NATIVE HEALTH (NPI# 1780121244) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780121244 |
| Entity Type | Organization |
| Organization Name | NATIVE HEALTH |
| Other Organization Name | NATIVE AMERICAN COMMUNITY HEALTH CENTER, INC. |
| Practice Address |
4041 N Central Ave Bldg C Phoenix AZ 85012-3313 |
| Practice Telephone | 6022795262 |
| Practice Fax Number | 6022795390 |
| Mailing Telephone | 6022795262 |
| Mailing Fax Number | 6022795390 |
| Enumeration Date | 2017-01-23 |
| Last Update Date | 2019-07-31 |
| Authorized Official Name | WALTER MURILLO (CEO) |
| Authorized Official Telephone | 6022795262 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities | ||
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 479794 | 05 |
| Other Name | Type Code |
|---|---|
| Native American Community Health Center, Inc. | Doing Business As Name - Organization |
| Native Health | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2423 W Dunlap Ave Ste 140, Phoenix, AZ 850215818 | 6022795351 | 6022795361 |
| 777 W Southern Ave, Bldg E, Ste 501, Mesa, AZ 85210 | 4805504048 | 4802645099 |
| 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 |
| 1336654383 | Native Health | Clinic/Center | 777 W Southern Ave, Bldg E, Ste 501, Mesa, AZ 85210-5062 | 2017-12-12 |
| 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 |
| Oklahoma Business Registrations | NATIVE HEALTH SYSTEMS LLC | 3204 Smoken Point Dr Ste 204, Arlington, WA 98223 |
| Street Address |
4041 N CENTRAL AVE BLDG C |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85012-3313 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568575512 | Nicole Carter | Family Medicine | 4041 N Central Ave Bldg C, Phoenix, AZ 85012-3313 | 2006-08-16 |
| 1447795257 | Stephania Alejandra Frias Lugo | Dental Hygienist | 4041 N Central Ave Bldg C, Phoenix, AZ 85012-3313 | 2017-01-03 |
| 1083165286 | Emily Nielsen-beatty | Social Worker | 4041 N Central Ave Bldg C, Phoenix, AZ 85012 | 2016-10-23 |
| 1831648369 | Tanya Kunnappilly | Social Worker | 4041 N Central Ave Bldg C, Phoenix, AZ 85012-3313 | 2016-09-26 |
| 1235479023 | Valerie P Carli | Nurse Practitioner | 4041 N Central Ave Bldg C, Phoenix, AZ 85012-3313 | 2013-02-15 |
| 1588957575 | Ashley O'brien | Counselor | 4041 N Central Ave Bldg C, Phoenix, AZ 85012-3313 | 2011-05-24 |
| 1427386853 | Native Health | Clinic/Center | 4041 N Central Ave Bldg C, Phoenix, AZ 85012-3313 | 2009-11-23 |
| 1245496504 | Adrian Benedict Fletcher | Dentist | 4041 N Central Ave Bldg C, Phoenix, AZ 85012-3313 | 2008-08-05 |
| 1588830749 | Lupe S. Contreras | Nurse Practitioner | 4041 N Central Ave Bldg C, Phoenix, AZ 85012-3313 | 2008-05-07 |
| 1740462761 | Native Health | Clinic/Center | 4041 N Central Ave Bldg C, Phoenix, AZ 85012-3313 | 2007-11-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881205417 | Diligence Physical Therapy and Wellness, Pllc | Physical Therapist | 3101 N. Central Avenue, Suite 183 # 518, Phoenix, AZ 85012 | 2020-08-17 |
| 1962023135 | Kelee Jade Forst | Student in an Organized Health Care Education/Training Program | 4001 N Third Street, Suite 290, Phoenix, AZ 85012 | 2020-04-29 |
| 1659911428 | Thomas James Blake | Social Worker | Phoenix Va Health Care System, 650 E Indian School Road, Phoenix, AZ 85012 | 2020-01-09 |
| 1598259467 | Luis F Fong | Registered Nurse | 3620 N. 3rd Street, Phoenix, AZ 85012 | 2018-06-14 |
| 1881196335 | Phoenix Surgical Solutions Pllc | Surgery | 6120 W Bell Rd Suite 130, Glendale, AZ 85012 | 2018-03-01 |
| 1679082523 | Christopher Ferguson | Physician Assistant | 1313 E. Osborn Rd., Ste 150, Phoenix, AZ 85012 | 2017-09-22 |
| 1861911323 | Viet Quoc Truong | Physician Assistant | 650 E Indian School Rd # 1, Phoenix, AZ 85012 | 2017-09-15 |
| 1720506389 | Erin Lynne Cody | Nurse Practitioner | 3003 N. 3rd St, Phoenix, AZ 85012 | 2017-09-05 |
| 1346694627 | Sharareh Najafi | Psychologist | 3450 N. 3rd Street, Phoenix, AZ 85012 | 2016-04-22 |
| 1548635824 | Rebekah June Daroff | Specialist/Technologist | 352 N Camelback Rd, Phoenix, AZ 85012 | 2015-12-11 |
| Find all providers in zip 85012 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
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|---|---|---|---|---|
| 1609475144 | Best Self LLC | Clinic/Center | 10000 N 31st Ave Ste C100-128, Phoenix, AZ 85051-1356 | 2020-10-24 |
| 1164036935 | Carmen L. Lucia Psyd LLC | Clinic/Center | 15215 S 48th St Ste 154, Phoenix, AZ 85044-9139 | 2020-08-31 |
| 1366054694 | Integrative Counseling L.L.C. | Clinic/Center | 2211 E Highland Ave Ste 130, Phoenix, AZ 85016-4867 | 2020-08-18 |
| 1225664881 | Julie Morton Lcsw-c, LLC | Clinic/Center | 13604 Bardon Rd, Phoenix, MD 21131-1518 | 2020-03-16 |
| 1922569805 | Uptown Psychiatry LLC | Clinic/Center | 1130 E Missouri Ave Ste 580, Phoenix, AZ 85014-2729 | 2019-03-25 |
| 1982163549 | Amore Aware LLC | Clinic/Center | 6900 E Princess Dr Unit 1214, Phoenix, AZ 85054-4110 | 2019-03-13 |
| 1356805816 | Arizonas New Hope | Clinic/Center | 10000 N 31st Ave Ste D304g, Phoenix, AZ 85051-9582 | 2019-01-29 |
| 1306331509 | Native American Connections | Clinic/Center | 4520 N Central Ave Ste 380, Phoenix, AZ 85012-7815 | 2018-06-29 |
| 1194135152 | Connectionsaz, LLC | Clinic/Center | 1201 S 7th Ave Ste 150, Phoenix, AZ 85007-4075 | 2014-04-30 |
| 1770888646 | Southwest Behavioral Health Services, Inc. | Clinic/Center | 1601 W Desert Cove Ave, Phoenix, AZ 85029-5023 | 2011-01-24 |
| Find all providers in PHOENIX | ||||
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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.