NATIVE HEALTH (NPI# 1336654383) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336654383 |
| Entity Type | Organization |
| Organization Name | NATIVE HEALTH |
| Other Organization Name | NATIVE AMERICAN COMMUNITY HEALTH CENTER, INC. |
| Practice Address |
777 W Southern Ave Bldg E, Ste 501 Mesa AZ 85210-5062 |
| Mailing Address |
4041 N Central Ave Bldg C Phoenix AZ 85012-3313 |
| Practice Telephone | 4805504048 |
| Practice Fax Number | 4802645099 |
| Mailing Telephone | 6022795262 |
| Mailing Fax Number | 6022795390 |
| Enumeration Date | 2017-12-12 |
| Last Update Date | 2019-07-31 |
| Authorized Official Name | WALTER MURILLO (CEO) |
| Authorized Official Telephone | 6022795262 |
| Is Organization Subpart | Y |
| Parent Organization Name | NATIVE HEALTH |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 527706 | 05 |
| Other Name | Type Code |
|---|---|
| Native American Community Health Center, Inc. | Doing Business As Name - Organization |
| NATIVE HEALTH Mesa | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578059168 | Native Health | Clinic/Center | 6850 W Indian School Rd Ste Nh1, Phoenix, AZ 85033-3249 | 2018-07-06 |
| 1982830410 | Native Health | Clinic/Center | 2423 W Dunlap Ave Ste 140, Phoenix, AZ 85021-5818 | 2009-06-10 |
| 1780121244 | Native Health | Clinic/Center | 4041 N Central Ave Bldg C, Phoenix, AZ 85012-3313 | 2017-01-23 |
| 1871972182 | Native Health | Clinic/Center | 2423 W Dunlap Ave Ste 140, Phoenix, AZ 85021-5818 | 2015-05-20 |
| 1427386853 | Native Health | Clinic/Center | 4041 N Central Ave Bldg C, Phoenix, AZ 85012-3313 | 2009-11-23 |
| 1740462761 | Native Health | Clinic/Center | 4041 N Central Ave Bldg C, Phoenix, AZ 85012-3313 | 2007-11-30 |
| 1700904075 | Native Health | Clinic/Center | 4041 N Central Ave Bldg C, Phoenix, AZ 85012-3313 | 2007-03-26 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | NATIVE HEALTH GROUP BENEFITS, L.L.C. | 4862 E Baseline Rd Ste 101, Mesa, AZ 85206 |
| Oklahoma Business Registrations | NATIVE HEALTH GROUP BENEFITS, L.L.C. | 4862 E Baseline Rd Ste 101, Mesa, AZ 85206 |
| System for Award Management (SAM) Entities | NATIVE HEALTH OF SPOKANE | 1803 W Maxwell Ave, Spokane, WA 99201-2831 |
| Oklahoma Business Registrations | NATIVE HEALTH SYSTEMS II LLC | 3204 Smokey Point Dr #201, Arlington, WA 98223 |
| Washington State Corporations | NATIVE HEALTH SYSTEMS II LLC | 3204 Smokey Pt Dr #201, Arlington, WA 98223 |
| Washington State Corporations | NATIVE HEALTH SYSTEMS LLC | 14309 Smokey Pt Blvd, Marysville, WA 98271 |
| Street Address |
777 W SOUTHERN AVE BLDG E, STE 501 |
| City | MESA |
| State | AZ |
| Zip Code | 85210-5062 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841287364 | Heather R Betsko | Optometrist | 777 W Southern Ave, Suite 515, Mesa, AZ 85210-5008 | 2005-09-29 |
| 1306033881 | Community Drugstore II LLC | Pharmacy | 777 W Southern Ave, 415, Mesa, AZ 85210-5008 | 2007-09-28 |
| 1750576856 | Heather Betsko, LLC | Optometrist | 777 W Southern Ave, Suite 515, Mesa, AZ 85210-5008 | 2007-09-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497382501 | Mesa Center for Family Medicine | Internal Medicine | 2034 S Alma School Road, Suite #101, Mesa, AZ 85210 | 2020-03-26 |
| 1780177121 | Jessica Cannata | Speech-Language Pathologist | 2150 S Country Club Rd, Suite 20, Mesa, AZ 85210 | 2018-06-11 |
| 1831680305 | Alexandra Katherine Ebong | Nurse Practitioner | 1950 S. Country Club Drive, Ste 102, Mesa, AZ 85210 | 2018-05-21 |
| 1548762719 | Russell D. Meldrum, M.d. Pllc | Orthopaedic Surgery | 855 W. Southern Ave., #1114, Mesa, AZ 85210 | 2018-03-05 |
| 1023510435 | Denise M Bruno-krupp | Counselor | 1830 S. Alma School Rd. Suite 101, Mesa, AZ 85210 | 2018-03-01 |
| 1609374529 | Gene R Lullo | Social Worker | 1830 S Alma School Rd Suite 101, Mesa, AZ 85210 | 2018-01-25 |
| 1295264000 | Ashley P Smith | Naturopath | 601 S Alma School Rd, Apt 101, Mesa, AZ 85210 | 2017-06-06 |
| 1386184059 | Brittany Johnson | Counselor | 1745 S Alma School Rd Ste 230, Mesa, AZ 85210 | 2017-03-01 |
| 1487190880 | Mesa Valley Modern Dentistry, LLP | Dentist | 1712 S, Country Club Drive, Ste 104, Mesa, AZ 85210 | 2017-01-10 |
| 1821544529 | Sandra Coren | Licensed Practical Nurse | 32 S Mcdonald, Tlc, Mesa, AZ 85210 | 2016-09-01 |
| Find all providers in zip 85210 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881198992 | Valle Del Sol, Inc. | Clinic/Center | 334 W 10th Pl Ste 100, Mesa, AZ 85201-3499 | 2018-03-22 |
| 1699035501 | Adelante Healthcare, Inc. | Clinic/Center | 1705 W Main St, Mesa, AZ 85201 | 2012-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831730795 | El Rio Santa Cruz Neighborhood Health Center, Inc | Clinic/Center | 434 E University Blvd, Tucson, AZ 85705 | 2019-10-02 |
| 1710462593 | Chiricahua Community Health Centers, Inc | Clinic/Center | 310 Arizona St, Bisbee, AZ 85603-1502 | 2018-09-27 |
| 1811472665 | Chiricahua Community Health Centers, Inc | Clinic/Center | 1151 16th Street, Douglas, AZ 85607 | 2018-09-27 |
| 1194207878 | Valle Del Sol, Inc. | Clinic/Center | 1510 S 19th Dr, Phoenix, AZ 85009-6540 | 2018-08-30 |
| 1861970139 | Horizon Health and Wellness, Inc. | Clinic/Center | 374 W Alden Rd, Kearny, AZ 85137-1208 | 2018-07-30 |
| 1578059168 | Native Health | Clinic/Center | 6850 W Indian School Rd Ste Nh1, Phoenix, AZ 85033-3249 | 2018-07-06 |
| 1821582529 | Chiricahua Community Health Centers, Inc | Clinic/Center | 335 South Ocotillo Avenue, Benson, AZ 85602 | 2018-06-18 |
| 1841706785 | Circle The City | Clinic/Center | 206 S 12th Ave, Phoenix, AZ 85007 | 2017-12-14 |
| 1346755295 | Circle The City | Clinic/Center | 210 S 12th Ave, Phoenix, AZ 85007-3101 | 2017-12-13 |
| 1548794142 | Ajo Community Health Center | Clinic/Center | 13060 S Sunland Gin Rd, Arizona City, AZ 85123 | 2017-04-20 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.