NATIVE HEALTH NPI 1700904075

NPI Information

NATIVE HEALTH is a federally qualified health center (fqhc) clinic center in Phoenix, AZ. NATIVE HEALTH NPI is 1700904075. 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:

4041 N CENTRAL AVE BLDG C
PHOENIX, AZ
ZIP 85012-313
Phone: (602) 279-5262
Fax: (602) 279-5390

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 CLIA number assigned to this NPI record is 03D0704259 - community clinic with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 3/26/2007 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:

Other Identifiers

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