: 10/30/2015 Address: 3640 W Osborn Rd Expires: 12/31/2018 Phoenix, AZ 85019-4006 Contact: Lisa Elowson Telephone: 602-269-5300 Address: 2700 N Central Ave Vacancies: 3 Phoenix, AZ 85004-1133 Clinicians: 0 Telephone: 602-266-8402 Site Profile: Not available Email: lisae@southwestnetwork.org www.southwestnetwork.org/medical.htm 704013 Maricopa County 16 Designated Southwest Network, Inc. - Saguaro Adult Clinic UDS Number: 277608 Approved: 10/30/2015 Address: 3227 E Bell Rd Expires: 12/31/2018 Phoenix, AZ 85032-2700 Contact: Lisa Elowson Telephone: 602-652-3500 Address: 2700 N Central Ave Vacancies: 3 Phoenix, AZ 85004-1133 Clinicians: 0 Telephone: 602-266-8402 Site Profile: Not available Email: lisae@southwestnetwork.org www.southwestnetwork.org/medical.htm 704013 Maricopa County 16 Designated HRSA Data Warehouse 104 of 224 July 4, 2016
County: Maricopa County (139 sites listed) Southwest Network, Inc. - San Tan Adult Clinic UDS Number: 277712 Approved: 10/30/2015 Address: 1465 W Chandler Blvd Expires: 12/31/2018 Chandler, AZ 85224-6237 Contact: Lisa Elowson Telephone: 480-786-8200 Address: 2700 N Central Ave Vacancies: 3 Phoenix, AZ 85004-1133 Clinicians: 2 Telephone: 602-266-8402 Site Profile: Not available Email: lisae@southwestnetwork.org www.southwestnetwork.org/medical/default.htm 704013 Maricopa County 16 Designated St. Vincent de Paul Free Dental Clinic UDS Number: 758989 Approved: 5/8/2014 Address: 420 W Watkins Rd Expires: 12/31/2017 Phoenix, AZ 85003-2830 Contact: Ken Snyder Telephone: 602-261-6868 Address: 420 W Watkins Rd Vacancies: 0 Phoenix, AZ 85003-2830 Clinicians: 0 Telephone: 602-369-7738 Site Profile: Not available Email: KSnyder@svdp-phx-az.org www.stvincentdepaul.net/programs/dental-clinic 604999040N Phoenix-South Central 18 Designated HRSA Data Warehouse 105 of 224 July 4, 2016
County: Maricopa County (139 sites listed) Terros Behavioral Health Services - Metro UDS Number: 864952 Approved: 7/27/2015 Address: 10220 N 31st Ave Expires: 12/31/2018 Phoenix, AZ 85051-9581 Contact: Tiara Crouse Telephone: 602-685-6000 Address: 3003 N Central Ave Ste 200 Vacancies: 0 Phoenix, AZ 85012-2914 Clinicians: 0 Telephone: 602-685-6065 Site Profile: Not available Email: tiara.crouse@terros.org terros.org 704013 Maricopa County 16 Designated Terros Behavioral Health Services - Olive Avenue UDS Number: 851167 Approved: 7/27/2015 Address: 4425 W Olive Ave Expires: 12/31/2018 Glendale, AZ 85302-3843 Contact: Glenn Cummings Telephone: 602-685-6000 Address: 6153 W Olive Ave Vacancies: 0 Glendale, AZ 85302-4564 Clinicians: 0 Telephone: 602-797-7018 Site Profile: Not available Email: glenn.cummings@terros.org terros.org 704013 Maricopa County 16 Designated HRSA Data Warehouse 106 of 224 July 4, 2016
County: Maricopa County (139 sites listed) Terros Behavioral Health Services - Stapley Drive UDS Number: 851227 Approved: 7/27/2015 Address: 1111 S Stapley Dr Expires: 12/31/2018 Mesa, AZ 85204-5059 Contact: Tiara Crouse Telephone: 602-685-6000 Address: 3003 N Central Ave Ste 200 Vacancies: 0 Phoenix, AZ 85012-2914 Clinicians: 0 Telephone: 602-685-6065 Site Profile: Not available Email: tiara.crouse@terros.org terros.org 704013 Maricopa County 16 Designated Terros Integrated Care Clinic - 27th Avenue UDS Number: 851196 Approved: 7/27/2015 Address: 3864 N 27th Ave Expires: 12/31/2018 Phoenix, AZ 85017-4703 Contact: Tiara Crouse Telephone: 602-685-6000 Address: 3003 N Central Ave Ste 200 Vacancies: 0 Phoenix, AZ 85012-2914 Clinicians: 0 Telephone: 602-685-6065 Site Profile: Not available Email: tiara.crouse@terros.org www.terros.org 10499904N8 Low Income - Phoenix Central 10 Designated 704013 Maricopa County 16 Designated HRSA Data Warehouse 107 of 224 July 4, 2016
County: Maricopa County (139 sites listed) Terros Integrated Care Clinic - Glendale UDS Number: 0932270 Approved: 11/24/2014 Address: 6153 W Olive Ave Expires: 12/31/2017 Glendale, AZ 85302-4564 Contact: Glenn Cummings Telephone: 602-389-3560 Address: 6153 W Olive Ave Vacancies: 0 Glendale, AZ 85302-4564 Clinicians: 3 Telephone: 602-797-7018 Site Profile: Not available Email: glenn.cummings@terros.org www.terros.org/ 1049990498 Glendale 14 Designated 704013 Maricopa County 16 Designated Terros Integrated Care Clinic - McDowell Road UDS Number: 851147 Approved: 7/27/2015 Address: 4909 E Mcdowell Rd Expires: 12/31/2018 Phoenix, AZ 85008-7735 Contact: Tiara Crouse Telephone: 602-685-6000 Address: 3003 N Central Ave Ste 200 Vacancies: 0 Phoenix, AZ 85012-2914 Clinicians: 0 Telephone: 602-685-6065 Site Profile: Not available Email: tiara.crouse@terros.org www.terros.org 10499904N8 Low Income - Phoenix Central 10 Designated 704013 Maricopa County 16 Designated HRSA Data Warehouse 108 of 224 July 4, 2016
County: Maricopa County (139 sites listed) Terros Phoenix Interfaith - 16th Street UDS Number: 858645 Approved: 7/27/2015 Address: 4201 N 16th St Expires: 12/31/2018 Phoenix, AZ 85016-5347 Contact: Tiara Crouse Telephone: 602-685-6000 Address: 3003 N Central Ave Ste 200 Vacancies: 0 Phoenix, AZ 85012-2914 Clinicians: 0 Telephone: 602-685-6065 Site Profile: Not available Email: tiara.crouse@terros.org www.terros.org 704013 Maricopa County 16 Designated Terros Phoenix Interfaith - 32nd Street UDS Number: 858669 Approved: 7/27/2015 Address: 12835 N 32nd St Expires: 12/31/2018 Phoenix, AZ 85032-6517 Contact: Tiara Crouse Telephone: 602-685-6000 Address: 3003 N Central Ave Ste 200 Vacancies: 0 Phoenix, AZ 85012-2914 Clinicians: 0 Telephone: 602-685-6065 Site Profile: Not available Email: tiara.crouse@terros.org www.terros.org 704013 Maricopa County 16 Designated HRSA Data Warehouse 109 of 224 July 4, 2016
County: Maricopa County (139 sites listed) Terros Phoenix Interfaith - Dunlap UDS Number: 858708 Approved: 7/27/2015 Address: 2400 W Dunlap Ave Expires: 12/31/2018 Phoenix, AZ 85021-2817 Contact: Tiara Crouse Telephone: 602-685-6000 Address: 3003 N Central Ave Ste 200 Vacancies: 0 Phoenix, AZ 85012-2914 Clinicians: 0 Telephone: 602-685-6065 Site Profile: Not available Email: tiara.crouse@terros.org ww.terros.org 704013 Maricopa County 16 Designated Terros Phoenix Interfaith - Tempe UDS Number: 858801 Approved: 7/27/2015 Address: 1232 E Broadway Rd Expires: 12/31/2018 Tempe, AZ 85282-1511 Contact: Tiara Crouse Telephone: 602-685-6000 Address: 3003 N Central Ave Ste 200 Vacancies: 0 Phoenix, AZ 85012-2914 Clinicians: 0 Telephone: 602-685-6065 Site Profile: Not available Email: tiara.crouse@terros.org www.terros.org 704013 Maricopa County 16 Designated HRSA Data Warehouse 110 of 224 July 4, 2016
County: Maricopa County (139 sites listed) Terros Recovery Clinic - Enclave Clinic UDS Number: 334669 Approved: 12/29/2015 Address: 1642 S Priest Dr Bldg 6 Ste 101 Expires: 12/31/2018 Tempe, AZ 85281-6204 Contact: Tiara Crouse Telephone: 480-929-5100 Address: 3003 N Central Ave Ste 200 Vacancies: 0 Phoenix, AZ 85012-2914 Clinicians: 0 Telephone: 602-685-6065 Site Profile: Not available Email: tiara.crouse@terros.org www.terros.org/ 704013 Maricopa County 16 Designated Terros Recovery Clinic - Townley Clinic UDS Number: 334755 Approved: 12/29/2015 Address: 8836 N 23rd Ave Expires: 12/31/2018 Phoenix, AZ 85021-4185 Contact: Tiara Crouse Telephone: 602-952-3400 Address: 3003 N Central Ave Ste 200 Vacancies: 1 Phoenix, AZ 85012-2914 Clinicians: 1 Telephone: 602-685-6065 Site Profile: Not available Email: tiara.crouse@terros.org www.terros.org/ 704013 Maricopa County 16 Designated HRSA Data Warehouse 111 of 224 July 4, 2016
County: Maricopa County (139 sites listed) Terros Recovery Clinic - West McDowell Clinic UDS Number: 334802 Approved: 12/29/2015 Address: 5030 W Mcdowell Rd Expires: 12/31/2018 Phoenix, AZ 85035-3945 Contact: Tiara Crouse Telephone: 602-278-1414 Address: 3003 N Central Ave Ste 200 Vacancies: 0 Phoenix, AZ 85012-2914 Clinicians: 0 Telephone: 602-685-6065 Site Profile: Not available Email: tiara.crouse@terros.org www.terros.org/ 704013 Maricopa County 16 Designated The Wellness Center UDS Number: 866160 Approved: 8/22/2015 Address: 3210 Grand Ave Expires: 12/31/2018 Phoenix, AZ 85017-4504 Contact: Cora Thomas Telephone: 888-958-5736 Address: 6605 N 19th Ave Vacancies: 0 Phoenix, AZ 85015-1628 Clinicians: 0 Telephone: 888-958-5726 Site Profile: Not available Email: Lifehealthandwellnesshealthcare@live.com www.phoenixdreamcenter.com 10499904N8 Low Income - Phoenix Central 10 Designated HRSA Data Warehouse 112 of 224 July 4, 2016
County: Maricopa County (139 sites listed) Valle del Sol - Pediatric Outpatient Services UDS Number: 608326 Approved: 1/31/2013 Address: 3807 N 7th St Expires: 12/31/2016 Phoenix, AZ 85014-5005 Contact: Desiree Cogley Telephone: 602-258-6797 Address: 3807 N 7th St Vacancies: 3 Phoenix, AZ 85014-5005 Clinicians: 1 Telephone: 602-258-6797 Site Profile: Not available Email: desireec@valledelsol.com www.valledelsol.com 104999040L Valle Del Sol/Dba Mi Salud 11 Designated 10499904N8 Low Income - Phoenix Central 10 Designated 704013 Maricopa County 16 Designated 704999040E Valle Del Sol/Dba Mi Salud 20 Designated Valle del Sol - Red Mountain Service Center UDS Number: 506254 Approved: 10/3/2012 Address: 1209 S 1st Ave Expires: 12/31/2015 Phoenix, AZ 85003-2605 Contact: Desiree Cogley Telephone: 602-258-6797 Address: 3807 N 7th St Vacancies: 3 Phoenix, AZ 85014-5005 Clinicians: 4 Telephone: 602-258-6797 Site Profile: Not available Email: desireec@valledelsol.com www.valledelsol.com 104999040L Valle Del Sol/Dba Mi Salud 11 Designated 10499904N9 Low Income - Phoenix-South Central 18 Designated 704013 Maricopa County 16 Designated 704999040E Valle Del Sol/Dba Mi Salud 20 Designated HRSA Data Warehouse 113 of 224 July 4, 2016
County: Maricopa County (139 sites listed) Valle del Sol Family Practice UDS Number: 694819 Approved: 11/8/2013 Address: 4338 W Thomas Rd Expires: 12/31/2016 Phoenix, AZ 85031-3878 Contact: Lena Redondo Telephone: 623-385-7950 Address: 4338 W Thomas Rd Vacancies: 0 Phoenix, AZ 85031-3878 Clinicians: 0 Telephone: 623-385-7950 Site Profile: Not available Email: amieva@msn.com www.vdsurgentcare.com/ 10499904N8 Low Income - Phoenix Central 10 Designated Wesley Health Center UDS Number: 0935980 Approved: 5/27/2009 Address: 1300 S 10th St Expires: 5/26/2012 Phoenix, AZ 85034-4516 Contact: Betty Mathis Telephone: 602-257-4323 Address: 1300 S 10th St Vacancies: 0 Phoenix, AZ 85034-4516 Clinicians: 3 Telephone: 602-252-5624 Site Profile: Not available Email: bmathis@wccphx.net www.wesleycenterphx.org 10499904N9 Low Income - Phoenix-South Central 18 Designated 10499904P2 Wesley Community Center Inc. 15 Designated 704013 Maricopa County 16 Designated 7049990459 Wesley Community Center Inc. 16 Designated HRSA Data Warehouse 114 of 224 July 4, 2016
County: Maricopa County (139 sites listed) Whispering Palms Medical, Inc. UDS Number: 681812 Approved: 10/22/2013 Address: 1108 W Indian School Rd Expires: 12/31/2016 Phoenix, AZ 85013-3107 Contact: Sachin Diddee Telephone: 602-773-5600 Address: 1108 W Indian School Rd Vacancies: 0 Phoenix, AZ 85013-3107 Clinicians: 0 Telephone: 602-773-5600 Site Profile: Not available Email: sdiddee@phoenixfamilymedical.com www.phoenixfamilymedical.com/ 10499904N8 Low Income - Phoenix Central 10 Designated Whole Health Home Clinic - Choices South Central UDS Number: 581287 Approved: 10/2/2012 Address: 1616 E Roeser Rd Expires: 12/31/2015 Phoenix, AZ 85040-3336 Contact: Scott Manning Telephone: 602-344-2501 Address: 2929 E Thomas Rd Vacancies: 0 Phoenix, AZ 85016-8034 Clinicians: 1 Telephone: 602-470-5012 Site Profile: Not available Email: scott_manning@dmgaz.org www.mihs.org 10499904L6 Maricopa County Special Health Care District 16 Designated HRSA Data Warehouse 115 of 224 July 4, 2016
County: Maricopa County (139 sites listed) Whole Health Home Clinic - PIR East Valley UDS Number: 632636 Approved: 1/23/2013 Address: 4330 E University Dr Expires: 12/31/2016 Mesa, AZ 85205-7004 Contact: Scott Manning Telephone: 602-344-2504 Address: 2929 E Thomas Rd Vacancies: 0 Phoenix, AZ 85016-8034 Clinicians: 0 Telephone: 602-470-5012 Site Profile: Not available Email: scott_manning@dmgaz.org www.mihs.org 10499904L6 Maricopa County Special Health Care District 16 Designated Whole Health Home Clinic - PIR Metro UDS Number: 581215 Approved: 10/2/2012 Address: 10240 N 31st Ave Expires: 12/31/2015 Phoenix, AZ 85051-9558 Contact: Scott Manning Telephone: 602-344-6307 Address: 2929 E Thomas Rd Vacancies: 0 Phoenix, AZ 85016-8034 Clinicians: 2 Telephone: 602-470-5012 Site Profile: Not available Email: scott_manning@dmgaz.org mihs.org/ 10499904L6 Maricopa County Special Health Care District 16 Designated HRSA Data Warehouse 116 of 224 July 4, 2016
County: Maricopa County (139 sites listed) Whole Health Home Clinic - POCN Comunidad UDS Number: 581173 Approved: 10/2/2012 Address: 1035 E Jefferson St Expires: 12/31/2015 Phoenix, AZ 85034-2295 Contact: Scott Manning Telephone: 602-344-2503 Address: 2929 E Thomas Rd Vacancies: 0 Phoenix, AZ 85016-8034 Clinicians: 1 Telephone: 602-470-5012 Site Profile: Not available Email: scott_manning@dmgaz.org www.mihs.org/ 10499904L6 Maricopa County Special Health Care District 16 Designated Whole Health Home Clinic - SWN Highland UDS Number: 632528 Approved: 1/23/2013 Address: 4707 N 12th St Expires: 12/31/2016 Phoenix, AZ 85014-4009 Contact: Scott Manning Telephone: 602-344-2500 Address: 2929 E Thomas Rd Vacancies: 0 Phoenix, AZ 85016-8034 Clinicians: 1 Telephone: 602-470-5012 Site Profile: Not available Email: scott_manning@dmgaz.org www.mihs.org 10499904L6 Maricopa County Special Health Care District 16 Designated HRSA Data Warehouse 117 of 224 July 4, 2016
County: Maricopa County (139 sites listed) Whole Health Home Clinic - SWN San Tan UDS Number: 545351 Approved: 10/2/2012 Address: 1465 W Chandler Blvd Expires: 12/31/2015 Chandler, AZ 85224-6237 Contact: Scott Manning Telephone: 602-344-2502 Address: 2929 E Thomas Rd Vacancies: 0 Phoenix, AZ 85016-8034 Clinicians: 1 Telephone: 602-470-5012 Site Profile: Not available Email: scott_manning@dmgaz.org www.mihs.org 10499904L6 Maricopa County Special Health Care District 16 Designated Your Neighborhood Healthcare Center - W. Roosevelt Street UDS Number: 0933520 Approved: 11/17/2015 Address: 3306 W Roosevelt St Expires: 12/31/2018 Phoenix, AZ 85009-3404 Contact: Janet Ali Telephone: 602-889-9401 Address: 444 W Osborn Rd Vacancies: 0 Phoenix, AZ 85013-3814 Clinicians: 0 Telephone: 602-889-9401 Site Profile: Not available Email: janet@ynhcclinic.com https://ynhcclinic.com 10499904N9 Low Income - Phoenix-South Central 18 Designated HRSA Data Warehouse 118 of 224 July 4, 2016
County: Mohave County (24 sites listed) Arizona's Children Association - Lake Havasu City UDS Number: 093722A Approved: 4/1/2013 Address: 228 London Bridge Rd Expires: 12/31/2016 Lake Havasu City, AZ 86403-4685 Contact: Tifney Tihey Telephone: 928-680-4458 Address: 711 E Missouri 200 Vacancies: 0 Phoenix, AZ 85014 Clinicians: 0 Telephone: 602-234-3733 Site Profile: Not available Email: ttihey@arizonaschildren.org www.arizonaschildren.org 7049990403 Northern Arizona Mental Health Catchment 18 Designated Area Canyonlands Healthcare - Beaver Dam/Littlefield UDS Number: 09130D Approved: 5/27/2009 Address: 3272 E Rio Virgin Rd Expires: 5/26/2012 Littlefield, AZ 86432-3200 Contact: Janeen Bjork Telephone: 928-347-5971 Address: 467 Vista Ave Vacancies: 0 Page, AZ 86040 Clinicians: 1 Telephone: 928-645-9675 Site Profile: Not available Email: j.bjork@cchcaz.org www.canyonlandschc.org 10499904A2 Littlefield 16 Designated 10499904A8 Canyonlands Community Health Center 16 Designated 6049990458 Littlefield 20 Designated 6049990475 Canyonlands Community Health Center 19 Designated HRSA Data Warehouse 119 of 224 July 4, 2016
County: Mohave County (24 sites listed) Colorado River Service Unit - Peach Springs Health Center UDS Number: 12606410 Approved: 4/18/2011 Address: 940 Hualapai Way Expires: --- Peach Springs, AZ 86434 Contact: Stephen Navarro Telephone: 602-769-2204 Address: 40 N Central Ave Vacancies: 0 Phoenix, AZ 85004-4424 Clinicians: 0 Telephone: 602-364-5222 Site Profile: Not available Email: stephen.navarro@ihs.gov www.ihs.gov/phoenix/index.cfm?module=dsp_phx_hf_coloradoriver 10499904M6 Peach Springs PHS Indian Health Center 15 Designated 6049990491 Parker PHS Indian Hospital 18 Designated 60499904EO Hualapai Tribe 18 Designated Fort Mojave Indian Health Center & Behavioral Health UDS Number: 13605 Approved: 4/14/2011 Address: 1607 E Plantation Rd Expires: 1/1/2099 Mohave Valley, AZ 86440-8420 Contact: Collette Lewis Telephone: 928-346-4679 Address: --- Vacancies: 0 Clinicians: 0 Telephone: 928-346-4670 Site Profile: Not available Email: collette.lewis@ihs.gov mojaveindiantribe.com/health-department/ 10499904Q8 Fort Mojave Health Center 17 Designated 10499904QA Fort Mohave 15 Designated 60499904FE Low Income - Fort Mohave 12 Designated 7049990403 Northern Arizona Mental Health Catchment Area 18 Designated HRSA Data Warehouse 120 of 224 July 4, 2016
County: Mohave County (24 sites listed) KRMC - Fastrax Urgent Care UDS Number: 694177 Approved: 11/22/2013 Address: 1726 E Beverly Ave Expires: 12/31/2016 Kingman, AZ 86409-3500 Contact: Ryan Hampton Telephone: 928-718-5200 Address: 3269 Stockton Hill Rd Vacancies: 0 Kingman, AZ 86409-3619 Clinicians: 2 Telephone: 928-681-8506 Site Profile: Not available Email: rhampton@azkrmc.com www.azkrmc.com 10499904E5 Low Income - Kingman 16 Designated KRMC - Golden Valley Medical Center UDS Number: 721221 Approved: 11/22/2013 Address: 4995 W Highway 68 Expires: 12/31/2016 Kingman, AZ 86413 Contact: Ryan Hampton Telephone: 928-681-8500 Address: 3269 Stockton Hill Rd Vacancies: 0 Kingman, AZ 86409-3619 Clinicians: 0 Telephone: 928-681-8506 Site Profile: Not available Email: rhampton@azkrmc.com www.azkrmc.com 10499904E5 Low Income - Kingman 16 Designated HRSA Data Warehouse 121 of 224 July 4, 2016
County: Mohave County (24 sites listed) KRMC - Joshua Tree Pediatrics UDS Number: 694264 Approved: 11/22/2013 Address: 1739 E Beverly Ave Expires: 12/31/2016 Kingman, AZ 86409-3593 Contact: Ryan Hampton Telephone: 928-681-8706 Address: 3269 Stockton Hill Rd Vacancies: 0 Kingman, AZ 86409-3619 Clinicians: 0 Telephone: 928-681-8506 Site Profile: Not available Email: rhampton@azkrmc.com www.azkrmc.com 10499904E5 Low Income - Kingman 16 Designated KRMC - Kingman OB/GYN Associates UDS Number: 694227 Approved: 11/22/2013 Address: 1739 E Beverly Ave Expires: 12/31/2016 Kingman, AZ 86409-3593 Contact: Ryan Hampton Telephone: 928-681-8705 Address: 3269 Stockton Hill Rd Vacancies: 0 Kingman, AZ 86409-3619 Clinicians: 1 Telephone: 928-681-8506 Site Profile: Not available Email: rhampton@azkrmc.com www.azkrmc.com 10499904E5 Low Income - Kingman 16 Designated HRSA Data Warehouse 122 of 224 July 4, 2016
County: Mohave County (24 sites listed) KRMC - Mountain Shadow Family Medicine UDS Number: 702218 Approved: 11/22/2013 Address: 2226 Hualapai Mountain Rd Expires: 12/31/2016 Kingman, AZ 86401-8374 Contact: Ryan Hampton Telephone: 928-681-8530 Address: 3269 Stockton Hill Rd Vacancies: 0 Kingman, AZ 86409-3619 Clinicians: 2 Telephone: 928-681-8506 Site Profile: Not available Email: rhampton@azkrmc.com https://www.azkrmc.com 10499904E5 Low Income - Kingman 16 Designated KRMC - Music Mountain Family Medicine UDS Number: 718146 Approved: 11/22/2013 Address: 1739 E Beverly Ave Expires: 12/31/2016 Kingman, AZ 86409-3593 Contact: Ryan Hampton Telephone: 928-681-8704 Address: 3269 Stockton Hill Rd Vacancies: 0 Kingman, AZ 86409-3619 Clinicians: 0 Telephone: 928-681-8506 Site Profile: Not available Email: rhampton@azkrmc.com www.azkrmc.com 10499904E5 Low Income - Kingman 16 Designated HRSA Data Warehouse 123 of 224 July 4, 2016
County: Mohave County (24 sites listed) KRMC - Sunshine Canyon Family Healthcare UDS Number: 552618 Approved: 3/25/2013 Address: 2202 N Stockton Hill Rd Expires: 12/31/2016 Kingman, AZ 86401-4622 Contact: Ryan Hampton Telephone: 928-681-8708 Address: 3269 Stockton Hill Rd Vacancies: 0 Kingman, AZ 86409-3619 Clinicians: 2 Telephone: 928-681-8506 Site Profile: Not available Email: rhampton@azkrmc.com www.azkrmc.com/ 10499904E5 Low Income - Kingman 16 Designated Mohave Mental Health Clinic, Inc. - Adult Clinic Bullhead City UDS Number: 09156B Approved: 12/10/2015 Address: 1145 Marina Blvd Expires: 12/31/2018 Bullhead City, AZ 86442-5716 Contact: Shaunna Gates Telephone: 928-758-5905 Address: 1743 Sycamore Ave Vacancies: 6 Kingman, AZ 86409-0927 Clinicians: 2 Telephone: 928-757-8111 Site Profile: Not available Email: sgates@mmhc-inc.org www.mmhc-inc.org 7049990403 Northern Arizona Mental Health Catchment 18 Designated Area HRSA Data Warehouse 124 of 224 July 4, 2016
County: Mohave County (24 sites listed) Mohave Mental Health Clinic, Inc. - Adult Clinic Kingman UDS Number: 09156C Approved: 12/10/2015 Address: 3505 Western Ave Expires: 12/31/2018 Kingman, AZ 86409-3071 Contact: Shaunna Gates Telephone: 928-757-8111 Address: 1743 Sycamore Ave Vacancies: 5 Kingman, AZ 86409-0927 Clinicians: 2 Telephone: 928-757-8111 Site Profile: Not available Email: sgates@mmhc-inc.org www.mmhc-inc.org/web/ 7049990403 Northern Arizona Mental Health Catchment 18 Designated Area Mohave Mental Health Clinic, Inc. - Adult Clinic Lake Havasu City UDS Number: 09156G Approved: 12/10/2015 Address: 2187 Swanson Ave Expires: 12/31/2018 Lake Havasu City, AZ 86403-6838 Contact: Janet Rettmann Telephone: 928-855-3432 Address: 1743 Sycamore Ave Vacancies: 5 Kingman, AZ 86409-0927 Clinicians: 0 Telephone: 928-757-8111 Site Profile: Not available Email: jrettman@mmhc-inc.org www.mmhc-inc.org 7049990403 Northern Arizona Mental Health Catchment 18 Designated Area HRSA Data Warehouse 125 of 224 July 4, 2016
County: Mohave County (24 sites listed) Mohave Mental Health Clinic, Inc. - Family & Children's Services Bullhead City UDS Number: 594931 Approved: 12/10/2015 Address: 2580 Highway 95 Expires: 12/31/2018 Bullhead City, AZ 86442-7491 Contact: Shaunna Gates Telephone: 928-758-5905 Address: 1743 Sycamore Ave Vacancies: 6 Kingman, AZ 86409-0927 Clinicians: 0 Telephone: 928-757-8111 Site Profile: Not available Email: sgates@mmhc-inc.org www.mmhc-inc.org 7049990403 Northern Arizona Mental Health Catchment 18 Designated Area Mohave Mental Health Clinic, Inc. - Family & Children's Services Kingman UDS Number: 09156F Approved: 12/10/2015 Address: 915 Airway Ave Expires: 12/31/2018 Kingman, AZ 86409 Contact: Shaunna Gates Telephone: 928-718-4800 Address: 1743 Sycamore Ave Vacancies: 6 Kingman, AZ 86409-0927 Clinicians: 0 Telephone: 928-757-8111 Site Profile: Not available Email: sgates@mmhc-inc.org www.mmhc-inc.org/web/ 7049990403 Northern Arizona Mental Health Catchment 18 Designated Area HRSA Data Warehouse 126 of 224 July 4, 2016
County: Mohave County (24 sites listed) North Country HealthCare - Bullhead City UDS Number: 162930 Approved: 4/29/2011 Address: 2585 Miracle Mile Expires: --- Bullhead City, AZ 86442-7522 Contact: Sandy Seby Telephone: 928-704-1221 Address: 2920 N 4th St Vacancies: 1 Flagstaff, AZ 86004-1816 Clinicians: 1 Telephone: 928-522-9514 Site Profile: Not available Email: sseby@northcountryhealthcare.org www.northcountryhealthcare.org/where/bullhead-city.php 10499904C3 North Country Community Health Center 17 Designated 7049990403 Northern Arizona Mental Health Catchment Area 18 Designated 7049990429 North Country Community Health Center 23 Designated North Country HealthCare - Kingman UDS Number: 09289I Approved: 3/27/2009 Address: 1510 N Stockton Hill Rd Expires: 3/26/2012 Kingman, AZ 86401-5173 Contact: Sandy Seby Telephone: 928-522-9514 Address: 2920 N 4th St Vacancies: 2 Flagstaff, AZ 86004-1816 Clinicians: 1 Telephone: 928-522-9514 Site Profile: Not available Email: sseby@northcountryhealthcare.org www.northcountryhealthcare.org/where/kingman.php 10499904C3 North Country Community Health Center 17 Designated 10499904E5 Low Income - Kingman 16 Designated 7049990403 Northern Arizona Mental Health Catchment Area 18 Designated 7049990429 North Country Community Health Center 23 Designated HRSA Data Warehouse 127 of 224 July 4, 2016
County: Mohave County (24 sites listed) North Country HealthCare - Lake Havasu City UDS Number: 09289K Approved: 8/7/2009 Address: 2090 Smoketree Ave N Expires: 6/30/2013 Lake Havasu City, AZ 86403-5806 Contact: Sandy Seby Telephone: 928-704-1221 Address: 2920 N 4th St Vacancies: 2 Flagstaff, AZ 86004-1816 Clinicians: 1 Telephone: 928-522-9514 Site Profile: Not available Email: sseby@northcountryhealthcare.org www.northcountryhealthcare.org/where/lake-havasu-city.php 10499904C3 North Country Community Health Center 17 Designated 7049990403 Northern Arizona Mental Health Catchment Area 18 Designated 7049990429 North Country Community Health Center 23 Designated Peach Springs Hualapai Tribe - Health Education & Wellness UDS Number: 12000215 Approved: 4/14/2011 Address: 488 Hualapai Way Expires: 1/1/2099 Peach Springs, AZ 86434 Contact: Sandra Irwin Telephone: 928-769-2207 Address: 488 Hualapai Way Vacancies: 1 Peach Springs, AZ 86434 Clinicians: 0 Telephone: 928-769-2207 Site Profile: Not available Email: sirwin@hualapai-nsn.gov hualapai-nsn.gov/services/hualapai-health-department/mental-health/ 7049990403 Northern Arizona Mental Health Catchment 18 Designated Area 704999047H Hualapai Tribe 22 Designated HRSA Data Warehouse 128 of 224 July 4, 2016
County: Mohave County (24 sites listed) Southwest Behavioral & Health Services - Bullhead City Outpatient UDS Number: 12001 Approved: 12/10/2013 Address: 2580 Highway 95 Expires: 12/31/2016 Bullhead City, AZ 86442-7491 Contact: Jessica Mori Telephone: 928-763-7776 Address: 3450 N 3rd St Vacancies: 0 Phoenix, AZ 85012-2331 Clinicians: 1 Telephone: 602-285-4231 Site Profile: Not available Email: jessicamor@sbhservices.org www.sbhservices.org 7049990403 Northern Arizona Mental Health Catchment 18 Designated Area Southwest Behavioral & Health Services - Kingman Outpatient UDS Number: 12000 Approved: 12/10/2013 Address: 2215 Hualapai Mountain Rd Expires: 12/31/2016 Kingman, AZ 86401-8324 Contact: Jessica Mori Telephone: 928-753-9387 Address: 3450 N 3rd St Vacancies: 0 Phoenix, AZ 85012-2331 Clinicians: 2 Telephone: 602-285-4231 Site Profile: Not available Email: jessicamor@sbhservices.org www.sbhservices.org 7049990403 Northern Arizona Mental Health Catchment 18 Designated Area HRSA Data Warehouse 129 of 224 July 4, 2016
County: Mohave County (24 sites listed) Southwest Behavioral & Health Services - Lake Havasu City Outpatient UDS Number: 400595 Approved: 12/21/2015 Address: 1845 Mcculloch Blvd N Expires: 12/31/2018 Lake Havasu City, AZ 86403-6759 Contact: Jessica Mori Telephone: 928-453-2661 Address: 3450 N 3rd St Vacancies: 0 Phoenix, AZ 85012-2331 Clinicians: 0 Telephone: 602-285-4231 Site Profile: Not available Email: jessicamor@sbhservices.org www.sbhservices.org 7049990403 Northern Arizona Mental Health Catchment 18 Designated Area Valley Medical Center UDS Number: 0919990 Approved: 11/19/2013 Address: 4263 Us Highway 68 Expires: 12/31/2016 Golden Valley, AZ 86413-8569 Contact: Ella Maddela Telephone: 928-565-3939 Address: 5653 S Highway 95 Vacancies: 0 Fort Mohave, AZ 86426-6068 Clinicians: 0 Telephone: 928-768-2558 Site Profile: Not available Email: vistahealthmd@live.com --- 10499904E5 Low Income - Kingman 16 Designated HRSA Data Warehouse 130 of 224 July 4, 2016
County: Navajo County (18 sites listed) Apache Behavioral Health Services, Inc. UDS Number: 12000800 Approved: 7/16/2007 Address: 249 W Ponderosa Expires: 12/31/2099 Whiteriver, AZ 85941 Contact: Brett Prince Telephone: 928-338-4811 Address: 249 W Ponderosa Vacancies: 0 Whiteriver, AZ 85941 Clinicians: 2 Telephone: 928-338-4811 Site Profile: Not available Email: brett.prince@wmabhs.org www.wmabhs.org 7049990403 Northern Arizona Mental Health Catchment 18 Designated Area Arizona State Prison Complex - Winslow UDS Number: 092187A Approved: 10/14/2015 Address: 2100 S Highway 87 Expires: 12/31/2018 Winslow, AZ 86047-9789 Contact: Blake Farrill Telephone: 314-919-9836 Address: 12647 Olive Blvd Vacancies: 0 Saint Louis, MO 63141-6393 Clinicians: 1 Telephone: 314-919-9351 Site Profile: Not available Email: blake.farrill@corizonhealth.com www.corizonhealth.com 1049990494 Arizona State Prison - Winslow 24 Designated 6049990449 Arizona State Prison - Winslow 18 Designated 7049990414 Arizona State Prison - Winslow 21 Designated HRSA Data Warehouse 131 of 224 July 4, 2016
County: Navajo County (18 sites listed) Canyonlands Healthcare - Chilchinbeto UDS Number: 09130B Approved: 6/29/2009 Address: E Highway 160 To Route 59 To Spur 59 Expires: 6/28/2012 Kayenta, AZ 86033 Contact: Janeen Bjork Telephone: 928-697-8154 Address: 467 Vista Ave Vacancies: 1 Page, AZ 86040 Clinicians: 0 Telephone: 928-645-9675 Site Profile: Not available Email: j.bjork@cchcaz.org www.canyonlandschc.org 10499904A8 Canyonlands Community Health Center 16 Designated 6049990475 Canyonlands Community Health Center 19 Designated CCHCF - Pinon Health Center UDS Number: 12000920 Approved: 4/10/2009 Address: 2 Miles East Of Pinon Expires: 12/31/2099 Pinon, AZ 86510 Contact: HEIDI ARNHOLM Telephone: 970-882-1550 Address: Hwy 191 & Hospital Dr Vacancies: 6 Chinle, AZ 86503 Clinicians: 2 Telephone: 970-882-1550 Site Profile: Not available Email: heidi.arnholm@ihs.gov www.ihs.gov/navajo/index.cfm?module=nao_hcc_chinle 10499904E8 Chinle Comprehensive Health Center 18 Designated 6049990486 Chinle Comprehensive Health Center 21 Designated 7049990403 Northern Arizona Mental Health Catchment Area 18 Designated 7049990436 Chinle Comprehensive Health Center 22 Designated HRSA Data Warehouse 132 of 224 July 4, 2016
County: Navajo County (18 sites listed) ChangePoint Integrated Health - Holbrook Outpatient UDS Number: 092820 Approved: 12/14/2015 Address: 103 N 1st Ave Expires: 12/31/2018 Holbrook, AZ 86025-2901 Contact: Jodi McGraw Telephone: 928-524-6126 Address: 1801 W Deuce Of Clubs Vacancies: 0 Show Low, AZ 85901-2705 Clinicians: 0 Telephone: 928-537-2951 Site Profile: Not available Email: jmcgraw@ccc-az.org ccc-az.org/ 7049990403 Northern Arizona Mental Health Catchment 18 Designated Area ChangePoint Integrated Health - Show Low Outpatient UDS Number: 09282A Approved: 11/15/2014 Address: 2500 E Show Low Lake Rd Expires: 12/31/2017 Show Low, AZ 85901-7994 Contact: Jodi McGraw Telephone: 928-537-2951 Address: 1801 W Deuce Of Clubs Vacancies: 0 Show Low, AZ 85901-2705 Clinicians: 2 Telephone: 928-537-2951 Site Profile: Not available Email: jmcgraw@ccc-az.org ccc-az.org/ 7049990403 Northern Arizona Mental Health Catchment 18 Designated Area HRSA Data Warehouse 133 of 224 July 4, 2016
County: Navajo County (18 sites listed) ChangePoint Integrated Health - Snowflake Outpatient UDS Number: 763653 Approved: 6/12/2014 Address: 423 S Main St Expires: 12/31/2017 Snowflake, AZ 85937-5247 Contact: Jodi McGraw Telephone: 928-536-6869 Address: 1801 W Deuce Of Clubs Vacancies: 0 Show Low, AZ 85901-2705 Clinicians: 1 Telephone: 928-537-2951 Site Profile: Not available Email: jmcgraw@ccc-az.org ccc-az.org/ 7049990403 Northern Arizona Mental Health Catchment 18 Designated Area ChangePoint Integrated Health - Winslow Outpatient UDS Number: 09282C Approved: 11/15/2014 Address: 1015 E Second St Expires: 12/31/2017 Winslow, AZ 86047-4125 Contact: Jodi McGraw Telephone: 928-289-4658 Address: 1801 W Deuce Of Clubs Vacancies: 0 Show Low, AZ 85901-2705 Clinicians: 0 Telephone: 928-537-2951 Site Profile: Not available Email: jmcgraw@ccc-az.org ccc-az.org/ 7049990403 Northern Arizona Mental Health Catchment 18 Designated Area HRSA Data Warehouse 134 of 224 July 4, 2016
County: Navajo County (18 sites listed) Hopi Health Care Center (Critical Access Hospital) UDS Number: 902321 Approved: 3/18/2016 Address: Highway 264 Mile Post 388 Expires: 12/31/2019 Polacca, AZ 86042 Contact: Darren Vicenti Telephone: 928-737-6000 Address: Po Box 4000 Vacancies: 0 Polacca, AZ 86042-4000 Clinicians: 0 Telephone: 928-737-6140 Site Profile: Not available Email: darren.vicenti@ihs.gov https://www.ihs.gov/phoenix/healthcarefacilities/hopi/ 10499904Q6 Keams Canyon PHS Hospital 6 Designated 7049990440 Hopi Health Care Center 17 Designated Kayenta Service Unit - Kayenta Health Center UDS Number: 12001250 Approved: 11/15/2006 Address: Bldg Ka-2010 Expires: 12/31/2099 Kayenta, AZ 86033 Contact: Jon Stucki Telephone: 928-697-4000 Address: Po Box 368 Vacancies: 0 Kayenta, AZ 86033-0368 Clinicians: 0 Telephone: 928-697-4100 Site Profile: Not available Email: jon.stucki@ihs.gov www.ihs.gov/navajo/index.cfm?module=nao_hcc_kayenta 10499904F6 Kayenta PHS Indian Health Center 18 Designated 6049990493 Kayenta PHS Indian Health Center 19 Designated 7049990403 Northern Arizona Mental Health Catchment Area 18 Designated 7049990443 Kayenta PHS Indian Health Center 17 Designated HRSA Data Warehouse 135 of 224 July 4, 2016
County: Navajo County (18 sites listed) Keams Canyon Service Unit - Hopi Health Care Center Outpatient Clinic UDS Number: 12000480 Approved: 10/4/2007 Address: Expires: 12/31/2099 Polacca, AZ 86042 Contact: Daryl Melvin Telephone: 928-737-6140 Address: 388 Mp Vacancies: 3 Polacca, AZ 86042 Clinicians: 3 Telephone: 928-737-6000 Site Profile: Not available Email: daryl.melvin@ihs.gov www.ihs.gov/phoenix/index.cfm?module=dsp_phx_hf_hopi 10499904F3 Hopi Health Care Center 18 Designated 6049990490 Hopi Health Care Center 20 Designated 60499904A7 Hopi Nation 22 Designated 7049990403 Northern Arizona Mental Health Catchment 18 Designated Area 7049990440 Hopi Health Care Center 17 Designated North Country HealthCare - Holbrook UDS Number: 09289A Approved: 5/18/2009 Address: 2109 Navajo Blvd Expires: 5/17/2012 Holbrook, AZ 86025-1822 Contact: Sandy Seby Telephone: 928-524-2851 Address: 2920 N 4th St Vacancies: 1 Flagstaff, AZ 86004-1816 Clinicians: 0 Telephone: 928-522-9514 Site Profile: Not available Email: sseby@northcountryhealthcare.org www.northcountryhealthcare.org/where/holbrook.php 1049990444 Holbrook 13 Designated 10499904C3 North Country Community Health Center 17 Designated 7049990403 Northern Arizona Mental Health Catchment Area 18 Designated 7049990429 North Country Community Health Center 23 Designated HRSA Data Warehouse 136 of 224 July 4, 2016
County: Navajo County (18 sites listed) North Country HealthCare - Show Low UDS Number: 09289J Approved: 8/7/2009 Address: 2650 E Show Low Lake Rd Expires: 6/30/2013 Show Low, AZ 85901-7955 Contact: Sandy Seby Telephone: 928-537-4300 Address: 2920 N 4th St Vacancies: 1 Flagstaff, AZ 86004-1816 Clinicians: 3 Telephone: 928-522-9514 Site Profile: Not available Email: sseby@northcountryhealthcare.org www.northcountryhealthcare.org/where/show-low.php 10499904C3 North Country Community Health Center 17 Designated 10499904L5 Low Income - Show Low 15 Designated 7049990403 Northern Arizona Mental Health Catchment Area 18 Designated 7049990429 North Country Community Health Center 23 Designated North Country HealthCare - Winslow UDS Number: 09289E Approved: 12/27/2006 Address: 620 Lee St Expires: 9/30/2011 Winslow, AZ 86047-2435 Contact: Sandy Seby Telephone: 928-289-2000 Address: 2920 N 4th St Vacancies: 2 Flagstaff, AZ 86004-1816 Clinicians: 1 Telephone: 928-522-9514 Site Profile: Not available Email: sseby@northcountryhealthcare.org www.northcountryhealthcare.org/where/winslow.php 10499904C3 North Country Community Health Center 17 Designated 6049990478 North Country Community Health Center 21 Designated 7049990403 Northern Arizona Mental Health Catchment Area 18 Designated 7049990429 North Country Community Health Center 23 Designated HRSA Data Warehouse 137 of 224 July 4, 2016
County: Navajo County (18 sites listed) Platt Comprehensive Dentistry UDS Number: 695900 Approved: 11/6/2013 Address: 5448 Highway 260 Expires: 12/31/2016 Lakeside, AZ 85929-5739 Contact: RANDY PLATT Telephone: 928-532-5200 Address: Po Box 930 Vacancies: 0 Saint Johns, AZ 85936-0930 Clinicians: 0 Telephone: 928-337-2522 Site Profile: Not available Email: randydds@frontiernet.net --- 60499904EZ Low Income - Show Low 6 Designated Whiteriver Service Unit - Cibecue Health Center UDS Number: 12001140 Approved: 4/14/2011 Address: 2 W 3rd St Expires: 1/1/2099 Cibecue, AZ 85911 Contact: Marc Traeger Telephone: 928-332-2560 Address: Indian Health Service Vacancies: 0 Whiteriver, AZ 85941 Clinicians: 1 Telephone: 928-338-3759 Site Profile: Not available Email: marc.traeger@ihs.gov www.ihs.gov/phoenix/index.cfm?module=dsp_phx_hf_whiteriver 10499904M5 Cibecue PHS Indian Health Center 20 Designated 60499904B9 Cibecue PHS Indian Health Center 19 Designated 7049990403 Northern Arizona Mental Health Catchment Area 18 Designated 7049990464 Cibecue PHS Indian Health Center 19 Designated HRSA Data Warehouse 138 of 224 July 4, 2016
County: Navajo County (18 sites listed) Whiteriver Service Unit - Whiteriver Indian Health Service Hospital & Outpatient Services UDS Number: 12607101 Approved: 11/14/2005 Address: 200 W Hospital Dr Expires: 12/31/2099 Whiteriver, AZ 85941 Contact: Marc Traeger Telephone: 928-338-4911 Address: Indian Health Service Vacancies: 4 Whiteriver, AZ 85941 Clinicians: 3 Telephone: 928-338-3759 Site Profile: Not available Email: marc.traeger@ihs.gov www.ihs.gov/phoenix/index.cfm?module=dsp_phx_hf_whiteriver 10499904G2 Whiteriver Indian Health Services 18 Designated 6049990489 Whiteriver Indian Health Services Hospital 18 Designated Winslow Indian Health Care Center UDS Number: 0916440 Approved: 4/24/2009 Address: 500 Indiana Ave Expires: 4/23/2012 Winslow, AZ 86047-2169 Contact: Frank Armao Telephone: 928-289-4646 Address: 500 Indiana Ave Vacancies: 5 Winslow, AZ 86047-2169 Clinicians: 7 Telephone: 928-289-6233 Site Profile: Not available Email: frank.armao@wihcc.org www.wihcc.com 10499904E7 Winslow Indian Health Care Center 20 Designated 604999040F Low Income - Winslow 13 Designated 6049990485 Winslow Indian Health Care Center 21 Designated 7049990403 Northern Arizona Mental Health Catchment 18 Designated Area 7049990435 Winslow Indian Health Care Center 19 Designated HRSA Data Warehouse 139 of 224 July 4, 2016
County: Pima County (75 sites listed) Arizona State Prison Complex - Tucson UDS Number: 0910670 Approved: 10/14/2015 Address: 10000 S Wilmot Rd Expires: 12/31/2018 Tucson, AZ 85756-8699 Contact: Blake Farrill Telephone: 314-919-9836 Address: 12647 Olive Blvd Vacancies: 0 Saint Louis, MO 63141-6393 Clinicians: 0 Telephone: 314-919-9351 Site Profile: Not available Email: blake.farrill@corizonhealth.com www.corizonjobs.com 1049990492 Arizona State Prison Complex - Tucson 9 Designated 6049990447 Arizona State Prison - Tucson 12 Designated 7049990412 Arizona State Prison - Tucson 12 Designated Arizona's Children Association - Tucson UDS Number: 928976 Approved: 6/24/2016 Address: 3716 E Columbia St Expires: 12/31/2019 Tucson, AZ 85714-3414 Contact: Tifney Tihey Telephone: 520-622-7611 Address: 711 E Missouri 200 Vacancies: 0 Phoenix, AZ 85014 Clinicians: 0 Telephone: 602-234-3733 Site Profile: Not available Email: ttihey@arizonaschildren.org www.arizonaschildren.org 704019 Pima County 16 Designated HRSA Data Warehouse 140 of 224 July 4, 2016
County: Pima County (75 sites listed) Banner University Medical Center South - Outpatient Psychiatry Clinic UDS Number: 11623 Approved: 11/15/2013 Address: 2800 E Ajo Way Expires: 12/31/2016 Tucson, AZ 85713-6204 Contact: Jessica Bodzioch Telephone: 520-694-8888 Address: 1501 N Campbell Ave # 70pc Vacancies: 0 Tucson, AZ 85724-0001 Clinicians: 1 Telephone: 520-626-3819 Site Profile: Not available Email: bodzioch@email.arizona.edu www.uahealth.com 704019 Pima County 16 Designated CODAC Behavioral Health Services, Inc. - Alvernon Road UDS Number: 846183 Approved: 6/4/2015 Address: 630 N Alvernon Way Expires: 12/31/2018 Tucson, AZ 85711-1843 Contact: Estella Searcy Telephone: 520-327-4505 Address: 1650 E Ft Lowell Rd Vacancies: 0 Tucson, AZ 85719 Clinicians: 1 Telephone: 520-202-1713 Site Profile: Not available Email: esearcy@codac.org www.codac.org 704019 Pima County 16 Designated HRSA Data Warehouse 141 of 224 July 4, 2016
County: Pima County (75 sites listed) CODAC Behavioral Health Services, Inc. - Broadway Boulevard UDS Number: 845031 Approved: 6/4/2015 Address: 3130 E Broadway Blvd Expires: 12/31/2018 Tucson, AZ 85716-5863 Contact: Estella Searcy Telephone: 520-327-4505 Address: 1650 E Ft Lowell Rd Vacancies: 0 Tucson, AZ 85719 Clinicians: 0 Telephone: 520-202-1713 Site Profile: Not available Email: esearcy@codac.org www.codac.org 704019 Pima County 16 Designated CODAC Behavioral Health Services, Inc. - Cobblestone Court UDS Number: 845047 Approved: 6/4/2015 Address: 1075 E Ft Lowell Rd Expires: 12/31/2018 Tucson, AZ 85719 Contact: Estella Searcy Telephone: 520-327-4505 Address: 1650 E Ft Lowell Rd Vacancies: 0 Tucson, AZ 85719 Clinicians: 0 Telephone: 520-202-1713 Site Profile: Not available Email: esearcy@codac.org www.codac.org 704019 Pima County 16 Designated HRSA Data Warehouse 142 of 224 July 4, 2016
County: Pima County (75 sites listed) CODAC Behavioral Health Services, Inc. - Country Club UDS Number: 845012 Approved: 6/4/2015 Address: 1600 N Country Club Rd Expires: 12/31/2018 Tucson, AZ 85716-3119 Contact: Estella Searcy Telephone: 520-327-4505 Address: 1650 E Ft Lowell Rd Vacancies: 0 Tucson, AZ 85719 Clinicians: 0 Telephone: 520-202-1713 Site Profile: Not available Email: esearcy@codac.org www.codac.org 704019 Pima County 16 Designated CODAC Behavioral Health Services, Inc. - Santa Rosa Neighborhood Center UDS Number: 846797 Approved: 6/4/2015 Address: 1080 S 10th Ave Expires: 12/31/2018 Tucson, AZ 85701-2907 Contact: Estella Searcy Telephone: 520-327-4505 Address: 1650 E Ft Lowell Rd Vacancies: 0 Tucson, AZ 85719 Clinicians: 0 Telephone: 520-202-1713 Site Profile: Not available Email: esearcy@codac.org www.codac.org 704019 Pima County 16 Designated HRSA Data Warehouse 143 of 224 July 4, 2016
County: Pima County (75 sites listed) CODAC Behavioral Health Services, Inc. - Silverbell Road UDS Number: 845088 Approved: 6/4/2015 Address: 502 N Silverbell Rd Expires: 12/31/2018 Tucson, AZ 85745-2626 Contact: Estella Searcy Telephone: 520-327-4505 Address: 1650 E Ft Lowell Rd Vacancies: 0 Tucson, AZ 85719 Clinicians: 0 Telephone: 520-202-1713 Site Profile: Not available Email: esearcy@codac.org www.codac.org 704019 Pima County 16 Designated Desert Senita CHC - Dental Center UDS Number: 213540 Approved: 8/27/2011 Address: 410 N Malacate St Expires: --- Ajo, AZ 85321-2254 Contact: M. Frances Driver Telephone: 520-387-5651 Address: 410 N Malacate St Vacancies: 0 Ajo, AZ 85321-2254 Clinicians: 0 Telephone: 520-387-5651 Site Profile: Not available Email: fdriver@desertsenita.org desertsenita.org/contact/ 6049990476 Ajo Community Health Center 20 Designated HRSA Data Warehouse 144 of 224 July 4, 2016
County: Pima County (75 sites listed) Desert Senita CHC - Main Clinic UDS Number: 092650 Approved: 12/26/2006 Address: 410 N Malacate St Expires: 9/30/2011 Ajo, AZ 85321-2254 Contact: M. Frances Driver Telephone: 520-387-5651 Address: 410 N Malacate St Vacancies: 0 Ajo, AZ 85321-2254 Clinicians: 0 Telephone: 520-387-5651 Site Profile: Not available Email: fdriver@desertsenita.org www.desertsenita.org 10499904A1 Ajo 10 Designated 10499904C1 Ajo Community Health Center 19 Designated 7049990427 Ajo Community Health Center 22 Designated El Rio CHC - Birth & Women's Health Center UDS Number: 09016U Approved: 3/5/2009 Address: 5979 E Grant Rd Expires: 3/4/2012 Tucson, AZ 85712-2367 Contact: Diana Espinosa Telephone: 520-670-3707 Address: 839 W Congress St Vacancies: 0 Tucson, AZ 85745-2819 Clinicians: 0 Telephone: 520-205-4904 Site Profile: Not available Email: dianape@elrio.org www.elrio.org 10499904B8 El Rio Health Center 16 Designated HRSA Data Warehouse 145 of 224 July 4, 2016
County: Pima County (75 sites listed) El Rio CHC - Broadway Health Center UDS Number: 09016O Approved: 3/5/2009 Address: 1101 E Broadway Blvd Expires: 3/4/2012 Tucson, AZ 85719-5807 Contact: Diana Espinosa Telephone: 520-624-3707 Address: 839 W Congress St Vacancies: 1 Tucson, AZ 85745-2819 Clinicians: 1 Telephone: 520-205-4904 Site Profile: Not available Email: dianape@elrio.org www.elrio.org 10499904B8 El Rio Health Center 16 Designated 7049990424 El Rio Health Center 20 Designated El Rio CHC - Congress Health & Dental Center UDS Number: 090160 Approved: 3/3/2009 Address: 839 W Congress St Expires: 3/2/2012 Tucson, AZ 85745-2819 Contact: Diana Espinosa Telephone: 520-670-3707 Address: 839 W Congress St Vacancies: 3 Tucson, AZ 85745-2819 Clinicians: 8 Telephone: 520-205-4904 Site Profile: Not available Email: dianape@elrio.org www.elrio.org/ 1049990489 Tucson-Southwest 11 Designated 10499904B8 El Rio Health Center 16 Designated 6049990473 El Rio Health Center 21 Designated 7049990424 El Rio Health Center 20 Designated HRSA Data Warehouse 146 of 224 July 4, 2016
County: Pima County (75 sites listed) El Rio CHC - El Pueblo Health Center UDS Number: 161088 Approved: 5/19/2011 Address: 101 W Irvington Rd Expires: --- Tucson, AZ 85714-3050 Contact: Diana Espinosa Telephone: 520-670-3707 Address: 839 W Congress St Vacancies: 2 Tucson, AZ 85745-2819 Clinicians: 6 Telephone: 520-205-4904 Site Profile: Not available Email: dianape@elrio.org www.elrio.org 1049990490 Tucson-Southeast 17 Designated 10499904B8 El Rio Health Center 16 Designated 7049990424 El Rio Health Center 20 Designated El Rio CHC - Mel Center (School-Based Clinic) UDS Number: 09016N Approved: 8/27/2011 Address: 5101 S Liberty Ave Expires: --- Tucson, AZ 85706-1331 Contact: Diana Espinosa Telephone: 520-670-3707 Address: 839 W Congress St Vacancies: 0 Tucson, AZ 85745-2819 Clinicians: 0 Telephone: 520-205-4904 Site Profile: Not available Email: dianape@elrio.org www.elrio.org/index.html 1049990490 Tucson-Southeast 17 Designated 10499904B8 El Rio Health Center 16 Designated HRSA Data Warehouse 147 of 224 July 4, 2016
County: Pima County (75 sites listed) El Rio CHC - Northwest Dental Center UDS Number: 09016AD Approved: 2/9/2009 Address: 320 W Prince Rd Expires: 2/8/2012 Tucson, AZ 85705-3526 Contact: Diana Espinosa Telephone: 520-670-3909 Address: 839 W Congress St Vacancies: 0 Tucson, AZ 85745-2819 Clinicians: 0 Telephone: 520-205-4904 Site Profile: Not available Email: dianape@elrio.org www.elrio.org 6049990473 El Rio Health Center 21 Designated El Rio CHC - Northwest Health Center UDS Number: 09016P Approved: 3/5/2009 Address: 320 W Prince Rd Expires: 3/4/2012 Tucson, AZ 85705-3526 Contact: Diana Espinosa Telephone: 520-670-3707 Address: 839 W Congress St Vacancies: 2 Tucson, AZ 85745-2819 Clinicians: 3 Telephone: 520-205-4904 Site Profile: Not available Email: dianape@elrio.org www.elrio.org 10499904B8 El Rio Health Center 16 Designated 7049990424 El Rio Health Center 20 Designated HRSA Data Warehouse 148 of 224 July 4, 2016
County: Pima County (75 sites listed) El Rio CHC - OB/GYN Associates UDS Number: 09016B Approved: 2/19/2008 Address: 225 W Irvington Rd Expires: 9/30/2011 Tucson, AZ 85714-3054 Contact: Diana Espinosa Telephone: 520-670-3707 Address: 839 W Congress St Vacancies: 0 Tucson, AZ 85745-2819 Clinicians: 1 Telephone: 520-205-4904 Site Profile: Not available Email: dianape@elrio.org www.elrio.org 1049990490 Tucson-Southeast 17 Designated 10499904B8 El Rio Health Center 16 Designated El Rio CHC - Pascua Yaqui Clinic UDS Number: 09016F Approved: 7/22/2011 Address: 7479 S De Oeste Cami Expires: --- Tucson, AZ 85757 Contact: Diana Espinosa Telephone: 520-670-3707 Address: 839 W Congress St Vacancies: 2 Tucson, AZ 85745-2819 Clinicians: 0 Telephone: 520-205-4904 Site Profile: Not available Email: dianape@elrio.org www.elrio.org/pascuayaqui.html 10499904B8 El Rio Health Center 16 Designated HRSA Data Warehouse 149 of 224 July 4, 2016
County: Pima County (75 sites listed) El Rio CHC - Primary Care UDS Number: 09016W Approved: 11/1/2005 Address: 630 N Alvernon Way Expires: 9/30/2011 Tucson, AZ 85711-1843 Contact: Diana Espinosa Telephone: 520-318-9222 Address: 839 W Congress St Vacancies: 0 Tucson, AZ 85745-2819 Clinicians: 0 Telephone: 520-205-4904 Site Profile: Not available Email: dianape@elrio.org www.elrio.org/locations/codac-el-rios-whole-health-program/ 1049990489 Tucson-Southwest 11 Designated 10499904B8 El Rio Health Center 16 Designated El Rio CHC - Southeast Health Center UDS Number: 09016AA Approved: 2/26/2009 Address: 6950 E Golf Links Rd Expires: 2/25/2012 Tucson, AZ 85730-1017 Contact: Diana Espinosa Telephone: 520-792-9890 Address: 839 W Congress St Vacancies: 0 Tucson, AZ 85745-2819 Clinicians: 2 Telephone: 520-205-4904 Site Profile: Not available Email: dianape@elrio.org www.elrio.org 10499904B6 Mariposa Community Health Center 14 Designated 10499904B8 El Rio Health Center 16 Designated 7049990424 El Rio Health Center 20 Designated HRSA Data Warehouse 150 of 224 July 4, 2016
County: Pima County (75 sites listed) El Rio CHC - Southwest Dental UDS Number: 09016AC Approved: 3/7/2008 Address: 1530 W Commerce Ct Expires: 9/30/2011 Tucson, AZ 85746-6015 Contact: Diana Espinosa Telephone: 520-670-3707 Address: 839 W Congress St Vacancies: 0 Tucson, AZ 85745-2819 Clinicians: 3 Telephone: 520-205-4904 Site Profile: Not available Email: dianape@elrio.org www.elrio.org 6049990473 El Rio Health Center 21 Designated El Rio CHC - Southwest Health Center UDS Number: 09016D Approved: 3/2/2009 Address: 1510 W Commerce Ct Expires: 3/1/2012 Tucson, AZ 85746-6015 Contact: Diana Espinosa Telephone: 520-670-3707 Address: 839 W Congress St Vacancies: 0 Tucson, AZ 85745-2819 Clinicians: 2 Telephone: 520-205-4904 Site Profile: Not available Email: dianape@elrio.org www.elrio.org 10499904B8 El Rio Health Center 16 Designated 7049990424 El Rio Health Center 20 Designated HRSA Data Warehouse 151 of 224 July 4, 2016
County: Pima County (75 sites listed) El Rio CHC - Southwest Pediatrics Health Center UDS Number: 09016A Approved: 3/5/2009 Address: 1500 W Commerce Ct Expires: 3/4/2012 Tucson, AZ 85746-6015 Contact: Diana Espinosa Telephone: 520-806-2650 Address: 839 W Congress St Vacancies: 0 Tucson, AZ 85745-2819 Clinicians: 1 Telephone: 520-205-4904 Site Profile: Not available Email: dianape@elrio.org elrio.org/southwest.html 1049990489 Tucson-Southwest 11 Designated 10499904B8 El Rio Health Center 16 Designated 7049990424 El Rio Health Center 20 Designated El Rio CHC - Special Immunology Associates UDS Number: 12426 Approved: 10/21/2010 Address: 1701 W Saint Marys Rd Expires: 10/20/2013 Tucson, AZ 85745-2621 Contact: Diana Espinosa Telephone: 520-670-3707 Address: 839 W Congress St Vacancies: 0 Tucson, AZ 85745-2819 Clinicians: 1 Telephone: 520-205-4904 Site Profile: Not available Email: dianape@elrio.org www.elrio.org 10499904B8 El Rio Health Center 16 Designated 7049990424 El Rio Health Center 20 Designated HRSA Data Warehouse 152 of 224 July 4, 2016
County: Pima County (75 sites listed) El Rio CHC - St. Mary's Hospital Wound Health Center UDS Number: 09016S Approved: 8/27/2011 Address: 1802 W Saint Marys Rd Expires: --- Tucson, AZ 85745-2619 Contact: Diana Espinosa Telephone: 520-670-3707 Address: 839 W Congress St Vacancies: 0 Tucson, AZ 85745-2819 Clinicians: 0 Telephone: 520-205-4904 Site Profile: Not available Email: dianape@elrio.org www.elrio.org/index.html 10499904B8 El Rio Health Center 16 Designated El Rio CHC - Summit View Elementary School (School-Based Clinic) UDS Number: 09016M Approved: 8/27/2011 Address: 1900 E Summit St Expires: --- Tucson, AZ 85756-9127 Contact: Diana Espinosa Telephone: 520-670-3707 Address: 839 W Congress St Vacancies: 0 Tucson, AZ 85745-2819 Clinicians: 0 Telephone: 520-205-4904 Site Profile: Not available Email: dianape@elrio.org www.elrio.org/summit.html 10499904B8 El Rio Health Center 16 Designated 10499904QU Continental 13 Designated HRSA Data Warehouse 153 of 224 July 4, 2016
County: Pima County (75 sites listed) El Rio CHC - Sunnyside TAPP (School-Based Clinic) UDS Number: 09016G Approved: 8/27/2011 Address: 1725 E Bilby Rd Expires: --- Tucson, AZ 85706-4430 Contact: Diana Espinosa Telephone: 520-670-3707 Address: 839 W Congress St Vacancies: 0 Tucson, AZ 85745-2819 Clinicians: 0 Telephone: 520-205-4904 Site Profile: Not available Email: dianape@elrio.org www.elrio.org/tapp.html 1049990490 Tucson-Southeast 17 Designated 10499904B8 El Rio Health Center 16 Designated Federal Bureau of Prisons (BOP)- Federal Correctional Complex (FCC) TUCSON UDS Number: 130360 Approved: 10/11/2006 Address: 9300 S Wilmot Rd Expires: 12/31/2099 Tucson, AZ 85756-9706 Contact: Recruitment Team Telephone: 800-800-2676 Address: 320 1st St Nw Vacancies: 0 Washington, DC 20534-0002 Clinicians: 3 Telephone: 800-800-2676 Site Profile: Not available Email: BOP-HSD/Recruitment@bop.gov www.bop.gov/locations/institutions/tcn/ 1041864726 Federal Correctional Complex-Tucson 12 Designated 6042972918 Federal Correctional Complex-Tucson 12 Designated 7046792285 Federal Correctional Complex-Tucson 21 Designated HRSA Data Warehouse 154 of 224 July 4, 2016
County: Pima County (75 sites listed) La Frontera Arizona - E. Grant Road Clinic UDS Number: 261597 Approved: 11/26/2014 Address: 4891 E Grant Rd Expires: 12/31/2017 Tucson, AZ 85712-2704 Contact: Kayla Peterson Telephone: 520-838-3993 Address: 504 W 29th St Vacancies: 0 Tucson, AZ 85713-3353 Clinicians: 1 Telephone: 520-838-3938 Site Profile: Not available Email: kayla.peterson@lafrontera.org www.lafronteraarizona.com/ 704019 Pima County 16 Designated La Frontera Arizona - Intensive Recovery Team UDS Number: 500757 Approved: 10/10/2015 Address: 1082 E Ajo Way Expires: 12/31/2018 Tucson, AZ 85713-5051 Contact: Kayla Peterson Telephone: 520-838-3914 Address: 504 W 29th St Vacancies: 0 Tucson, AZ 85713-3353 Clinicians: 1 Telephone: 520-838-3938 Site Profile: Not available Email: kayla.peterson@lafrontera.org www.lafronteraaz.org 704019 Pima County 16 Designated HRSA Data Warehouse 155 of 224 July 4, 2016
County: Pima County (75 sites listed) La Frontera Arizona - Mountain Clinic UDS Number: 831348 Approved: 4/10/2015 Address: 3620 N Mountain Ave Expires: 12/31/2018 Tucson, AZ 85719-1938 Contact: Kayla Peterson Telephone: 520-882-5145 Address: 504 W 29th St Vacancies: 0 Tucson, AZ 85713-3353 Clinicians: 0 Telephone: 520-838-3938 Site Profile: Not available Email: kayla.peterson@lafrontera.org www.lafronteraarizona.org 704019 Pima County 16 Designated La Frontera Arizona - South Tucson UDS Number: 255858 Approved: 11/26/2014 Address: 502 W 29th St Expires: 12/31/2017 Tucson, AZ 85713-3353 Contact: Kayla Peterson Telephone: 520-838-3993 Address: 504 W 29th St Vacancies: 0 Tucson, AZ 85713-3353 Clinicians: 2 Telephone: 520-838-3938 Site Profile: Not available Email: kayla.peterson@lafrontera.org www.lafronteraarizona.com/ 704019 Pima County 16 Designated HRSA Data Warehouse 156 of 224 July 4, 2016
County: Pima County (75 sites listed) La Frontera Arizona - Southwest UDS Number: 261641 Approved: 11/26/2014 Address: 1210 E Pennsylvania St Expires: 12/31/2017 Tucson, AZ 85714-1675 Contact: Kayla Peterson Telephone: 520-838-3993 Address: 504 W 29th St Vacancies: 0 Tucson, AZ 85713-3353 Clinicians: 0 Telephone: 520-838-3938 Site Profile: Not available Email: kayla.peterson@lafrontera.org www.lafronteraarizona.com/ 704019 Pima County 16 Designated La Frontera Arizona - W. Grant Road Clinic UDS Number: 255894 Approved: 11/26/2014 Address: 1141 W Grant Rd Ste 100 Expires: 12/31/2017 Tucson, AZ 85705-5354 Contact: Kayla Peterson Telephone: 520-838-3993 Address: 504 W 29th St Vacancies: 0 Tucson, AZ 85713-3353 Clinicians: 0 Telephone: 520-838-3938 Site Profile: Not available Email: kayla.peterson@lafrontera.org www.lafronteraarizona.com/ 704019 Pima County 16 Designated HRSA Data Warehouse 157 of 224 July 4, 2016
County: Pima County (75 sites listed) MHC Healthcare - Clinica Del Alma UDS Number: 09008N Approved: 4/12/2007 Address: 3690 S Park Ave Expires: 9/30/2011 Tucson, AZ 85713-5069 Contact: Amy Guillory Telephone: 520-616-6760 Address: 13395 N Marana Main St Vacancies: 0 Marana, AZ 85653-7008 Clinicians: 2 Telephone: 520-616-1451 Site Profile: Not available Email: aguillory@mhchealthcare.org www.maranahealthcenter.org 10499904B4 Marana Health Center 13 Designated 7049990421 Marana Health Center 16 Designated MHC Healthcare - East Side Health Center UDS Number: 09008U Approved: 8/27/2011 Address: 8181 E Irvington Rd Expires: --- Tucson, AZ 85709-4001 Contact: Amy Guillory Telephone: 520-574-1551 Address: 13395 N Marana Main St Vacancies: 0 Marana, AZ 85653-7008 Clinicians: 0 Telephone: 520-616-1451 Site Profile: Not available Email: aguillory@mhchealthcare.org maranahealthcenter.org/locations/east-side-health-center/ 10499904B4 Marana Health Center 13 Designated HRSA Data Warehouse 158 of 224 July 4, 2016
County: Pima County (75 sites listed) MHC Healthcare - Ellie Towne Health Center UDS Number: 561193 Approved: 6/28/2012 Address: 1670 W Ruthrauff Rd Expires: 12/31/2015 Tucson, AZ 85705-1253 Contact: Amy Guillory Telephone: 520-616-6797 Address: 13395 N Marana Main St Vacancies: 0 Marana, AZ 85653-7008 Clinicians: 0 Telephone: 520-616-1451 Site Profile: Not available Email: aguillory@mhchealthcare.org maranahealthcenter.org/our-services/ 10499904B4 Marana Health Center 13 Designated 6049990470 Marana Health Center 19 Designated MHC Healthcare - Flowing Wells Family Health Center UDS Number: 09008C Approved: 12/27/2006 Address: 1323 W Prince Rd Expires: 9/30/2011 Tucson, AZ 85705-3114 Contact: Amy Guillory Telephone: 520-887-0800 Address: 13395 N Marana Main St Vacancies: 0 Marana, AZ 85653-7008 Clinicians: 0 Telephone: 520-616-1451 Site Profile: Not available Email: aguillory@mhchealthcare.org www.mhchealthcare.org 10499904B4 Marana Health Center 13 Designated HRSA Data Warehouse 159 of 224 July 4, 2016
County: Pima County (75 sites listed) MHC Healthcare - Freedom Park Health Center UDS Number: 09008I Approved: 12/27/2006 Address: 5000 E 29th St Expires: 9/30/2011 Tucson, AZ 85711-6401 Contact: Amy Guillory Telephone: 520-790-8500 Address: 13395 N Marana Main St Vacancies: 0 Marana, AZ 85653-7008 Clinicians: 0 Telephone: 520-616-1451 Site Profile: Not available Email: aguillory@mhchealthcare.org maranahealthcenter.org/locations/freedom-park-health-center/ 10499904B4 Marana Health Center 13 Designated MHC Healthcare - Keeling Health Center UDS Number: 09008D Approved: 12/27/2006 Address: 435 E Glenn St Expires: 9/30/2011 Tucson, AZ 85705-4664 Contact: Amy Guillory Telephone: 520-696-6969 Address: 13395 N Marana Main St Vacancies: 0 Marana, AZ 85653-7008 Clinicians: 0 Telephone: 520-616-1451 Site Profile: Not available Email: aguillory@mhchealthcare.org maranahealthcenter.org/our-services/ 1049990487 Tucson-Central 16 Designated 10499904B4 Marana Health Center 13 Designated 7049990421 Marana Health Center 16 Designated HRSA Data Warehouse 160 of 224 July 4, 2016
County: Pima County (75 sites listed) MHC Healthcare - Main Health Center & Behavioral Health Services UDS Number: 090080 Approved: 7/27/2010 Address: 13395 N Marana Main St Expires: 7/26/2013 Marana, AZ 85653-7008 Contact: Amy Guillory Telephone: 520-682-4111 Address: 13395 N Marana Main St Vacancies: 0 Marana, AZ 85653-7008 Clinicians: 5 Telephone: 520-616-1451 Site Profile: Not available Email: aguillory@mhchealthcare.org maranahealthcenter.org/our-services/ 10499904A3 Marana 12 Designated 10499904B4 Marana Health Center 13 Designated 6049990470 Marana Health Center 19 Designated 7049990421 Marana Health Center 16 Designated MHC Healthcare - Obstetrics & Women's Health UDS Number: 09008K Approved: 8/27/2011 Address: 2055 W Hospital Dr Expires: --- Tucson, AZ 85704-7892 Contact: Amy Guillory Telephone: 520-797-0011 Address: 13395 N Marana Main St Vacancies: 0 Marana, AZ 85653-7008 Clinicians: 0 Telephone: 520-616-1451 Site Profile: Not available Email: aguillory@mhchealthcare.org maranahealthcenter.org/our-services/ 10499904B4 Marana Health Center 13 Designated HRSA Data Warehouse 161 of 224 July 4, 2016
County: Pima County (75 sites listed) MHC Healthcare - Ortiz Community Health Center UDS Number: 09008H Approved: 4/13/2007 Address: 12635 W Rudasill Rd Expires: 9/30/2011 Tucson, AZ 85743-9724 Contact: Amy Guillory Telephone: 520-682-3777 Address: 13395 N Marana Main St Vacancies: 0 Marana, AZ 85653-7008 Clinicians: 0 Telephone: 520-616-1451 Site Profile: Not available Email: aguillory@mhchealthcare.org maranahealthcenter.org/ 10499904A3 Marana 12 Designated 10499904B4 Marana Health Center 13 Designated MHC Healthcare - Pima Partnership High School UDS Number: 170575 Approved: 5/20/2011 Address: 1346 N Stone Ave Expires: --- Tucson, AZ 85705-7338 Contact: Amy Guillory Telephone: 520-326-2528 Address: 13395 N Marana Main St Vacancies: 0 Marana, AZ 85653-7008 Clinicians: 0 Telephone: 520-616-1451 Site Profile: Not available Email: aguillory@mhchealthcare.org maranahealthcenter.org/our-services/school-based-clinics/ 10499904B4 Marana Health Center 13 Designated HRSA Data Warehouse 162 of 224 July 4, 2016
County: Pima County (75 sites listed) MHC Healthcare - Primary Care Health Center UDS Number: 09008R Approved: 8/27/2011 Address: 2355 N Wyatt Dr Expires: --- Tucson, AZ 85712-2120 Contact: Amy Guillory Telephone: 520-616-4950 Address: 13395 N Marana Main St Vacancies: 0 Marana, AZ 85653-7008 Clinicians: 0 Telephone: 520-616-1451 Site Profile: Not available Email: aguillory@mhchealthcare.org maranahealthcenter.org/our-services/ 10499904B4 Marana Health Center 13 Designated MHC Healthcare - Quick Care UDS Number: 09008S Approved: 8/27/2011 Address: 8333 N Silverbell Rd Expires: --- Tucson, AZ 85743-7373 Contact: Amy Guillory Telephone: 520-682-4111 Address: 13395 N Marana Main St Vacancies: 0 Marana, AZ 85653-7008 Clinicians: 0 Telephone: 520-616-1451 Site Profile: Not available Email: aguillory@mhchealthcare.org maranahealthcenter.org/our-services/ 10499904A3 Marana 12 Designated 10499904B4 Marana Health Center 13 Designated HRSA Data Warehouse 163 of 224 July 4, 2016
County: Pima County (75 sites listed) MHC Healthcare - Santa Catalina Health Center UDS Number: 09008J Approved: 4/12/2011 Address: 16701 N Oracle Rd Expires: 4/11/2014 Tucson, AZ 85739-9102 Contact: Amy Guillory Telephone: 520-825-6763 Address: 13395 N Marana Main St Vacancies: 0 Marana, AZ 85653-7008 Clinicians: 0 Telephone: 520-616-1451 Site Profile: Not available Email: aguillory@mhchealthcare.org www.maranahealthcenter.org 10499904B4 Marana Health Center 13 Designated 7049990421 Marana Health Center 16 Designated MHC Healthcare - West Side Health Center UDS Number: 09008Q Approved: 8/27/2011 Address: 2202 W Anklam Rd Expires: --- Tucson, AZ 85709-0001 Contact: Amy Guillory Telephone: 520-616-6790 Address: 13395 N Marana Main St Vacancies: 0 Marana, AZ 85653-7008 Clinicians: 0 Telephone: 520-616-1451 Site Profile: Not available Email: aguillory@mhchealthcare.org maranahealthcenter.org/our-services/ 10499904B4 Marana Health Center 13 Designated HRSA Data Warehouse 164 of 224 July 4, 2016
County: Pima County (75 sites listed) MHC Healthcare - Wilmot Family Health Center UDS Number: 169675 Approved: --- Address: 899 N Wilmot Rd Expires: --- Tucson, AZ 85711-1714 Contact: Lorraine Madrid Telephone: 520-290-1100 Address: 13395 N Marana Main St Vacancies: 0 Marana, AZ 85653-7008 Clinicians: 0 Telephone: 520-616-1402 Site Profile: Not available Email: lmadrid@maranahealthcenter.org www.maranahealthcenter.org 10499904B4 Marana Health Center 13 Designated 7049990421 Marana Health Center 16 Designated Pascua Yaqui Tribe Dental & Behavioral Health - Tucson UDS Number: 0937050 Approved: 10/23/2009 Address: 7490 S De Oeste Cami Expires: 6/30/2013 Tucson, AZ 85746 Contact: Ron Toepke Telephone: 520-879-6310 Address: 7490 South Camino De Oeste Vacancies: 5 Tucson, AZ 85757 Clinicians: 6 Telephone: 520-879-6195 Site Profile: Not available Email: ron.toepke@pascuayaqui-nsn.gov www.pascuayaqui-nsn.gov/ 60499904A3 Pascua Yaqui Tribe Health Programs 16 Designated 7049990450 Pascua Yaqui Tribe Health Programs 23 Designated HRSA Data Warehouse 165 of 224 July 4, 2016
County: Pima County (75 sites listed) Providence of Arizona - 1161 N. El Dorado Place UDS Number: 0925040 Approved: 9/12/2013 Address: 1161 N El Dorado Pl Expires: 12/31/2016 Tucson, AZ 85715-4607 Contact: Lucia Betancourt Telephone: 520-748-7108 Address: 4281 Katella Ave Ste 201 Vacancies: 0 Los Alamitos, CA 90720-6509 Clinicians: 2 Telephone: 562-467-5441 Site Profile: Not available Email: lucia.betancourt@pathways.com www.provcorp.com 704019 Pima County 16 Designated Providence of Arizona - 3295 W. Ina Road UDS Number: 12434 Approved: 10/17/2013 Address: 3295 W Ina Rd Expires: 12/31/2016 Tucson, AZ 85741-2191 Contact: Lucia Betancourt Telephone: 520-748-7108 Address: 4281 Katella Ave Ste 201 Vacancies: 0 Los Alamitos, CA 90720-6509 Clinicians: 2 Telephone: 562-467-5441 Site Profile: Not available Email: lucia.betancourt@pathways.com www.provcorp.com 704019 Pima County 16 Designated HRSA Data Warehouse 166 of 224 July 4, 2016
County: Pima County (75 sites listed) SEABHS - Tucson Outpatient UDS Number: 092575B Approved: 2/2/2015 Address: 1430 E Fort Lowell Rd Expires: 12/31/2018 Tucson, AZ 85719-2365 Contact: Elaine Miller Telephone: 520-319-1190 Address: 611 W Union St Vacancies: 1 Benson, AZ 85602-6718 Clinicians: 0 Telephone: 520-586-6929 Site Profile: Not available Email: Elaine_Miller@seabhssolutions.org www.seabhs.org/ 7049990452 Southeast Arizona Catchment Area 18 Designated Sells Indian Hospital - Outpatient Services UDS Number: 12001060 Approved: 11/3/2009 Address: Highway 86 & Bia 19 On Topawa Road Expires: 12/31/2099 Sells, AZ 85634 Contact: Peter Ziegler Telephone: 520-383-7211 Address: 7900 S J Stock Rd Vacancies: 0 Tucson, AZ 85746-7012 Clinicians: 2 Telephone: 520-383-7211 Site Profile: Not available Email: peter.ziegler@ihs.gov www.ihs.gov/tucson/index.cfm?module=dsp_tuc_hf_sells_hospital 10499904P4 Sells PHS Indian Hospital 18 Designated 60499904C1 Sells PHS Indian Hospital 16 Designated 7049990465 Sells PHS Indian Hospital 16 Designated HRSA Data Warehouse 167 of 224 July 4, 2016
County: Pima County (75 sites listed) Sells Service Unit - San Simon Health Center UDS Number: 12001120 Approved: 10/7/2009 Address: Highway 86 Mp 74 Expires: 12/31/2099 Sells, AZ 85634 Contact: Peter Ziegler Telephone: 520-362-7211 Address: 7900 S J Stock Rd Vacancies: 0 Tucson, AZ 85746-7012 Clinicians: 0 Telephone: 520-383-7211 Site Profile: Not available Email: peter.ziegler@ihs.gov www.ihs.gov/tucson/index.cfm?module=dsp_tuc 10499904P4 Sells PHS Indian Hospital 18 Designated 60499904C1 Sells PHS Indian Hospital 16 Designated 7049990465 Sells PHS Indian Hospital 16 Designated Sells Service Unit - San Xavier Health Center UDS Number: 12001180 Approved: 11/2/2009 Address: 7900 S J Stock Rd Expires: 12/31/2099 Tucson, AZ 85746-7012 Contact: Peter Ziegler Telephone: 520-383-7211 Address: 7900 S J Stock Rd Vacancies: 0 Tucson, AZ 85746-7012 Clinicians: 0 Telephone: 520-383-7211 Site Profile: Not available Email: peter.ziegler@ihs.gov www.ihs.gov/tucson/index.cfm?module=dsp_tuc_hf_san_xavier 10499904P4 Sells PHS Indian Hospital 18 Designated 6049990456 Arivaca Service Area 11 Designated 60499904C1 Sells PHS Indian Hospital 16 Designated 704019 Pima County 16 Designated 7049990465 Sells PHS Indian Hospital 16 Designated HRSA Data Warehouse 168 of 224 July 4, 2016
County: Pima County (75 sites listed) Sells Service Unit - Santa Rosa Health Center UDS Number: 12001100 Approved: 10/7/2009 Address: Route 15 Mile Marker 12 Expires: 12/31/2099 Santa Rosa, AZ Contact: Peter Ziegler Telephone: 520-383-7211 Address: 7900 S J Stock Rd Vacancies: 0 Tucson, AZ 85746-7012 Clinicians: 0 Telephone: 520-383-7211 Site Profile: Not available Email: peter.ziegler@ihs.gov www.ihs.gov/tucson/index.cfm?module=dsp_tuc_hf_santa_rosa 10499904P4 Sells PHS Indian Hospital 18 Designated 60499904C1 Sells PHS Indian Hospital 16 Designated 7049990465 Sells PHS Indian Hospital 16 Designated St. Elizabeth's Health Center - Dental Services UDS Number: 681466 Approved: 12/13/2013 Address: 140 W Speedway Blvd Expires: 12/31/2016 Tucson, AZ 85705-7686 Contact: Taz Greiner Telephone: 520-628-7871 Address: 140 W Speedway Blvd Vacancies: 0 Tucson, AZ 85705-7686 Clinicians: 0 Telephone: 520-628-7871 Site Profile: Not available Email: tazg@saintehc.org www.saintehc.org 60499904A5 Tucson-Central Service Area 13 Designated HRSA Data Warehouse 169 of 224 July 4, 2016
County: Pima County (75 sites listed) UCHC - Amado Clinic UDS Number: 245255 Approved: 8/27/2011 Address: 28720 S Nogales Hwy Expires: --- Amado, AZ 85645-9997 Contact: Christina Otanez Telephone: 520-407-5510 Address: 1260 S Campbell Ave Bldg 2 Vacancies: 0 Green Valley, AZ 85614-0503 Clinicians: 0 Telephone: 520-407-5607 Site Profile: Not available Email: cotanez@uchcaz.org www.uchcaz.org/clinics.php 1049990432 Arivaca 9 Designated 10499904C7 United Community Health Center-Maria Auxiliadora, 17 Designated UCHC - Arivaca Clinic UDS Number: 09359B Approved: 11/8/2007 Address: 17388 W 3rd St Expires: 9/30/2011 Arivaca, AZ 85601 Contact: Christina Otanez Telephone: 520-407-5500 Address: 1260 S Campbell Ave Bldg 2 Vacancies: 0 Green Valley, AZ 85614-0503 Clinicians: 0 Telephone: 520-407-5607 Site Profile: Not available Email: cotanez@uchcaz.org uchcaz.org/clinics.php 1049990432 Arivaca 9 Designated 10499904C7 United Community Health Center-Maria Auxiliadora, 17 Designated HRSA Data Warehouse 170 of 224 July 4, 2016
County: Pima County (75 sites listed) UCHC - Continental Family Medical Center UDS Number: 09359I Approved: 11/8/2007 Address: 1260 S Campbell Ave Expires: 9/30/2011 Green Valley, AZ 85614-0503 Contact: Christina Otanez Telephone: 520-407-5900 Address: 1260 S Campbell Ave Bldg 2 Vacancies: 0 Green Valley, AZ 85614-0503 Clinicians: 0 Telephone: 520-407-5607 Site Profile: Not available Email: cotanez@uchcaz.org uchcaz.org/clinics.php 10499904C7 United Community Health Center-Maria 17 Designated Auxiliadora, 10499904QU Continental 13 Designated UCHC - Freeport McMoRan Copper & Gold Building UDS Number: 09359A Approved: 11/20/2007 Address: 1260 S Campbell Ave Expires: 9/30/2011 Green Valley, AZ 85614-0503 Contact: Christina Otanez Telephone: 520-407-5400 Address: 1260 S Campbell Ave Bldg 2 Vacancies: 0 Green Valley, AZ 85614-0503 Clinicians: 0 Telephone: 520-407-5607 Site Profile: Not available Email: cotanez@uchcaz.org uchcaz.org/clinics.php 10499904C7 United Community Health Center-Maria 17 Designated Auxiliadora, 10499904QU Continental 13 Designated HRSA Data Warehouse 171 of 224 July 4, 2016
County: Pima County (75 sites listed) UCHC - Pediatric Clinic & Dental Program for Kids UDS Number: 09359K Approved: 11/15/2007 Address: 1260 S Campbell Ave Expires: 9/30/2011 Green Valley, AZ 85614-0503 Contact: Christina Otanez Telephone: 520-407-5800 Address: 1260 S Campbell Ave Bldg 2 Vacancies: 0 Green Valley, AZ 85614-0503 Clinicians: 0 Telephone: 520-407-5607 Site Profile: Not available Email: cotanez@uchcaz.org uchcaz.org/clinics.php 10499904C7 United Community Health Center-Maria 17 Designated Auxiliadora, 10499904QU Continental 13 Designated 6049990482 United Community Health Center-Maria Auxiliadora 17 Designated 60499904E1 Continental 13 Designated UCHC - Pediatric Dental Van UDS Number: 09359P Approved: 8/27/2011 Address: 2601 S Campbell Ave Expires: --- Green Valley, AZ 85614 Contact: Christina Otanez Telephone: 520-407-5617 Address: 1260 S Campbell Ave Bldg 2 Vacancies: 0 Green Valley, AZ 85614-0503 Clinicians: 0 Telephone: 520-407-5607 Site Profile: Not available Email: cotanez@uchcaz.org www.uchcaz.org/dental.php 6049990482 United Community Health Center-Maria 17 Designated Auxiliadora 60499904E1 Continental 13 Designated HRSA Data Warehouse 172 of 224 July 4, 2016
County: Pima County (75 sites listed) UCHC - Sahuarita Heights Clinic UDS Number: 12104 Approved: 8/15/2010 Address: 2875 E Sahuarita Rd Expires: 8/14/2013 Sahuarita, AZ 85629-9434 Contact: Christina Otanez Telephone: 520-576-5770 Address: 1260 S Campbell Ave Bldg 2 Vacancies: 0 Green Valley, AZ 85614-0503 Clinicians: 1 Telephone: 520-407-5607 Site Profile: Not available Email: cotanez@uchcaz.org www.uchcaz.org/clinics.php 10499904C7 United Community Health Center-Maria 17 Designated Auxiliadora, 10499904QU Continental 13 Designated UCHC - Three Points Clinic UDS Number: 09359D Approved: 11/8/2007 Address: 15921 W Ajo Hwy Expires: 9/30/2011 Tucson, AZ 85735-2032 Contact: Christina Otanez Telephone: 520-407-5700 Address: 1260 S Campbell Ave Bldg 2 Vacancies: 0 Green Valley, AZ 85614-0503 Clinicians: 0 Telephone: 520-407-5607 Site Profile: Not available Email: cotanez@uchcaz.org uchcaz.org 1049990432 Arivaca 9 Designated 10499904C7 United Community Health Center-Maria Auxiliadora, 17 Designated 6049990456 Arivaca Service Area 11 Designated 6049990482 United Community Health Center-Maria Auxiliadora 17 Designated HRSA Data Warehouse 173 of 224 July 4, 2016
County: Pima County (75 sites listed) UCHC - Wellness Center at Altar Valley Middle School UDS Number: 09359E Approved: 8/27/2011 Address: 16350 W Ajo Hwy Expires: --- Tucson, AZ 85735-2126 Contact: Christina Otanez Telephone: 520-822-9343 Address: 1260 S Campbell Ave Bldg 2 Vacancies: 0 Green Valley, AZ 85614-0503 Clinicians: 0 Telephone: 520-407-5607 Site Profile: Not available Email: cotanez@uchcaz.org uchcaz.org/schoolwellness.php 10499904C7 United Community Health Center-Maria 17 Designated Auxiliadora, UCHC - Wellness Center at Continental School UDS Number: 217034 Approved: 8/27/2011 Address: 1991 E Whitehouse Canyon Rd Expires: --- Green Valley, AZ 85614-0522 Contact: Christina Otanez Telephone: 520-625-4581 Address: 1260 S Campbell Ave Bldg 2 Vacancies: 0 Green Valley, AZ 85614-0503 Clinicians: 0 Telephone: 520-407-5607 Site Profile: Not available Email: cotanez@uchcaz.org www.uchcaz.org/schoolwellness.php 10499904C7 United Community Health Center-Maria 17 Designated Auxiliadora, 10499904QU Continental 13 Designated HRSA Data Warehouse 174 of 224 July 4, 2016
County: Pima County (75 sites listed) UCHC - Wellness Center at Old Vail Middle School UDS Number: 09359L Approved: 8/27/2011 Address: 13299 E Colossal Cave Rd Expires: --- Vail, AZ 85641-9001 Contact: Christina Otanez Telephone: 520-762-5200 Address: 1260 S Campbell Ave Bldg 2 Vacancies: 0 Green Valley, AZ 85614-0503 Clinicians: 0 Telephone: 520-407-5607 Site Profile: Not available Email: cotanez@uchcaz.org uchcaz.org/servicearea.php 10499904C7 United Community Health Center-Maria 17 Designated Auxiliadora, UCHC - Wellness Center at Robles Elementary School UDS Number: 09359C Approved: 8/27/2011 Address: 9875 S Sasabe Rd Expires: --- Tucson, AZ 85736-1259 Contact: Christina Otanez Telephone: 520-822-9418 Address: 1260 S Campbell Ave Bldg 2 Vacancies: 0 Green Valley, AZ 85614-0503 Clinicians: 0 Telephone: 520-407-5607 Site Profile: Not available Email: cotanez@uchcaz.org uchcaz.org/schoolwellness.php 1049990432 Arivaca 9 Designated 10499904C7 United Community Health Center-Maria Auxiliadora, 17 Designated HRSA Data Warehouse 175 of 224 July 4, 2016
County: Pima County (75 sites listed) UCHC - Wellness Center at Sahuarita Intermediate School UDS Number: 09359G Approved: 8/27/2011 Address: 350 W Sahuarita Rd Expires: --- Sahuarita, AZ 85629-9000 Contact: Christina Otanez Telephone: 520-625-3502 Address: 1260 S Campbell Ave Bldg 2 Vacancies: 0 Green Valley, AZ 85614-0503 Clinicians: 0 Telephone: 520-407-5607 Site Profile: Not available Email: cotanez@uchcaz.org uchcaz.org/schoolwellness.php 1049990432 Arivaca 9 Designated 10499904C7 United Community Health Center-Maria Auxiliadora, 17 Designated UCHC - Wellness Center at Sopori School UDS Number: 09359F Approved: 8/27/2011 Address: 5000 E Arivaca Rd Expires: --- Amado, AZ 85645 Contact: Christina Otanez Telephone: 520-625-3502 Address: 1260 S Campbell Ave Bldg 2 Vacancies: 0 Green Valley, AZ 85614-0503 Clinicians: 0 Telephone: 520-407-5607 Site Profile: Not available Email: cotanez@uchcaz.org uchcaz.org/schoolwellness.php 1049990432 Arivaca 9 Designated 10499904C7 United Community Health Center-Maria Auxiliadora, 17 Designated HRSA Data Warehouse 176 of 224 July 4, 2016
County: Pima County (75 sites listed) UCHC - Wellness Center at Sycamore School UDS Number: 238082 Approved: 8/27/2011 Address: 16701 S Houghton Rd Expires: --- Vail, AZ 85641-2157 Contact: Christina Otanez Telephone: 520-879-3527 Address: 1260 S Campbell Ave Bldg 2 Vacancies: 0 Green Valley, AZ 85614-0503 Clinicians: 0 Telephone: 520-407-5607 Site Profile: Not available Email: cotanez@uchcaz.org www.uchcaz.org/schoolwellness.php 10499904C7 United Community Health Center-Maria 17 Designated Auxiliadora, 10499904QU Continental 13 Designated County: Pinal County (46 sites listed) Arizona Counseling & Treatment Services - Arizona City UDS Number: 786714 Approved: 7/1/2014 Address: 13100 S Sunland Gin Rd Expires: 12/31/2017 Arizona City, AZ 85123 Contact: Edgar Carbajal Telephone: 928-376-0220 Address: 1590 S 2nd Ave Vacancies: 0 Yuma, AZ 85364-4728 Clinicians: 0 Telephone: 928-376-0220 Site Profile: Not available Email: ecarbajal@actsaz.com www.actsaz.com/ 7049990401 Pinal/Gila Catchment Area 18 Designated HRSA Data Warehouse 177 of 224 July 4, 2016
County: Pinal County (46 sites listed) Arizona Counseling & Treatment Services - Coolidge UDS Number: 787193 Approved: 7/1/2014 Address: 120b N Arizona Blvd Expires: 12/31/2017 Coolidge, AZ 85128-4715 Contact: Edgar Carbajal Telephone: 928-376-0220 Address: 1590 S 2nd Ave Vacancies: 0 Yuma, AZ 85364-4728 Clinicians: 0 Telephone: 928-376-0220 Site Profile: Not available Email: ecarbajal@actsaz.com www.actsaz.com/ 7049990401 Pinal/Gila Catchment Area 18 Designated Arizona State Prison Complex - Eyman UDS Number: 091060A Approved: 10/14/2015 Address: 4374 E Butte Ave Expires: 12/31/2018 Florence, AZ 85132 Contact: Blake Farrill Telephone: 314-919-9836 Address: 12647 Olive Blvd Vacancies: 0 Saint Louis, MO 63141-6393 Clinicians: 2 Telephone: 314-919-9351 Site Profile: Not available Email: blake.farrill@corizonhealth.com www.corizonhealth.com 1049990493 Arizona State Prison - Eyman 12 Designated 6049990448 Arizona State Prison Complex - Eyman 12 Designated 7049990413 Arizona State Prison - Eyman 21 Designated HRSA Data Warehouse 178 of 224 July 4, 2016
County: Pinal County (46 sites listed) Arizona State Prison Complex - Florence UDS Number: 091060B Approved: 10/14/2015 Address: 1305 E Butte Ave Expires: 12/31/2018 Florence, AZ 85132 Contact: Blake Farrill Telephone: 314-919-9836 Address: 12647 Olive Blvd Vacancies: 0 Saint Louis, MO 63141-6393 Clinicians: 4 Telephone: 314-919-9351 Site Profile: Not available Email: blake.farrill@corizonhealth.com www.corizonhealth.com 10499904QL Arizona State Prison - Florence 18 Designated 6049990451 Arizona State Prison Complex - Florence 12 Designated 7049990434 Arizona State Prison - Florence 21 Designated Arizona's Children Association - Apache Junction UDS Number: 093722B Approved: 4/1/2013 Address: 2066 W Apache Trail Rd Expires: 12/31/2016 Apache Junction, AZ 85120 Contact: Tifney Tihey Telephone: 480-503-8530 Address: 711 E Missouri 200 Vacancies: 0 Phoenix, AZ 85014 Clinicians: 1 Telephone: 602-234-3733 Site Profile: Not available Email: ttihey@arizonaschildren.org www.arizonaschildren.org 7049990401 Pinal/Gila Catchment Area 18 Designated HRSA Data Warehouse 179 of 224 July 4, 2016
County: Pinal County (46 sites listed) Arizona's Children Association - Casa Grande UDS Number: 929064 Approved: 6/24/2016 Address: 2028 N Trekell Rd Expires: 12/31/2019 Casa Grande, AZ 85122-1326 Contact: Tifney Tihey Telephone: 480-503-8530 Address: 711 E Missouri 200 Vacancies: 0 Phoenix, AZ 85014 Clinicians: 0 Telephone: 602-234-3733 Site Profile: Not available Email: ttihey@arizonaschildren.org www.arizonaschildren.org 7049990401 Pinal/Gila Catchment Area 18 Designated Arizona's Children Association - Coolidge UDS Number: 093722C Approved: 4/1/2013 Address: 2800 N Highway 87 Expires: 12/31/2016 Coolidge, AZ 85128-9460 Contact: Tifney Tihey Telephone: 520-723-6893 Address: 711 E Missouri 200 Vacancies: 0 Phoenix, AZ 85014 Clinicians: 0 Telephone: 602-234-3733 Site Profile: Not available Email: ttihey@arizonaschildren.org www.arizonaschildren.org 7049990401 Pinal/Gila Catchment Area 18 Designated HRSA Data Warehouse 180 of 224 July 4, 2016
County: Pinal County (46 sites listed) Community Bridges, Inc. - Casa Grande Outpatient UDS Number: 868505 Approved: 7/28/2015 Address: 675 E Cottonwood Ln Expires: 12/31/2018 Casa Grande, AZ 85122-2032 Contact: Amy Little-Hall Telephone: 520-426-0088 Address: 1855 W Baseline Rd # 1855 Vacancies: 0 Mesa, AZ 85202-9000 Clinicians: 0 Telephone: 480-831-7566 Site Profile: Not available Email: alittle-hall@cbridges.com communitybridgesaz.org/ 7049990401 Pinal/Gila Catchment Area 18 Designated Community Health Associates - Casa Grande (half-time only) UDS Number: 906081 Approved: 6/14/2016 Address: 1923 N Trekell Rd Expires: 12/31/2019 Casa Grande, AZ 85122-1706 Contact: Allison Nicol Telephone: 928-376-0026 Address: 2851 S Avenue B Bldg 4 Vacancies: 0 Yuma, AZ 85364-7726 Clinicians: 0 Telephone: 928-376-0026 Site Profile: Not available Email: anicol@chaarizona.com www.chaarizona.com/ 7049990401 Pinal/Gila Catchment Area 18 Designated HRSA Data Warehouse 181 of 224 July 4, 2016
County: Pinal County (46 sites listed) CVRMC - Kearny Clinic UDS Number: 12427 Approved: 10/31/2013 Address: 100 Tilbury Dr Expires: 12/31/2016 Kearny, AZ 85137 Contact: Frank Stapleton Telephone: 520-363-5573 Address: 100 Tilbury Dr Vacancies: 0 Kearny, AZ 85137 Clinicians: 0 Telephone: 928-402-1131 Site Profile: Not available Email: fstapleton@cvrmc.org www.cvrmc.org/getpage.php?name=regional_kearny&sub=regional%20clinics 10499904E2 Superior/Kearny 13 Designated 10499904QM Kearny Clinic 19 Designated CVRMC - Superior Clinic UDS Number: 683354 Approved: 10/26/2013 Address: 1134 W Us Highway 60 Expires: 12/31/2016 Superior, AZ 85173-3400 Contact: Frank Stapleton Telephone: 520-689-2423 Address: 100 Tilbury Dr Vacancies: 0 Kearny, AZ 85137 Clinicians: 0 Telephone: 928-402-1131 Site Profile: Not available Email: fstapleton@cvrmc.org www.cvrmc.org/getpage.php?name=regional_superior&sub=regional%20clinics 104999040A Superior Clinic 18 Designated HRSA Data Warehouse 182 of 224 July 4, 2016
County: Pinal County (46 sites listed) Desert Visions Youth Wellness Center UDS Number: 13606 Approved: 4/14/2011 Address: 198 S Skill Center Rd Expires: 1/1/2099 Sacaton, AZ 85147 Contact: David Beckstead Telephone: 520-562-3801 Address: 198 S Skill Center Rd Vacancies: 0 Sacaton, AZ 85147 Clinicians: 0 Telephone: 520-562-4241 Site Profile: Not available Email: david.beckstead@ihs.gov www.ihs.gov/phoenix/index.cfm?module=dsp_phx_yw_desertvision 7049990401 Pinal/Gila Catchment Area 18 Designated 704999047G Desert Visions Wellness Center 17 Designated Gila River Health Care - Ak-Chin Clinic UDS Number: 13608 Approved: 4/14/2011 Address: 48203 W Farrell Rd Expires: 1/1/2099 Maricopa, AZ 85139-3806 Contact: Sara Phillips Telephone: 520-568-3881 Address: 483 W Seed Farm Rd Vacancies: 0 Sacaton, AZ 85147 Clinicians: 0 Telephone: 602-528-1398 Site Profile: Not available Email: sphillips@grhc.org www.grhc.org/ 10499904Q2 Maricopa 12 Designated 10499904QP Gila River Health Care Corporation 18 Designated 60499904FY Gila River Health Care Corporation 17 Designated 7049990481 Gila River Health Care Corporation 21 Designated HRSA Data Warehouse 183 of 224 July 4, 2016
County: Pinal County (46 sites listed) Gila River Health Care - HuHuKam Outpatient Services UDS Number: 0933120 Approved: 8/5/2008 Address: 483 W Seedfarm Rd Expires: 6/30/2012 Sacaton, AZ 85147 Contact: Sara Phillips Telephone: 520-562-3321 Address: 483 W Seed Farm Rd Vacancies: 3 Sacaton, AZ 85147 Clinicians: 12 Telephone: 602-528-1398 Site Profile: Not available Email: sphillips@grhc.org www.grhc.org/ 10499904QP Gila River Health Care Corporation 18 Designated 60499904FY Gila River Health Care Corporation 17 Designated 7049990401 Pinal/Gila Catchment Area 18 Designated 7049990481 Gila River Health Care Corporation 21 Designated Helping Associates, Inc. UDS Number: 0923140 Approved: 4/16/2013 Address: 1901 N Trekell Rd Expires: 12/31/2016 Casa Grande, AZ 85122-1770 Contact: Joan McGillicuddy Telephone: 520-836-1029 Address: 1901 N Trekell Rd Vacancies: 1 Casa Grande, AZ 85122-1770 Clinicians: 2 Telephone: 520-836-1029 Site Profile: Not available Email: jmcgillicuddy@helpingassociates.com helpingassociates.com/ 7049990401 Pinal/Gila Catchment Area 18 Designated HRSA Data Warehouse 184 of 224 July 4, 2016
County: Pinal County (46 sites listed) Horizon Health & Wellness - Apache Junction Outpatient Services UDS Number: 178009 Approved: 8/3/2011 Address: 625 N Plaza Dr Expires: 8/3/2014 Apache Junction, AZ 85120-5501 Contact: Fred Karst Telephone: 480-983-0065 Address: 625 N Plaza Dr Vacancies: 1 Apache Junction, AZ 85120-5501 Clinicians: 3 Telephone: 480-226-4574 Site Profile: Not available Email: FredK@mhwaz.org www.mhwaz.org 104999040K Mountain Health and Wellness 14 Designated 7049990401 Pinal/Gila Catchment Area 18 Designated 704999040D Mountain Health and Wellness 22 Designated Horizon Health & Wellness - Broadway Road UDS Number: 872290 Approved: 9/3/2015 Address: 477 E Broadway Ave Expires: 12/31/2018 Apache Junction, AZ 85119-5201 Contact: Fred Karst Telephone: 480-983-0065 Address: 625 N Plaza Dr Vacancies: 0 Apache Junction, AZ 85120-5501 Clinicians: 0 Telephone: 480-226-4574 Site Profile: Not available Email: FredK@mhwaz.org www.mhwaz.org 104999040K Mountain Health and Wellness 14 Designated 704999040D Mountain Health and Wellness 22 Designated HRSA Data Warehouse 185 of 224 July 4, 2016
County: Pinal County (46 sites listed) Horizon Health & Wellness - Children & Family Prevention UDS Number: 09173G Approved: 10/22/2015 Address: 5497 W Mccartney Rd Expires: 12/31/2018 Coolidge, AZ 85228 Contact: Fred Karst Telephone: 520-723-9800 Address: 625 N Plaza Dr Vacancies: 0 Apache Junction, AZ 85120-5501 Clinicians: 0 Telephone: 480-226-4574 Site Profile: Not available Email: FredK@mhwaz.org www.horizonhumanservices.org 7049990401 Pinal/Gila Catchment Area 18 Designated Horizon Health & Wellness - Kearny Outpatient Services UDS Number: 179018 Approved: 4/30/2012 Address: 100 Tilbury Rd Expires: 12/31/2015 Kearny, AZ 85137 Contact: Fred Karst Telephone: 520-363-9578 Address: 625 N Plaza Dr Vacancies: 0 Apache Junction, AZ 85120-5501 Clinicians: 0 Telephone: 480-226-4574 Site Profile: Not available Email: FredK@mhwaz.org www.mhwaz.org/locations/ 104999040K Mountain Health and Wellness 14 Designated 7049990401 Pinal/Gila Catchment Area 18 Designated 704999040D Mountain Health and Wellness 22 Designated HRSA Data Warehouse 186 of 224 July 4, 2016
County: Pinal County (46 sites listed) Horizon Health & Wellness - Oracle Outpatient Services UDS Number: 092059B Approved: 8/8/2009 Address: 980 E Mt Lemmon Rd Expires: 6/30/2013 Oracle, AZ 85623 Contact: Fred Karst Telephone: 520-896-9240 Address: 625 N Plaza Dr Vacancies: 0 Apache Junction, AZ 85120-5501 Clinicians: 0 Telephone: 480-226-4574 Site Profile: Not available Email: FredK@mhwaz.org www.mhwaz.org/locations/ 104999040K Mountain Health and Wellness 14 Designated 7049990401 Pinal/Gila Catchment Area 18 Designated 704999040D Mountain Health and Wellness 22 Designated Horizon Health & Wellness - Outpatient Adult Recovery Center UDS Number: 09173C Approved: 10/22/2015 Address: 120 W Main St Expires: 12/31/2018 Casa Grande, AZ 85122-4820 Contact: Fred Karst Telephone: 520-421-9910 Address: 625 N Plaza Dr Vacancies: 0 Apache Junction, AZ 85120-5501 Clinicians: 1 Telephone: 480-226-4574 Site Profile: Not available Email: FredK@mhwaz.org www.horizonhumanservices.org/index.asp 7049990401 Pinal/Gila Catchment Area 18 Designated HRSA Data Warehouse 187 of 224 July 4, 2016
County: Pinal County (46 sites listed) Horizon Health & Wellness - Outpatient Children UDS Number: 09173H Approved: 10/22/2015 Address: 210 E Cottonwood Ln Expires: 12/31/2018 Casa Grande, AZ 85122-2514 Contact: Fred Karst Telephone: 520-836-1688 Address: 625 N Plaza Dr Vacancies: 0 Apache Junction, AZ 85120-5501 Clinicians: 0 Telephone: 480-226-4574 Site Profile: Not available Email: FredK@mhwaz.org www.horizonhumanservices.org 7049990401 Pinal/Gila Catchment Area 18 Designated Horizon Health & Wellness - San Manuel Outpatient Services UDS Number: 179095 Approved: 4/30/2012 Address: 23 S Mcnab Pkwy Expires: 12/31/2015 San Manuel, AZ 85631-1156 Contact: Fred Karst Telephone: 520-896-9240 Address: 625 N Plaza Dr Vacancies: 0 Apache Junction, AZ 85120-5501 Clinicians: 0 Telephone: 480-226-4574 Site Profile: Not available Email: FredK@mhwaz.org www.mhwaz.org/ 104999040K Mountain Health and Wellness 14 Designated 7049990401 Pinal/Gila Catchment Area 18 Designated 704999040D Mountain Health and Wellness 22 Designated HRSA Data Warehouse 188 of 224 July 4, 2016
County: Pinal County (46 sites listed) Horizon Health & Wellness - Superior Outpatient Services (half-time only) UDS Number: 092059G Approved: 7/22/2013 Address: 400 W Main St Expires: 12/31/2016 Superior, AZ 85173-2527 Contact: Fred Karst Telephone: 520-689-2457 Address: 625 N Plaza Dr Vacancies: 0 Apache Junction, AZ 85120-5501 Clinicians: 0 Telephone: 480-226-4574 Site Profile: Not available Email: FredK@mhwaz.org www.mhwaz.org/ 10499904E2 Superior/Kearny 13 Designated 7049990401 Pinal/Gila Catchment Area 18 Designated Hu Hu Kam Memorial Hospital (Critical Access Hospital) UDS Number: 804708 Approved: 3/18/2016 Address: 483 W Seed Farm Rd Expires: 12/31/2019 Sacaton, AZ 85147 Contact: --- Telephone: 520-562-3321 Address: --- Vacancies: 0 Clinicians: 0 Telephone: --- Site Profile: Not available Email: --- grhc.org/our-campus/hu-hu-kam-memorial-hospital/ 10499904QP Gila River Health Care Corporation 18 Designated 7049990401 Pinal/Gila Catchment Area 18 Designated 7049990481 Gila River Health Care Corporation 21 Designated HRSA Data Warehouse 189 of 224 July 4, 2016
County: Pinal County (46 sites listed) ICE Medical Facility - Eloy UDS Number: 143700 Approved: 5/22/2008 Address: 1705 E Hanna Rd Expires: 12/31/2099 Eloy, AZ 85131-9612 Contact: LT Tameka C. Gooding Telephone: 520-466-2000 Address: 500 12th St Sw Vacancies: 0 Washington, DC 20536-5098 Clinicians: 0 Telephone: 202-732-3632 Site Profile: Not available Email: tameka.gooding@ice.dhs.gov www.ice.gov/ice-health-service-corps 1048289067 Immigration and Customs Enforcement-Eloy 21 Designated 6048582252 Immigration and Customs Enforcement-Eloy 6 Designated 7049309606 Immigration and Customs Enforcement-Eloy 15 Designated ICE Medical Facility - Florence UDS Number: 140170 Approved: 9/16/2008 Address: 3250 N Pinal Pkwy Expires: 12/31/2099 Florence, AZ 85132-9459 Contact: LT Tameka C. Gooding Telephone: 520-868-8443 Address: 500 12th St Sw Vacancies: 0 Washington, DC 20536-5098 Clinicians: 1 Telephone: 202-732-3632 Site Profile: Not available Email: tameka.gooding@ice.dhs.gov www.ice.gov/ice-health-service-corps 1049990463 Immigration and Customs Enforcement - 18 Designated Florence 6049990484 Immigration and Customs Enforcement - 18 Designated Florence 7049990455 Immigration and Customs Enforcement - Florence 21 Designated HRSA Data Warehouse 190 of 224 July 4, 2016
County: Pinal County (46 sites listed) ICE-Contracted Medical Facility - Florence Correctional Center UDS Number: 881591 Approved: 1/11/2016 Address: 1100 Bowling Rd Expires: 12/31/2019 Florence, AZ 85132 Contact: LT Tameka C. Gooding Telephone: 520-868-9095 Address: 500 12th St Sw Vacancies: 0 Washington, DC 20536-5098 Clinicians: 0 Telephone: 202-732-3632 Site Profile: Not available Email: tameka.gooding@ice.dhs.gov https://www.ice.gov/detention-facility/florence-correctional-center 1044356503 Florence Correctional Center 12 Designated 6049719723 Florence Correctional Center 18 Designated 7047320931 Florence Correctional Center 15 Designated La Frontera Arizona EMPACT Suicide Prevention Center - Maricopa UDS Number: 336227 Approved: 11/15/2014 Address: 21476 N John Wayne Pkwy Expires: 12/31/2017 Maricopa, AZ 85139-8983 Contact: Dawn Staples Telephone: 520-316-6068 Address: 21476 N John Wayne Pkwy Vacancies: 0 Maricopa, AZ 85139-8983 Clinicians: 1 Telephone: 520-316-6068 Site Profile: Not available Email: dawn.staples@empact-spc.com www.lafrontera-empact.org 7049990401 Pinal/Gila Catchment Area 18 Designated HRSA Data Warehouse 191 of 224 July 4, 2016
County: Pinal County (46 sites listed) La Frontera Arizona EMPACT Suicide Prevention Center - San Tan Valley UDS Number: 932292 Approved: 6/23/2016 Address: 2474 E Hunt Highway 100 Expires: 12/31/2019 San Tan Valley, AZ 85143 Contact: Dawn Staples Telephone: 480-784-1514 Address: 21476 N John Wayne Pkwy Vacancies: 0 Maricopa, AZ 85139-8983 Clinicians: 0 Telephone: 520-316-6068 Site Profile: Not available Email: dawn.staples@empact-spc.com lafrontera-empact.org/ 7049990401 Pinal/Gila Catchment Area 18 Designated Main Street Family Practice UDS Number: 0932480 Approved: 4/6/2013 Address: 660 S Main St Expires: 12/31/2016 Florence, AZ 85232 Contact: Beth Lizarraga Telephone: 520-868-1400 Address: 660 S Main St Vacancies: 0 Florence, AZ 85132 Clinicians: 0 Telephone: 520-868-1400 Site Profile: Not available Email: beth.lizarraga1@gmail.com www.mainstreetdocs.com 10499904N1 Florence 13 Designated HRSA Data Warehouse 192 of 224 July 4, 2016
County: Pinal County (46 sites listed) Pinal Hispanic Council - Centro de Ayuda UDS Number: 538249 Approved: 2/21/2013 Address: 107 E 4th St Expires: 12/31/2016 Eloy, AZ 85131-2506 Contact: Maria Tarango Telephone: 520-466-7765 Address: 107 E 4th St Vacancies: 0 Eloy, AZ 85131-2506 Clinicians: 0 Telephone: 520-466-7765 Site Profile: Not available Email: mtarango@pinalhispaniccouncil.org www.pinalhispaniccouncil.org/ 7049990401 Pinal/Gila Catchment Area 18 Designated Pinal Hispanic Council - Centro de Conocimiento UDS Number: 538558 Approved: 2/21/2013 Address: 330 N Picacho St Expires: 12/31/2016 Casa Grande, AZ 85122-5249 Contact: Maria Tarango Telephone: 520-876-5833 Address: 107 E 4th St Vacancies: 0 Eloy, AZ 85131-2506 Clinicians: 0 Telephone: 520-466-7765 Site Profile: Not available Email: mtarango@pinalhispaniccouncil.org www.pinalhispaniccouncil.org/ 7049990401 Pinal/Gila Catchment Area 18 Designated HRSA Data Warehouse 193 of 224 July 4, 2016
County: Pinal County (46 sites listed) Pinal Hispanic Council - Centro de Unidad UDS Number: 538413 Approved: 2/21/2013 Address: 556 S Arizona Blvd Expires: 12/31/2016 Coolidge, AZ 85128-5106 Contact: Maria Tarango Telephone: 520-723-7405 Address: 107 E 4th St Vacancies: 0 Eloy, AZ 85131-2506 Clinicians: 0 Telephone: 520-466-7765 Site Profile: Not available Email: mtarango@pinalhispaniccouncil.org www.pinalhispaniccouncil.org/ 7049990401 Pinal/Gila Catchment Area 18 Designated Sun Life Family Health Center - Apache Junction UDS Number: 795841 Approved: 7/31/2014 Address: 2080 W Southern Ave Expires: 12/31/2017 Apache Junction, AZ 85120-7455 Contact: Robert Babyar, M.D. Telephone: 480-351-2850 Address: 865 N Arizola Rd Vacancies: 0 Casa Grande, AZ 85122-6011 Clinicians: 0 Telephone: 520-381-0356 Site Profile: Not available Email: robert.babyar@slfhc.org www.slfhc.org/component/center/?cid=53 10499904B5 Sun Life Family Health Center 14 Designated 7049990420 Sun Life Family Health Center 19 Designated HRSA Data Warehouse 194 of 224 July 4, 2016
County: Pinal County (46 sites listed) Sun Life Family Health Center - Casa Grande UDS Number: 090030 Approved: 4/15/2009 Address: 865 N Arizola Rd Expires: 4/14/2012 Casa Grande, AZ 85122-6011 Contact: Robert Babyar, M.D. Telephone: 520-836-3446 Address: 865 N Arizola Rd Vacancies: 0 Casa Grande, AZ 85122-6011 Clinicians: 4 Telephone: 520-381-0356 Site Profile: Not available Email: robert.babyar@slfhc.org www.slfhc.org/component/center/?cid=1 10499904B5 Sun Life Family Health Center 14 Designated 6049990469 Sun Life Family Health Center 19 Designated 60499904A1 Low Income - Casa Grande 16 Designated 7049990401 Pinal/Gila Catchment Area 18 Designated 7049990420 Sun Life Family Health Center 19 Designated Sun Life Family Health Center - Coolidge UDS Number: 09003D Approved: 8/27/2011 Address: 1284 N Arizona Boulelvard Expires: --- Coolidge, AZ 85128 Contact: Robert Babyar, M.D. Telephone: 520-723-9131 Address: 865 N Arizola Rd Vacancies: 0 Casa Grande, AZ 85122-6011 Clinicians: 1 Telephone: 520-381-0356 Site Profile: Not available Email: robert.babyar@slfhc.org www.slfhc.org/component/center/?cid=33 10499904B5 Sun Life Family Health Center 14 Designated 10499904M8 Coolidge 14 Designated HRSA Data Warehouse 195 of 224 July 4, 2016
County: Pinal County (46 sites listed) Sun Life Family Health Center - Dental Mobile Van UDS Number: 09003G Approved: 8/27/2011 Address: 865 N Arizola Rd Expires: --- Casa Grande, AZ 85122-6011 Contact: Robert Babyar, M.D. Telephone: 520-350-7600 Address: 865 N Arizola Rd Vacancies: 0 Casa Grande, AZ 85122-6011 Clinicians: 1 Telephone: 520-381-0356 Site Profile: Not available Email: robert.babyar@slfhc.org www.sunlifefamilyhealth.org/index.php/component/center/?sname=family%20healthcare 6049990469 Sun Life Family Health Center 19 Designated 60499904A1 Low Income - Casa Grande 16 Designated Sun Life Family Health Center - Eloy UDS Number: 09003B Approved: 9/15/2009 Address: 205 N Stuart Blvd Expires: 6/30/2013 Eloy, AZ 85131-2507 Contact: Robert Babyar, M.D. Telephone: 520-466-7883 Address: 865 N Arizola Rd Vacancies: 0 Casa Grande, AZ 85122-6011 Clinicians: 1 Telephone: 520-381-0356 Site Profile: Not available Email: robert.babyar@slfhc.org www.slfhc.org/component/center/?cid=34 10499904B5 Sun Life Family Health Center 14 Designated HRSA Data Warehouse 196 of 224 July 4, 2016
County: Pinal County (46 sites listed) Sun Life Family Health Center - Florence UDS Number: 888261 Approved: 2/2/2016 Address: 150 S Main St Expires: 12/31/2019 Florence, AZ 85132 Contact: Robert Babyar, M.D. Telephone: 520-868-5811 Address: 865 N Arizola Rd Vacancies: 0 Casa Grande, AZ 85122-6011 Clinicians: 0 Telephone: 520-381-0356 Site Profile: Not available Email: robert.babyar@slfhc.org www.slfhc.org/component/center/?cid=57 10499904B5 Sun Life Family Health Center 14 Designated 10499904N1 Florence 13 Designated 7049990401 Pinal/Gila Catchment Area 18 Designated Sun Life Family Health Center - Maricopa Family Practice UDS Number: 872745 Approved: 9/17/2015 Address: 44572 W Bowling Rd Expires: 12/31/2018 Maricopa, AZ 85138 Contact: Robert Babyar, M.D. Telephone: 520-568-2245 Address: 865 N Arizola Rd Vacancies: 0 Casa Grande, AZ 85122-6011 Clinicians: 1 Telephone: 520-381-0356 Site Profile: Not available Email: robert.babyar@slfhc.org www.slfhc.org/component/center/?cid=56 10499904B5 Sun Life Family Health Center 14 Designated 7049990420 Sun Life Family Health Center 19 Designated HRSA Data Warehouse 197 of 224 July 4, 2016
County: Pinal County (46 sites listed) Sun Life Family Health Center - Oracle UDS Number: 09003F Approved: 8/27/2011 Address: 1870 W American Ave Expires: --- Oracle, AZ 85623-6015 Contact: Robert Babyar, M.D. Telephone: 520-896-2092 Address: 865 N Arizola Rd Vacancies: 0 Casa Grande, AZ 85122-6011 Clinicians: 0 Telephone: 520-381-0356 Site Profile: Not available Email: robert.babyar@slfhc.org www.slfhc.org/component/center/?cid=36 1049990437 San Manuel 15 Designated 10499904B5 Sun Life Family Health Center 14 Designated Sun Life Family Health Center - San Manuel UDS Number: 09003E Approved: 8/27/2011 Address: 23 S Mcnab Pkwy Expires: --- San Manuel, AZ 85631-1156 Contact: Robert Babyar, M.D. Telephone: 520-385-2234 Address: 865 N Arizola Rd Vacancies: 1 Casa Grande, AZ 85122-6011 Clinicians: 0 Telephone: 520-381-0356 Site Profile: Not available Email: robert.babyar@slfhc.org www.slfhc.org/component/center/?cid=37 1049990437 San Manuel 15 Designated 10499904B5 Sun Life Family Health Center 14 Designated 7049990401 Pinal/Gila Catchment Area 18 Designated 7049990420 Sun Life Family Health Center 19 Designated HRSA Data Warehouse 198 of 224 July 4, 2016
County: Pinal County (46 sites listed) Sun Life Family Health Center for Children - Casa Grande UDS Number: 236878 Approved: 8/27/2011 Address: 1856 E Florence Blvd Expires: --- Casa Grande, AZ 85122-5303 Contact: Robert Babyar, M.D. Telephone: 520-381-0380 Address: 865 N Arizola Rd Vacancies: 0 Casa Grande, AZ 85122-6011 Clinicians: 0 Telephone: 520-381-0356 Site Profile: Not available Email: robert.babyar@slfhc.org www.slfhc.org/component/center/?cid=38 10499904B5 Sun Life Family Health Center 14 Designated 7049990401 Pinal/Gila Catchment Area 18 Designated 7049990420 Sun Life Family Health Center 19 Designated Sun Life Family Health Center for Women - Casa Grande UDS Number: 774979 Approved: 5/28/2014 Address: 1864 E Florence Blvd Expires: 12/31/2017 Casa Grande, AZ 85122-5457 Contact: Robert Babyar, M.D. Telephone: 520-381-0380 Address: 865 N Arizola Rd Vacancies: 0 Casa Grande, AZ 85122-6011 Clinicians: 0 Telephone: 520-381-0356 Site Profile: Not available Email: robert.babyar@slfhc.org www.slfhc.org/component/center/?cid=41 10499904B5 Sun Life Family Health Center 14 Designated 7049990420 Sun Life Family Health Center 19 Designated HRSA Data Warehouse 199 of 224 July 4, 2016
County: Pinal County (46 sites listed) Sun Life Family Health Center for Women - Maricopa UDS Number: 09003A Approved: 9/15/2009 Address: 44765 W Hathaway Ave Expires: 6/30/2013 Maricopa, AZ 85139 Contact: Robert Babyar, M.D. Telephone: 520-568-2245 Address: 865 N Arizola Rd Vacancies: 0 Casa Grande, AZ 85122-6011 Clinicians: 0 Telephone: 520-381-0356 Site Profile: Not available Email: robert.babyar@slfhc.org www.slfhc.org/component/center/?cid=35 10499904B5 Sun Life Family Health Center 14 Designated 10499904Q2 Maricopa 12 Designated County: Santa Cruz County (6 sites listed) Arizona's Children Association - Nogales UDS Number: 929254 Approved: 6/24/2016 Address: 1860 N State Dr Expires: 12/31/2019 Nogales, AZ 85621-2457 Contact: Tifney Tihey Telephone: 520-377-0843 Address: 711 E Missouri 200 Vacancies: 0 Phoenix, AZ 85014 Clinicians: 0 Telephone: 602-234-3733 Site Profile: Not available Email: ttihey@arizonaschildren.org www.arizonaschildren.org 7049990452 Southeast Arizona Catchment Area 18 Designated HRSA Data Warehouse 200 of 224 July 4, 2016
County: Santa Cruz County (6 sites listed) Community Health Associates - Nogales UDS Number: 758485 Approved: 5/2/2014 Address: 32 Boulevard Del Rey David Expires: 12/31/2017 Nogales, AZ 85621-9667 Contact: Leigh Anderton Telephone: 928-376-0026 Address: 2851 S Avenue B Vacancies: 0 Yuma, AZ 85364-7726 Clinicians: 0 Telephone: 928-446-1038 Site Profile: Not available Email: landerton@ciayuma.com www.chaarizona.com/ 7049990452 Southeast Arizona Catchment Area 18 Designated Mariposa CHC - Family Health Center UDS Number: 09009A Approved: 1/16/2007 Address: 101 N Taylor Ln Expires: 9/30/2011 Patagonia, AZ 85624-9600 Contact: SUE FOUNTAIN Telephone: 520-281-1550 Address: 1852 N Mastick Way Vacancies: 0 Nogales, AZ 85621-1063 Clinicians: 0 Telephone: 520-281-1550 Site Profile: Not available Email: sfountain@mariposachc.net www.mariposachc.net/facilities-technology/patagonia-family-center/ 104023 Santa Cruz County 9 Designated 10499904B6 Mariposa Community Health Center 14 Designated HRSA Data Warehouse 201 of 224 July 4, 2016
County: Santa Cruz County (6 sites listed) Mariposa CHC - Nogales UDS Number: 090090 Approved: 1/16/2007 Address: 1852 N Mastick Way Expires: 9/30/2011 Nogales, AZ 85621-1063 Contact: SUE FOUNTAIN Telephone: 520-281-1550 Address: 1852 N Mastick Way Vacancies: 3 Nogales, AZ 85621-1063 Clinicians: 2 Telephone: 520-281-1550 Site Profile: Not available Email: sfountain@mariposachc.net www.mariposachc.net/facilities-technology/mariposa-nogales/ 104023 Santa Cruz County 9 Designated 10499904B6 Mariposa Community Health Center 14 Designated 6049990471 Mariposa Community Health Center 18 Designated 7049990422 Mariposa Community Health Center 23 Designated 7049990452 Southeast Arizona Catchment Area 18 Designated Mariposa CHC - Rio Rico UDS Number: 09009G Approved: 1/16/2007 Address: 1103 Circulo Mercado Expires: 9/30/2011 Rio Rico, AZ 85648-6248 Contact: SUE FOUNTAIN Telephone: 520-281-1550 Address: 1852 N Mastick Way Vacancies: 0 Nogales, AZ 85621-1063 Clinicians: 0 Telephone: 520-281-1550 Site Profile: Not available Email: sfountain@mariposachc.net www.mariposachc.net/facilities-technology/mariposa-at-rio-rico/ 104023 Santa Cruz County 9 Designated 10499904B6 Mariposa Community Health Center 14 Designated 6049990471 Mariposa Community Health Center 18 Designated HRSA Data Warehouse 202 of 224 July 4, 2016
County: Santa Cruz County (6 sites listed) Pinal Hispanic Council - Centro de Amistad UDS Number: 538657 Approved: 2/21/2013 Address: 275 N Grand Court Plz Expires: 12/31/2016 Nogales, AZ 85621-2744 Contact: Maria Tarango Telephone: 520-287-0015 Address: 107 E 4th St Vacancies: 0 Eloy, AZ 85131-2506 Clinicians: 0 Telephone: 520-466-7765 Site Profile: Not available Email: mtarango@pinalhispaniccouncil.org www.pinalhispaniccouncil.org/ 7049990452 Southeast Arizona Catchment Area 18 Designated County: Yavapai County (21 sites listed) Arizona's Children Association - Prescott UDS Number: 093722D Approved: 4/1/2013 Address: 440 N Washington Ave Expires: 12/31/2016 Prescott, AZ 86301-2642 Contact: Tifney Tihey Telephone: 928-443-1991 Address: 711 E Missouri 200 Vacancies: 0 Phoenix, AZ 85014 Clinicians: 0 Telephone: 602-234-3733 Site Profile: Not available Email: ttihey@arizonaschildren.org www.arizonaschildren.org 7049990403 Northern Arizona Mental Health Catchment 18 Designated Area HRSA Data Warehouse 203 of 224 July 4, 2016
County: Yavapai County (21 sites listed) Black Canyon Community Health Center UDS Number: 0916110 Approved: 11/15/2013 Address: 19251 E Oasis Dr Expires: 12/31/2016 Black Canyon City, AZ 85324-8878 Contact: Bettyjane Reymer Telephone: 623-374-0200 Address: 19251 E Oasis Dr Vacancies: 2 Black Canyon City, AZ 85324-8878 Clinicians: 2 Telephone: 623-374-0200 Site Profile: Not available Email: BCCHC.BC@gmail.com --- 1049990480 Yavapai-South 17 Designated Black Canyon Medical, LLC UDS Number: 0911640 Approved: 11/15/2013 Address: 17301 E Spring Valley Rd Expires: 12/31/2016 Spring Valley, AZ 86333-4263 Contact: Bettyjane Reymer Telephone: 928-632-4909 Address: 19251 E Oasis Dr Vacancies: 1 Black Canyon City, AZ 85324-8878 Clinicians: 0 Telephone: 623-374-0200 Site Profile: Not available Email: BCCHC.BC@gmail.com --- 1049990480 Yavapai-South 17 Designated HRSA Data Warehouse 204 of 224 July 4, 2016
County: Yavapai County (21 sites listed) Community Health Center of Yavapai - Cottonwood UDS Number: 099420 Approved: 11/9/2010 Address: 51 S Brian Mickelsen Pkwy Expires: 11/8/2013 Cottonwood, AZ 86326-3610 Contact: Annette Olson Telephone: 928-583-1000 Address: 1090 Commerce Dr Vacancies: 0 Prescott, AZ 86305-3700 Clinicians: 0 Telephone: 928-442-5285 Site Profile: Not available Email: Annette.Olson@yavapai.us www.chcy.info/ 10499904G3 Yavapai County Health Department 16 Designated 6049990499 Yavapai County Health Department 22 Designated 7049990403 Northern Arizona Mental Health Catchment Area 18 Designated 7049990449 Yavapai County Health Department 24 Designated Community Health Center of Yavapai - Prescott UDS Number: 09942D Approved: 1/29/2007 Address: 1090 Commerce Dr Expires: 9/30/2011 Prescott, AZ 86305-3700 Contact: Annette Olson Telephone: 928-583-1000 Address: 1090 Commerce Dr Vacancies: 0 Prescott, AZ 86305-3700 Clinicians: 0 Telephone: 928-442-5285 Site Profile: Not available Email: Annette.Olson@yavapai.us www.chcy.info/ 10499904G3 Yavapai County Health Department 16 Designated 6049990499 Yavapai County Health Department 22 Designated 7049990403 Northern Arizona Mental Health Catchment Area 18 Designated 7049990449 Yavapai County Health Department 24 Designated HRSA Data Warehouse 205 of 224 July 4, 2016
County: Yavapai County (21 sites listed) Community Health Center of Yavapai - Prescott Valley UDS Number: 09942A Approved: 11/9/2010 Address: 3212 N Windsong Dr Expires: 11/8/2013 Prescott Valley, AZ 86314-2255 Contact: Annette Olson Telephone: 928-583-1000 Address: 1090 Commerce Dr Vacancies: 2 Prescott, AZ 86305-3700 Clinicians: 0 Telephone: 928-442-5285 Site Profile: Not available Email: Annette.Olson@yavapai.us www.chcy.info/ 10499904G3 Yavapai County Health Department 16 Designated 6049990499 Yavapai County Health Department 22 Designated 7049990403 Northern Arizona Mental Health Catchment Area 18 Designated 7049990449 Yavapai County Health Department 24 Designated North Country HealthCare - Ash Fork UDS Number: 09289B Approved: 4/4/2007 Address: 112 Park Ave Expires: 9/30/2011 Ash Fork, AZ 86320 Contact: Sandy Seby Telephone: 928-637-2305 Address: 2920 N 4th St Vacancies: 0 Flagstaff, AZ 86004-1816 Clinicians: 1 Telephone: 928-522-9514 Site Profile: Not available Email: sseby@northcountryhealthcare.org www.northcountryhealthcare.org/where/ash-fork.php 1049990408 Ash Fork 17 Designated 10499904C3 North Country Community Health Center 17 Designated 6049990478 North Country Community Health Center 21 Designated 60499904EO Hualapai Tribe 18 Designated 7049990403 Northern Arizona Mental Health Catchment Area 18 Designated 7049990429 North Country Community Health Center 23 Designated HRSA Data Warehouse 206 of 224 July 4, 2016
County: Yavapai County (21 sites listed) North Country HealthCare - Seligman UDS Number: 09289C Approved: 1/10/2007 Address: 22585 W Oak St Expires: 9/30/2011 Seligman, AZ 86337 Contact: Sandy Seby Telephone: 928-422-4017 Address: 2920 N 4th St Vacancies: 0 Flagstaff, AZ 86004-1816 Clinicians: 1 Telephone: 928-522-9514 Site Profile: Not available Email: sseby@northcountryhealthcare.org www.northcountryhealthcare.org/where/seligman.php 1049990408 Ash Fork 17 Designated 10499904C3 North Country Community Health Center 17 Designated 7049990403 Northern Arizona Mental Health Catchment Area 18 Designated 7049990429 North Country Community Health Center 23 Designated Southwest Behavioral & Health Services - Prescott Valley Outpatient (Suite 200) UDS Number: 691541 Approved: 9/24/2015 Address: 7600 E Florentine Rd Expires: 12/31/2018 Prescott Valley, AZ 86314-1295 Contact: Jessica Mori Telephone: 928-717-1800 Address: 3450 N 3rd St Vacancies: 0 Phoenix, AZ 85012-2331 Clinicians: 0 Telephone: 602-285-4231 Site Profile: Not available Email: jessicamor@sbhservices.org www.sbhservices.org 7049990403 Northern Arizona Mental Health Catchment 18 Designated Area HRSA Data Warehouse 207 of 224 July 4, 2016
County: Yavapai County (21 sites listed) Southwest Behavioral & Health Services - Prescott Valley Outpatient (Suites 101-104) UDS Number: 540240 Approved: 12/21/2015 Address: 7763 E Florentine Rd Expires: 12/31/2018 Prescott Valley, AZ 86314-2289 Contact: Jessica Mori Telephone: 928-772-1610 Address: 3450 N 3rd St Vacancies: 0 Phoenix, AZ 85012-2331 Clinicians: 2 Telephone: 602-285-4231 Site Profile: Not available Email: jessicamor@sbhservices.org www.sbhservices.org 7049990403 Northern Arizona Mental Health Catchment 18 Designated Area Spectrum Healthcare - E. Cottonwood Street UDS Number: 092830 Approved: 10/29/2013 Address: 8 E Cottonwood St Expires: 12/31/2016 Cottonwood, AZ 86326-6237 Contact: Lisa Rhodes Telephone: 928-634-2236 Address: 8 E Cottonwood St Vacancies: 1 Cottonwood, AZ 86326-6237 Clinicians: 0 Telephone: 928-340-1235 Site Profile: Not available Email: lisar@spectrumhealthcare-group.org www.spectrumhealthcare-group.org/ 10499904QQ Yavapai-Northeast 12 Designated 7049990403 Northern Arizona Mental Health Catchment Area 18 Designated HRSA Data Warehouse 208 of 224 July 4, 2016
County: Yavapai County (21 sites listed) Spectrum Healthcare - W. Mingus Avenue UDS Number: 782795 Approved: 6/23/2014 Address: 651 W Mingus Ave Expires: 12/31/2017 Cottonwood, AZ 86326-4006 Contact: Lisa Rhodes Telephone: 928-634-2236 Address: 8 E Cottonwood St Vacancies: 1 Cottonwood, AZ 86326-6237 Clinicians: 1 Telephone: 928-340-1235 Site Profile: Not available Email: lisar@spectrumhealthcare-group.org www.spectrumhealthcare-group.org/ 10499904QQ Yavapai-Northeast 12 Designated 7049990403 Northern Arizona Mental Health Catchment Area 18 Designated The Smiles Movement - Mobile Dental Clinic UDS Number: 687606 Approved: 10/25/2013 Address: 1996 Doug's Park Rd Expires: 12/31/2016 Camp Verde, AZ 86322 Contact: James Hisrich Telephone: 928-567-1832 Address: Po Box 2248 Vacancies: 1 Camp Verde, AZ 86322-2248 Clinicians: 1 Telephone: 928-593-0218 Site Profile: Not available Email: thesmilesmovement@gmail.com thesmilesmovement.com 60499904D9 Low Income - Yavapai-Northeast 14 Designated HRSA Data Warehouse 209 of 224 July 4, 2016
County: Yavapai County (21 sites listed) Verde Valley Medical Clinic - Camp Verde Campus UDS Number: 623062 Approved: 2/7/2013 Address: 460 W Finnie Flat Rd Expires: 12/31/2016 Camp Verde, AZ 86322-7266 Contact: Abigail Russell Telephone: 928-214-3531 Address: 269 S Candy Ln Vacancies: 0 Cottonwood, AZ 86326-4158 Clinicians: 0 Telephone: 928-649-7908 Site Profile: Not available Email: abigail.russell@nahealth.com verdevalleymedicalcenter.com 10499904QQ Yavapai-Northeast 12 Designated Verde Valley Medical Clinic - Cottonwood Campus UDS Number: 622997 Approved: 2/7/2013 Address: 450 S Willard St Expires: 12/31/2016 Cottonwood, AZ 86326-6743 Contact: Abigail Russell Telephone: 928-214-3531 Address: 269 S Candy Ln Vacancies: 0 Cottonwood, AZ 86326-4158 Clinicians: 0 Telephone: 928-649-7908 Site Profile: Not available Email: abigail.russell@nahealth.com verdevalleymedicalcenter.com 10499904QQ Yavapai-Northeast 12 Designated HRSA Data Warehouse 210 of 224 July 4, 2016
County: Yavapai County (21 sites listed) Verde Valley Medical Clinic - Sedona Campus UDS Number: 620622 Approved: 2/7/2013 Address: 61 Bell Rock Plz Expires: 12/31/2016 Sedona, AZ 86351-8810 Contact: Abigail Russell Telephone: 928-214-3531 Address: 269 S Candy Ln Vacancies: 0 Cottonwood, AZ 86326-4158 Clinicians: 0 Telephone: 928-649-7908 Site Profile: Not available Email: abigail.russell@nahealth.com verdevalleymedicalcenter.com 10499904QQ Yavapai-Northeast 12 Designated Verde Valley Medical Clinic - West Sedona Campus UDS Number: 623147 Approved: 2/7/2013 Address: 3700 W State Route 89a Expires: 12/31/2016 Sedona, AZ 86336-4937 Contact: Abigail Russell Telephone: 928-214-3531 Address: 269 S Candy Ln Vacancies: 0 Cottonwood, AZ 86326-4158 Clinicians: 0 Telephone: 928-649-7908 Site Profile: Not available Email: abigail.russell@nahealth.com verdevalleymedicalcenter.com 10499904QQ Yavapai-Northeast 12 Designated HRSA Data Warehouse 211 of 224 July 4, 2016
County: Yavapai County (21 sites listed) West Yavapai Guidance Clinic - Cortez Street UDS Number: 092790 Approved: 11/25/2015 Address: 505 S Cortez St Expires: 12/31/2018 Prescott, AZ 86303-4319 Contact: PAMELA PIERCE Telephone: 928-445-5211 Address: 3343 N Windsong Dr Vacancies: 4 Prescott Valley, AZ 86314-1213 Clinicians: 0 Telephone: 928-583-6411 Site Profile: Not available Email: p.pierce@wygc.org www.wygc.org 7049990403 Northern Arizona Mental Health Catchment 18 Designated Area West Yavapai Guidance Clinic - Hillside Center UDS Number: 09279B Approved: 11/25/2015 Address: 642 Dameron Dr Expires: 12/31/2018 Prescott, AZ 86301-2411 Contact: PAMELA PIERCE Telephone: 928-445-5211 Address: 3343 N Windsong Dr Vacancies: 4 Prescott Valley, AZ 86314-1213 Clinicians: 2 Telephone: 928-583-6411 Site Profile: Not available Email: p.pierce@wygc.org www.wygc.org 7049990403 Northern Arizona Mental Health Catchment 18 Designated Area HRSA Data Warehouse 212 of 224 July 4, 2016
County: Yavapai County (21 sites listed) West Yavapai Guidance Clinic - Ruth Street Office UDS Number: 09279A Approved: 6/6/2014 Address: 625 W Hillside Ave Expires: 12/31/2017 Prescott, AZ 86301-1936 Contact: PAMELA PIERCE Telephone: 928-445-5211 Address: 3343 N Windsong Dr Vacancies: 2 Prescott Valley, AZ 86314-1213 Clinicians: 1 Telephone: 928-583-6411 Site Profile: Not available Email: p.pierce@wygc.org www.wygc.org 7049990403 Northern Arizona Mental Health Catchment 18 Designated Area West Yavapai Guidance Clinic - Windsong Center UDS Number: 09279C Approved: 11/25/2015 Address: 3345 N Windsong Dr Expires: 12/31/2018 Prescott Valley, AZ 86314-2283 Contact: PAMELA PIERCE Telephone: 928-445-5211 Address: 3343 N Windsong Dr Vacancies: 4 Prescott Valley, AZ 86314-1213 Clinicians: 3 Telephone: 928-583-6411 Site Profile: Not available Email: p.pierce@wygc.org www.wygc.org 7049990403 Northern Arizona Mental Health Catchment 18 Designated Area HRSA Data Warehouse 213 of 224 July 4, 2016
County: Yuma County (21 sites listed) Arizona Counseling & Treatment Services - San Luis UDS Number: 788175 Approved: 7/1/2014 Address: 679 N 1st Ave Expires: 12/31/2017 San Luis, AZ 85349 Contact: Edgar Carbajal Telephone: 928-376-0220 Address: 1590 S 2nd Ave Vacancies: 0 Yuma, AZ 85364-4728 Clinicians: 0 Telephone: 928-376-0220 Site Profile: Not available Email: ecarbajal@actsaz.com www.actsaz.com/ 7049990408 Southwest Arizona Catchment Area 18 Designated Arizona Counseling & Treatment Services - Wellton UDS Number: 788262 Approved: 7/1/2014 Address: 10318 William St Expires: 12/31/2017 Wellton, AZ 85356 Contact: Edgar Carbajal Telephone: 928-376-0220 Address: 1590 S 2nd Ave Vacancies: 0 Yuma, AZ 85364-4728 Clinicians: 0 Telephone: 928-376-0220 Site Profile: Not available Email: ecarbajal@actsaz.com www.actsaz.com/ 7049990408 Southwest Arizona Catchment Area 18 Designated HRSA Data Warehouse 214 of 224 July 4, 2016
County: Yuma County (21 sites listed) Arizona Counseling & Treatment Services - Yuma UDS Number: 788223 Approved: 7/1/2014 Address: 2545 S Arizona Ave Expires: 12/31/2017 Yuma, AZ 85364-7332 Contact: Mayra Romero Telephone: 928-376-0220 Address: 1590 S 2nd Ave Vacancies: 0 Yuma, AZ 85364-4728 Clinicians: 0 Telephone: 928-376-0220 Site Profile: Not available Email: mromero@actsaz.com www.actsaz.com/ 7049990408 Southwest Arizona Catchment Area 18 Designated Arizona State Prison Complex - Yuma UDS Number: 091060D Approved: 10/14/2015 Address: 7125 E Juan Sanchez Blvd Expires: 12/31/2018 San Luis, AZ 85365 Contact: Terry Allred Telephone: 314-919-9837 Address: 26700 S Us Highway 85 Vacancies: 0 Buckeye, AZ 85326-5024 Clinicians: 1 Telephone: 623-386-6160 Site Profile: Not available Email: tallred@azcorrections.gov www.corizonhealth.com 1049990491 Arizona State Prison - Yuma 12 Designated 6049990453 Arizona State Prison - Yuma 21 Designated 7049990418 Arizona State Prison - Yuma 21 Designated HRSA Data Warehouse 215 of 224 July 4, 2016
County: Yuma County (21 sites listed) Arizona's Children Association - Yuma UDS Number: 0937220 Approved: 4/1/2013 Address: 3780 S 4th Ave Expires: 12/31/2016 Yuma, AZ 85365-4538 Contact: Tifney Tihey Telephone: 928-344-8800 Address: 711 E Missouri 200 Vacancies: 1 Phoenix, AZ 85014 Clinicians: 0 Telephone: 602-234-3733 Site Profile: Not available Email: ttihey@arizonaschildren.org www.arizonaschildren.org 7049990408 Southwest Arizona Catchment Area 18 Designated Community Health Associates - Yuma UDS Number: 758773 Approved: 5/2/2014 Address: 2851 S Avenue B Expires: 12/31/2017 Yuma, AZ 85364-7726 Contact: Leigh Anderton Telephone: 928-376-0026 Address: 2851 S Avenue B Vacancies: 0 Yuma, AZ 85364-7726 Clinicians: 0 Telephone: 928-446-1038 Site Profile: Not available Email: landerton@ciayuma.com www.chaarizona.com/ 104027 Yuma County 10 Designated 7049990408 Southwest Arizona Catchment Area 18 Designated HRSA Data Warehouse 216 of 224 July 4, 2016
County: Yuma County (21 sites listed) Horizon Health & Wellness - Yuma Outpatient Services UDS Number: 12378 Approved: 7/22/2013 Address: 290 S 1st Ave Expires: 12/31/2016 Yuma, AZ 85364-2259 Contact: Fred Karst Telephone: 928-344-9490 Address: 625 N Plaza Dr Vacancies: 0 Apache Junction, AZ 85120-5501 Clinicians: 0 Telephone: 480-226-4574 Site Profile: Not available Email: FredK@mhwaz.org www.mhwaz.org/ 104999040K Mountain Health and Wellness 14 Designated 7049990408 Southwest Arizona Catchment Area 18 Designated 704999040D Mountain Health and Wellness 22 Designated Internal Medicine of Yuma UDS Number: 0936230 Approved: 10/24/2013 Address: 2285 S Elks Ln Expires: 12/31/2016 Yuma, AZ 85364-6258 Contact: Kevin Miller Telephone: 928-329-4761 Address: 2285 S Elks Ln Vacancies: 0 Yuma, AZ 85364-6258 Clinicians: 1 Telephone: 928-329-4761 Site Profile: Not available Email: imyuma@yahoo.com imyuma.com/ 104027 Yuma County 10 Designated HRSA Data Warehouse 217 of 224 July 4, 2016
County: Yuma County (21 sites listed) San Luis Walk-In Clinic, Inc. - San Luis UDS Number: 092980A Approved: 8/10/2015 Address: 1896 E Babbitt Ln Expires: 12/31/2018 San Luis, AZ 85349 Contact: Tuly Medina Telephone: 928-627-9222 Address: 214 W Main St Vacancies: 0 Somerton, AZ 85350 Clinicians: 0 Telephone: 928-627-9222 Site Profile: Not available Email: tulymedina@rcfbh.org rcfbh.org 104027 Yuma County 10 Designated 10499904GO San Luis Walk-in Center 16 Designated San Luis Walk-In Clinic, Inc. - Somerton UDS Number: 092980C Approved: 8/10/2015 Address: 214 W Main St Expires: 12/31/2018 Somerton, AZ 85350 Contact: Tuly Medina Telephone: 928-627-9222 Address: 214 W Main St Vacancies: 0 Somerton, AZ 85350 Clinicians: 0 Telephone: 928-627-9222 Site Profile: Not available Email: tulymedina@rcfbh.org www.rcfbh.org 104027 Yuma County 10 Designated 10499904QW San Luis Walk-in Center-Somerton 14 Designated HRSA Data Warehouse 218 of 224 July 4, 2016
County: Yuma County (21 sites listed) Sunset CHC - Arizona Desert Elementary (School-Based Clinic) UDS Number: 250998 Approved: 8/27/2011 Address: 1245 N Main St Expires: --- San Luis, AZ 85349 Contact: CHING WANG Telephone: 928-627-9835 Address: 2060 W 24th St Vacancies: 0 Yuma, AZ 85364-6123 Clinicians: 0 Telephone: 928-819-8807 Site Profile: Not available Email: cwang@sunset-chc.org www.sunsetcommunityhealthcenter.org/index.html 104027 Yuma County 10 Designated 10499904B7 Sunset Community Health 20 Designated Sunset CHC - Mobile Dental Van UDS Number: 09013L Approved: 4/23/2015 Address: 115 N Somerton Ave Expires: 12/31/2018 Somerton, AZ 85350 Contact: CHING WANG Telephone: 928-819-8999 Address: 2060 W 24th St Vacancies: 0 Yuma, AZ 85364-6123 Clinicians: 0 Telephone: 928-819-8807 Site Profile: Not available Email: cwang@sunset-chc.org www.sunsetcommunityhealthcenter.org/ 6049990472 Sunset Community Health 22 Designated HRSA Data Warehouse 219 of 224 July 4, 2016
County: Yuma County (21 sites listed) Sunset CHC - North Yuma Medical Clinic UDS Number: 09013H Approved: 6/22/2016 Address: 675 S Avenue B Expires: 12/31/2019 Yuma, AZ 85364-2749 Contact: CHING WANG Telephone: 928-819-8807 Address: 2060 W 24th St Vacancies: 0 Yuma, AZ 85364-6123 Clinicians: 0 Telephone: 928-819-8807 Site Profile: Not available Email: cwang@sunset-chc.org www.sunsetcommunityhealthcenter.org/ 104027 Yuma County 10 Designated 10499904B7 Sunset Community Health 20 Designated Sunset CHC - Pecan Grove Elementary (School-Based Clinic) UDS Number: 251028 Approved: 8/27/2011 Address: 600 S 21st Ave Expires: --- Yuma, AZ 85364-2727 Contact: CHING WANG Telephone: 928-782-4357 Address: 2060 W 24th St Vacancies: 0 Yuma, AZ 85364-6123 Clinicians: 0 Telephone: 928-819-8807 Site Profile: Not available Email: cwang@sunset-chc.org www.sunsetcommunityhealthcenter.org/index.html 104027 Yuma County 10 Designated 10499904B7 Sunset Community Health 20 Designated HRSA Data Warehouse 220 of 224 July 4, 2016
County: Yuma County (21 sites listed) Sunset CHC - Rancho Viejo-Crane Elementary (School-Based Clinic) UDS Number: 251079 Approved: 8/27/2011 Address: 930 S Avenue C Expires: --- Yuma, AZ 85364-3237 Contact: CHING WANG Telephone: 928-329-9442 Address: 2060 W 24th St Vacancies: 0 Yuma, AZ 85364-6123 Clinicians: 0 Telephone: 928-819-8807 Site Profile: Not available Email: cwang@sunset-chc.org www.sunsetcommunityhealthcenter.org/index.html 104027 Yuma County 10 Designated 10499904B7 Sunset Community Health 20 Designated Sunset CHC - San Luis Dental Clinic UDS Number: 09013K Approved: 5/23/2007 Address: 801 N 2nd Ave Expires: 9/30/2011 San Luis, AZ 85349 Contact: CHING WANG Telephone: 928-819-8807 Address: 2060 W 24th St Vacancies: 0 Yuma, AZ 85364-6123 Clinicians: 0 Telephone: 928-819-8807 Site Profile: Not available Email: cwang@sunset-chc.org www.sunsetcommunityhealthcenter.org/ 6049990457 Somerton 12 Designated 6049990472 Sunset Community Health 22 Designated HRSA Data Warehouse 221 of 224 July 4, 2016
County: Yuma County (21 sites listed) Sunset CHC - San Luis Medical Clinic UDS Number: 09013F Approved: 5/27/2007 Address: 815 E Juan Sanchez Blvd Expires: 9/30/2011 San Luis, AZ 85349 Contact: CHING WANG Telephone: 928-627-3822 Address: 2060 W 24th St Vacancies: 2 Yuma, AZ 85364-6123 Clinicians: 2 Telephone: 928-819-8807 Site Profile: Not available Email: cwang@sunset-chc.org www.sunsetcommunityhealthcenter.org/ 104027 Yuma County 10 Designated 10499904B7 Sunset Community Health 20 Designated Sunset CHC - Somerton Medical & Dental Clinic UDS Number: 090130 Approved: 5/7/2007 Address: 115 N Somerton Ave Expires: 9/30/2011 Somerton, AZ 85350 Contact: CHING WANG Telephone: 928-627-2051 Address: 2060 W 24th St Vacancies: 0 Yuma, AZ 85364-6123 Clinicians: 1 Telephone: 928-819-8807 Site Profile: Not available Email: cwang@sunset-chc.org www.sunsetcommunityhealthcenter.org/ 104027 Yuma County 10 Designated 10499904B7 Sunset Community Health 20 Designated 6049990457 Somerton 12 Designated 6049990472 Sunset Community Health 22 Designated HRSA Data Warehouse 222 of 224 July 4, 2016
County: Yuma County (21 sites listed) Sunset CHC - Wellton Family Practice & Dental Clinic UDS Number: 09013C Approved: 5/23/2007 Address: 10425 William St Expires: 9/30/2011 Wellton, AZ 85356 Contact: CHING WANG Telephone: 928-785-3256 Address: 2060 W 24th St Vacancies: 0 Yuma, AZ 85364-6123 Clinicians: 0 Telephone: 928-819-8807 Site Profile: Not available Email: cwang@sunset-chc.org www.sunsetcommunityhealthcenter.org/ 104027 Yuma County 10 Designated 10499904B7 Sunset Community Health 20 Designated 6049990427 Wellton 14 Designated 6049990472 Sunset Community Health 22 Designated Sunset CHC - Yuma Medical Clinic UDS Number: 09013M Approved: 5/15/2007 Address: 2060 W 24th St Expires: 9/30/2011 Yuma, AZ 85364-6123 Contact: CHING WANG Telephone: 928-819-8807 Address: 2060 W 24th St Vacancies: 3 Yuma, AZ 85364-6123 Clinicians: 3 Telephone: 928-819-8807 Site Profile: Not available Email: cwang@sunset-chc.org www.sunsetcommunityhealthcenter.org/ 104027 Yuma County 10 Designated 10499904B7 Sunset Community Health 20 Designated HRSA Data Warehouse 223 of 224 July 4, 2016
County: Yuma County (21 sites listed) Yuma Valley Family Medicine Center UDS Number: 11716 Approved: 11/8/2013 Address: 2261 S Avenue B Expires: 12/31/2016 Yuma, AZ 85364-6103 Contact: Pam Orendorff Telephone: 928-782-1903 Address: 2400 S Avenue A Vacancies: 0 Yuma, AZ 85364-7127 Clinicians: 1 Telephone: 928-336-3032 Site Profile: Not available Email: porendorff@yumaregional.org www.yumavalleyfmc.com 104027 Yuma County 10 Designated HRSA Data Warehouse 224 of 224 July 4, 2016