Sliding-fee-dental-providers.pdf - Arizona Department of Health ...
Arizona Sliding Fee Scale Providers - Dental Arizona Department of Health Services Bureau of Women's and Children's Health - October 2019
City
Address
Ajo
410 N. Malacate Street
Apache Junction 625 N. Plaza Drive 1st Floor
Ash Fork
Avondale Buckeye Buckeye
112 Park Avenue
950 E. Van Buren Street 23374 W. Yuma Road #102 306 E. Monroe
Bullhead City Camp Verde Casa Grande
2585 S. Miracle Mile Ste. 11 1996 Doug's Park Road 865 N. Arizola Road
Chandler Clifton
Cottonwood
811 S. Hamilton Street 10-A S. Ward Canyon Road
51 Brian Mickelsen Parkway
Douglas
Eagar Elfrida Elfrida
Flagstaff
1100 F Avenue
133 W. Central Avenue 10566 N. Hwy 191 10566 N. Highway 191
1501 S. Yale Street Suite 252
Flagstaff Flagstaff Fredonia
2920 N. 4th Street 3480 E. Route 66 100 E. Wood Hill Road
Zip Facility Name 85321 Desert Senita CHC - Main Clinic
85119 Horizon Health & Wellness - Apache Junction Outpatient Services
86320 North Country HealthCare - Ash Fork
85323 85326 85326
MIHS - Avondale Family Health Center
Buckeye Pediatric Dentistry
Adelante Healthcare Mobile Health Program Buckeye
86442 NCHC - Bullhead City
86322 The Smiles Movement - Mobile Dental Clinic
85122 Sun Life Family Health Center - Casa Grande (and Mobile Van)
85225 MIHS - Chandler Family Health Center 85533 Canyonlands Healthcare - Clifton
86326 Community Health Center of Yavapai Cottonwood
85607 CCHCI - Jennifer Ginger" Ryan Clinic"
85925 85610 85610
Joseph D. Tenney, DDS CCHCI - Mobile Dental Unit CCHCI - Cliff Whetten Clinic
North Country HealthCare - Flagstaff Pediatrics
86004 North Country HealthCare - Flagstaff
86004 Tuba City Regional Health Care Corporation Sacred Peaks Health Center
86022 Canyonlands Healthcare - Fredonia
1
Phone Number (520) 387-5651 (480) 983-0065
(928) 637-2305 (623) 344-6800 (623) 444-9999 (623) 583-3001
(928) 704-1221 (928) 567-1832 (520) 836-3446
(480) 344-6100 (928) 865-4511 (928) 583-1000
(520) 364-3285 (928) 333-4121 (520) 364-3285 (520) 642-2222 (928) 522-9400
(928) 522-9514 (928) 863-7333
(928) 643-6215
Services Provided
Primary Care, Dental, Mental Health Primary Care, Dental, Mental Health
Facility Type CHC
CHC
Primary Care, Dental, Mental Health Dental
Dental
Primary Care, Dental, Mental Health
CHC
FQHC LAL Private Practice Mobile Unit
Primary Care, Dental, Mental Health Dental
Primary Care, Dental, Mental Health
CHC Mobile Unit CHC
Primary Care, Dental
Primary Care, Dental, Mental Health Primary Care, Dental, Mental Health
FQHC LAL CHC
CHC
Primary Care, Dental, Mental Health Dental
Dental
Primary Care, Dental, Mental Health Primary Care, Dental, Mental Health
CHC
Private Practice Mobile Unit CHC
CHC
Primary Care, Dental, Mental Health Primary Care, Dental, Mental Health
Primary Care, Dental
CHC Tribal/638 CHC
Glendale
5141 W. Lamar Road
85301 MIHS - Glendale Family Health Center
Glendale
6206 W Bell Rd
85308 NOAH ? Sierra Health Center
Glendale
Green Valley
Green Valley Green Valley Holbrook
6677 W. Thunderbird Road Suite A124 1260 S. Campbell Road Building 2
2601 S. Campbell Avenue 1260 S. Campbell Road Building 1 2109 Navajo Boulevard
85306
85614
85614 85614 86025
NOAH - Copperwood Health Center
UCHC - Freeport McMoRan Copper & Gold Building UCHC - Pediatric Dental Van UCHC - Pediatric Clinic & Dental Program for Kids North Country HealthCare - Holbrook
Kayenta Kearny
E. Highway 160 to Route 59 to Spur 59
100 Tilbury Road
Lake Havasu City 2090 N. Smoketree Avenue
86033 Canyonlands Healthcare - Chilchinbeto
85137 Horizon Health & Wellness - Kearny Outpatient Services
86403 NCHC - Lake Havasu City
Laveen
17487 S. Health Care Drive
85339 Gila River Health Care - Komatke Health Center
Littlefield Marana
Maricopa
3272 E. Rio Virgin Road 13395 N. Marana Main Street
48203 W. Farrel Road
86432 Canyonlands Healthcare - Beaver Dam/Littlefield
85653 MHC Healthcare - Main Health Center & Behavioral Health Services
85238 Gila River Health Care - Ak-Chin Clinic
Mesa Mesa
59 S. Hibbert 1705 W. Main Street
85210 MIHS - Mesa Family Health Center 85201 Adelante Healthcare - Mesa
Mesa
4330 E. University Drive
85205 Whole Health Home Clinic - PIR East Valley
Nogales
1852 N. Mastick Way
85621 Mariposa CHC - Nogales
Nogales
Page Payson
1852 N. Mastick Way Nogales, AZ 85621 467 Vista Avenue
708 S. Coeur D Alene Lane Ste. B
85621
86040 85541
Mariposa Community Health Center, Inc.
Canyonlands Healthcare - Lake Powell North Country HealthCare - Payson
Phoenix Phoenix Phoenix Phoenix
Phoenix
1035 Jefferson St. Suite B. 10550 W. Mariposa Street 1205 S. 7th Avenue 1929 W. Fillmore Bldg C
2525 E. Roosevelt Street
85034 85037 85007 85009
85008
Whole Health Home Clinic ? POCN Comunidad MIHS - Pendergast Family Health Center MIHS ? 7th Avenue Family Health Center The Neighborhood Christian Clinic
MIHS - Comprehensive Healthcare Center
(623) 344-6700 (623) 546-4410 (480) 882-4545 (520) 407-5400
(520) 407-5617 (520) 407-5800 (928) 524-2851 (928) 697-8154
(520) 363-9578 (928) 854-1800 (520) 550-6000
(928) 347-5971 (520) 682-4111
(520) 568-3881 (480) 344-6200 (877) 809-5092 (602) 344-2504 (520) 281-1550 (520) 281-1550 (928) 645-8123 (928) 468-8610 (602) 344-2500 (623) 772-2319 (602) 344-6600 (602) 258-6008 (602) 344-5250
Primary Care, Dental, Mental Health Primary Care, Dental, Mental Health Primary Care, Dental, Mental Health Dental
FQHC LAL CHC CHC CHC
Dental
Primary Care, Dental
Primary Care, Dental, Mental Health Primary Care, Dental
Mobile Unit CHC CHC
CHC
Primary Care, Dental, Mental Health Primary Care, Dental, Mental Health Primary Care, Dental, Mental Health Primary Care, Dental
Primary Care, Dental, Mental Health
CHC CHC Tribal/638 CHC CHC
Primary Care, Dental, Mental Health Primary Care, Dental
Primary Care, Dental, Mental Health Primary Care, Dental, Mental Health Primary Care, Dental, Mental Health Primary Care, Dental, Mental Health Primary Care, Dental
Primary Care, Dental, Mental Health Primary Care, Dental
Primary Care, Dental
Primary Care, Dental
Primary Care, Dental
Primary Care, Dental
Tribal/638
FQHC LAL CHC
FQHC LAL
CHC
CHC
CHC CHC
FQHC LAL FQHC LAL FQHC LAL Free Clinic FQHC LAL
2
Phoenix Phoenix Phoenix Phoenix Phoenix Phoenix Phoenix Phoenix Phoenix Phoenix Phoenix Phoenix Phoenix
Phoenix Phoenix Phoenix Phoenix Prescott Prescott Valley Rio Rico Road Phoenix Sacaton
Safford San Luis
33 W. Tamarisk Street
5517 N. 17th Avenue 1101 N. Central Avenue Suite 201 1300 N. 48th Street
85041 MIHS - South Central Family Health Center 85015 Mountain Park Health Center ? Cristown YMCA 85004 MIHS - McDowell Family Health Center
85008 NOAH - Balsz Educare Arizona Center for Health
15833 N. 29th Street
85032 NOAH - Palomino Health Center
20440 N. 27th Avenue
85027 NOAH - Venado Valley Health Center
220 S. 12th Avenue
2423 W. Dunlap Avenue Suite 140 2601 E Roosevelt St.
85007 Circle the City Family Health Center - Downtown Campus
85021 NHW Community Health Center
85008 Maricopa Integrated Health System
3330 N. 2nd Street Suite 500
85012 NOAH - Midtown Health Center
3525 W. Calavar Rd
85053 NOAH ? Calavar Family Medicine
4041 N. Central Avenue Building
C 4707 N. 12th St.
85012 Native Health Central 85014 Whole Health Home Clinic ? SWN Highland
635 E. Baseline Road 6601 W Thomas Rd 690 N Cofco Center Ct 9201 N. 5th Street 1090 Commerce Drive 3212 N. Windsong Drive 1103 Circulo Mercado 16251 N. Cave Creek Road 483 W. Seed Farm Rd.
85042 Mountain Park Health Center - Baseline Clinic
85033 Mountain Park Health Center - Maryvale
85008 Mountain Park Health Center - East Phoenix
85020 NOAH - Desert Mission Community Healthcare Center
86305 Community Health Center of Yavapai - Prescott
86314 85648
Community Health Center of Yavapai - Prescott Valley Mariposa CHC - Rio Rico
NOAH - Palomino Health Center
85247 Gila River HC Corp-Hohokam Memorial Hospital
2016 W. 16th Street 801 N. 2nd Ave
85546 Canyonlands Healthcare - Safford 85349 Sunset CHC - San Luis Dental Clinic
(602) 344-6400 (602) 243-7277 (602) 344-6550 (602) 845-4201 (480) 882-4545 (480) 882-4545 (602) 776-0776 (602) 279-5351 (602) 344-5011 (480) 882-4545 (602) 938-8150 (602) 279-5262 (602) 344-2506
(602) 243-7277 (602) 243-7277 (602) 286-0777 (602) 331-5792 (928) 583-1000 (928) 583-1000 (520) 281-1550 (480) 882-4545 (520) 562-3321
(928) 428-1500 (928) 819-8807
Primary Care, Dental
Primary Care, Dental
Primary Care, Dental, Mental Health Primary Care, Dental, Mental Health Primary Care, Dental, Mental Health Primary Care, Dental, Mental Health Primary Care, Dental, Mental Health
Primary Care, Dental, Mental Health Primary Care, Dental, Mental Health Primary Care, Dental, Mental Health Primary Care, Dental, Mental Health Primary Care, Dental, Mental Health Primary Care, Dental, Mental Health
Primary Care, Dental, Mental Health Primary Care, Dental, Mental Health Primary Care, Dental, Mental Health Primary Care, Dental, Mental Health Primary Care, Dental, Mental Health Primary Care, Dental, Mental Health Primary Care, Dental
Primary Care, Dental, Mental Health Primary Care, Dental, Mental Health
Primary Care, Dental
Dental
FQHC LAL CHC FQHC LAL CHC CHC CHC CHC CHC FQHC LAL CHC CHC CHC FQHC LAL
CHC CHC CHC CHC CHC CHC CHC CHC Tribal/638
CHC CHC
3
San Manuel Scottsdale Scottsdale Seligman Show Low Sierra Vista Sierra Vista Sierra Vista Somerton Somerton St. Johns Surprise Surprise Tempe Tempe Tuba City Tucson Tucson Tucson Tucson Tucson Tucson
Tucson Tucson Tucson
23 McNab Parkway 11130 E. Cholla Street Building I 7301 E. Second St.
22585 W. Oak Street 2650 E. Show Low Lake Road
4525 E. Campus Drive 155 Calle Portal Suite 700 4525 Campus Drive 115 N. Somerton Avenue 115 N. Somerton Avenue 625 N. 13th West 15317 W. Bell Road Suite 108 15351 W. Bell Road 1492 S. Mill Avenue Suite 312
1840 E. Broadway Road
167 N. Main Street 1530 W. Commerce Court 10670 W. Ruthrauff Rd. 15921 W. Ajo Way 1670 W. Ruthrauff Road 1 W. Broadway Boulevard Tucson, AZ 140 W. Speedway Blvd.
320 W. Prince Road 7490 S. Camino de Oeste
839 W. Congress Street
85173 Horizon Health & Wellness - San Manuel Outpatient Services
85259 NOAH - Cholla Health Center
85251 NOAH - Heuser Family Practice Center
86337 North Country HealthCare - Seligman
85901 North Country HealthCare - Show Low
85635 Sierra Vista Dental Clinic - Chiricahua Community Health Centers
85635 CCHCI - Sierra Vista Pediatrics
85635 CCHCI - Sierra Vista Dental Clinic
85350
85350 85936
Sunset CHC - Mobile Dental Van
Sunset CHC - Somerton Medical & Dental Clinic NCHC- St Johns
85374 Adelante Healthcare Dental Care - Surprise 85374 Adelante Healthcare - Surprise
85281 Mountain Park Health Center ? Tempe
85282 Mountain Park Health Center - Tempe Clinic
86045 Tuba City Regional Health Care Corporation
85746 El Rio CHC - Southwest Dental 85705 MHC Healthcare - Ellie Towne Health Center 85735 UCHC - Three Points Clinic 85705 MHC Healthcare - Ellie Towne Health Center 85701 El Rio CHC - Health on Broadway
85705 St. Elizabeth's Health Center
85705 El Rio CHC - Northwest Health Center 85746 El Rio CHC - Pascua Yaqui Health Care Center 85745 El Rio CHC - Congress Health & Dental Center
4
(520) 896-9240 (480) 882-7520 (480) 882-4545 (928) 422-4017 (928) 537-4300 (520) 459-3011 (520) 459-3011 (520) 459-3011 (928) 819-8999 (928) 627-2051 (928) 337-3705 (623) 544-5189 (623) 583-3001 (602) 243-7277 (602) 243-7277 (928) 283-2131 (520) 670-3707 520) 616-6797 (520) 407-5700 (520) 616-6797 (520) 309-4200 (520) 628-7871
(520) 670-3707 (520) 879-6310 (520) 670-3707
Primary Care, Dental, CHC
Mental Health
Primary Care, Dental, CHC Mental Health
Primary Care, Dental, CHC Mental Health
Primary Care, Dental, CHC
Mental Health
Primary Care, Dental, CHC Mental Health
Dental
CHC
Primary Care, Dental, Mental Health Primary Care, Dental, Mental Health Dental
Primary Care, Dental Primary Care, Dental, Mental Health Dental
Primary Care, Dental, Mental Health Primary Care, Dental, Mental Health Primary Care, Dental, Mental Health Primary Care, Dental, Mental Health Dental
Dental
Primary Care, Dental
Primary Care, Dental
Primary Care, Dental, Mental Health Primary Care, Dental, Mental Health
Primary Care, Dental, Mental Health Primary Care, Dental, Mental Health Primary Care, Dental, Mental Health
CHC
CHC
Mobile Unit CHC CHC
CHC CHC
CHC
CHC
Tribal/638
CHC CHC CHC CHC CHC
Community Outpatient Facility CHC
CHC
CHC
Wellton Willcox Williams Winslow
10425 William Street 1140 W. Fremont Street 301 S. 7th St. 620 West Lee Street
85356
85643 86046
Sunset CHC - Wellton Family Practice & Dental Clinic CCHCI - Mobile Dental Unit
NCHC Williams
86047 North Country HealthCare - Winslow
(928) 785-3256 (520) 642-2222 (928) 635-4441 (928) 289-2000
Primary Care, Dental CHC
Dental
Primary Care, Dental, Mental Health Primary Care, Dental, Mental Health
Mobile Unit CHC
CHC
5
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