FORT MOJAVE INDIAN TRIBE NPI 1215253463

NPI Information

NPI: 1215253463
Provider Name: FORT MOJAVE INDIAN TRIBE

Other Name: FORT MOJAVE INDIAN HEALTH CENTER BEHAVIORAL HEALTH

Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
1607 PLANTATION RD
MOHAVE VALLEY, AZ
ZIP 86440
Phone: (928) 346-4679
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FORT MOJAVE INDIAN TRIBE is a mental health (including community mental health center) clinic center in Mohave Valley, AZ. FORT MOJAVE INDIAN TRIBE NPI is 1215253463. The provider is registered as an organization entity type.
The provider Other Name Is Fort Mojave Indian Health Center Behavioral Health.

The provider's business location address is:

1607 PLANTATION RD
MOHAVE VALLEY, AZ
ZIP 86440-420
Phone: (928) 346-4679
Fax: (928) 346-4686

The provider's authorized official is Timothy Williams .
The authorized official title is Tribal Chairman and has the following contact phone number (760) 629-4591.

The enumeration date for this NPI number is 4/13/2010 and was last updated on 4/13/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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