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TOHONO O'ODHAM NATION - DIVISION OF BEHAVIORAL HEALTH NPI 1417153685


NPI Information

NPI: 1417153685
Provider Name: TOHONO O'ODHAM NATION - DIVISION OF BEHAVIORAL HEALTH
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
HIGHWAY 86 - SELLS BUSINESS LOOP
HIGHWAY 86 - SELLS BUSINESS LOOP
SELLS, AZ
ZIP 85634
Phone: (520) 383-6165
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TOHONO O'ODHAM NATION - DIVISION OF BEHAVIORAL HEALTH is a federally qualified health center (fqhc) clinic center in Sells, AZ. TOHONO O'ODHAM NATION - DIVISION OF BEHAVIORAL HEALTH NPI is 1417153685. The provider is registered as an organization entity type.

The provider's business location address is:

HIGHWAY 86 - SELLS BUSINESS LOOP
HIGHWAY 86 - SELLS BUSINESS LOOP
SELLS, AZ
ZIP 85634-810
Phone: (520) 383-6165
Fax: (520) 383-5433

The provider's authorized official is Ned Norris .
The authorized official title is Chairman and has the following contact phone number (520) 383-2028.

The enumeration date for this NPI number is 6/25/2007 and was last updated on 8/22/2020.


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)ARIZONAYes

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
1630972MEDICAIDARIZONA

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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