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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