TONTO APACHE HEALTHCARE LLC NPI 1447843651

NPI Information

  • NPI: 1447843651
  • Provider Name: TONTO APACHE HEALTHCARE LLC
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • CLIA Number: 03D2205307
  • Address: 40 TONTO APACHE RESERVATION
    PAYSON, AZ
    ZIP 85541
  • Phone: (928) 474-5000

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NPI Details

TONTO APACHE HEALTHCARE LLC is a primary care clinic center in Payson, AZ. TONTO APACHE HEALTHCARE LLC NPI is 1447843651. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

40 TONTO APACHE RESERVATION
PAYSON, AZ
ZIP 85541-556
Phone: (928) 474-5000

The provider's authorized official is Lisa Carrasco .
The authorized official title is Administrator and has the following contact phone number (928) 472-3906.

The CLIA number assigned to this NPI record is 03D2205307 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/18/2021 and was last updated on 8/26/2025.

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
11223G0001XDentistGeneral PracticeNo
2363LP0808XNurse PractitionerPsychiatric/Mental HealthNo
3261QP2300XClinic/CenterPrimary CareYes

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

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