NATIVE COUNTRY HEALTHCARE SYSTEMS NPI 1811605942

NPI Information

  • NPI: 1811605942
  • Provider Name: NATIVE COUNTRY HEALTHCARE SYSTEMS
  • Classification: Clinic/Center - 261QU0200X
  • Specialization: Urgent Care
  • Entity Type: Organization
  • Address: 1241 E BROADWAY RD STE 14
    MESA, AZ
    ZIP 85204
  • Phone: (847) 766-9779

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NPI Details

NATIVE COUNTRY HEALTHCARE SYSTEMS is an urgent care clinic center in Mesa, AZ. NATIVE COUNTRY HEALTHCARE SYSTEMS NPI is 1811605942. The provider is registered as an organization entity type.

The provider's business location address is:

1241 E BROADWAY RD STE 14
MESA, AZ
ZIP 85204-254
Phone: (847) 766-9779

The provider's authorized official is Ugorji Wilson Onyeani .
The authorized official title is President and has the following contact phone number (847) 766-9779.

The enumeration date for this NPI number is 11/8/2022 and was last updated on 11/8/2022.

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
1261QP2300XClinic/CenterPrimary CareNo
2310500000XIntermediate Care Facility, Mental IllnessNo
3323P00000XPsychiatric Residential Treatment FacilityNo
43245S0500XSubstance Abuse Rehabilitation FacilitySubstance Abuse Treatment, ChildrenNo
5276400000XRehabilitation, Substance Use Disorder UnitNo
63336C0002XPharmacyClinic PharmacyNo
73336M0002XPharmacyMail Order PharmacyNo
83336M0003XPharmacyManaged Care Organization PharmacyNo
9343900000XNon-emergency Medical Transport (VAN)No
10261QU0200XClinic/CenterUrgent 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: 3/30/2025

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