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NATIVE HEALTH NPI 1336654383


NPI Information

NPI: 1336654383
Provider Name: NATIVE HEALTH

Doing Business As: NATIVE AMERICAN COMMUNITY HEALTH CENTER, INC.

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
777 W SOUTHERN AVE
BLDG E, STE 501
MESA, AZ
ZIP 85210
Phone: (480) 550-4048
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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 Is Doing Business As Native American Community Health Center, Inc..

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 7/31/2019.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther 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: 4/28/2024

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