PROVIDENCE OF ARIZONA, INC.
Ambulatory Health at Thomas Rd, Phoenix, AZ

License number
Arizona BH-2200
Category
Ambulatory Health
Type
Mental Health (Including Community Mental Health Center)
Owner
Name: MR. DAVID HEDGCOCK M.ED
Title: EXECUTIVE DIRECTOR
Phone: (602) 455-4626
Address
Address 2
3602 W Thomas Rd, Phoenix, AZ 85019
620 N Craycroft Rd, Tucson, AZ 85711
National Provider ID: 1588764427
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about PROVIDENCE OF ARIZONA, INC. at bizstanding.com

Providence of Arizona, Inc

620 N Craycroft Rd, Tucson, AZ 85711

Industry:
Individual/Family Services
Phone:
(520) 745-5988 (Phone)
Executive Director, Executive Vice-Presidents:
Mike Hill (Chief Information Officer),Michael N. Deitch (Chief Financial Officer),Fletcher Mckusker (President),...

PROVIDENCE OF ARIZONA, INC

64 E Broadway Blvd, Tucson, AZ 85701

Registration:
May 12, 1992
State ID:
-0526576-0
Expiration:
PERPETUAL
Secretarys:
Warren Rustand (Chief executive officer), 64 E Broadway Blvd, Tucson, AZ 85701 (Physical),Michael C Fidgeon (President), 64 E Broadway Blvd, Tucson, AZ 85701 (Physical),Robert Wilson (Secretary), 64 E Broadway Blvd, Tucson, AZ 85701 (Physical)
Agent:
Corporation Service Company,2338 W Royal Palm Rd STE J, Phoenix, AZ 85021 (Physical)
Business type:
HEALTH CARE

Providence Of Arizona Inc

3602 W Thomas Rd #10, Phoenix, AZ 85019

Industry:
Hospital & Health Care, Other Individual & Family Svcs
Site:
provcorp.com
Phone:
(602) 455-4626 (Phone), (602) 455-4624 (Fax)
Description:
In Arizona, Providence offers services through its wholly owned subsidiaries, Providence of Arizona and LogistiCare.
Manager, MANAGER:
Dave Hedgcock (Manager, MANAGER)
SIC:
8322 - Individual and Family Social Services
SIC6:
832218 - Social Service & Welfare Organizations
Company size:
6

Providence of Arizona Inc

7229 N Thornydale Rd #117, Tucson, AZ 85741

Industry:
Other Individual & Family Svcs
Site:
provcorp.com
Phone:
(520) 744-4376 (Phone), (520) 579-1138 (Fax)
Manager:
Jon Reardon (Manager)
SIC:
8322 - Individual and Family Social Services
Company size:
3

Ambulatory Health licenses in Arizona










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