If you would like to change your practice's name, address, combine Tax ID Numbers (TINs)
or make other changes please contact your office's internal provider enrollment representative
to have them submit a change request form to AHCCCS. For additional questions about changing
your practice's information or how to submit a change request form, please contact AHCCCS Provider Services,
Provider Enrollment Section, at (602) 417-7670, Option #5.
AHCCCS's Provider Enrollment Section is open Monday - Friday from 8:00 am - 4:00 pm.
The office is closed for lunch from 12:00 pm - 1:00 pm.