NATIVE HEALTH NPI 1336654383

NPI Information

  • NPI: 1336654383
  • Provider Name: NATIVE HEALTH
  • Classification: Clinic/Center - 261QF0400X
  • Specialization: Federally Qualified Health Center (FQHC)
  • Entity Type: Organization
  • :
  • Address: 777 W SOUTHERN AVE
    BLDG E, STE 501
    MESA, AZ
    ZIP 85210
  • Phone: (480) 550-4048

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NPI Details

NATIVE HEALTH is a federally qualified health center (fqhc) clinic center in Mesa, AZ. NATIVE HEALTH NPI is 1336654383. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

777 W SOUTHERN AVE
BLDG E, STE 501
MESA, AZ
ZIP 85210-062
Phone: (480) 550-4048
Fax: (480) 264-5099

The provider's authorized official is Walter Murillo .
The authorized official title is Ceo and has the following contact phone number (602) 279-5262.

The enumeration date for this NPI number is 12/12/2017 and was last updated on 5/13/2025.

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
1261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1527706MEDICAIDARIZONA

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: 11/21/2025

NPI Synchronization or Removal

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