DHEW IND HLTH SV HLTH SVS & MNTL HLTH ADM (NPI# 1831245661) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831245661 |
| Entity Type | Organization |
| Organization Name | DHEW IND HLTH SV HLTH SVS & MNTL HLTH ADM |
| Other Organization Name | GILA BEND CLINIC PROFESSIONAL SERVICES |
| Practice Address |
100 North Gila Boulevard Gila Bend AZ 85227-2658 |
| Mailing Address |
Po Box 31001-0698 Pasadena CA 91110-0698 |
| Practice Telephone | 6022631200 |
| Practice Fax Number | 6022631618 |
| Mailing Telephone | 6022631200 |
| Mailing Fax Number | 6022631618 |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2019-06-19 |
| Authorized Official Name | MISS DEANNA J. DICK ((CEO) CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 6022631567 |
| Authorized Official Credential | MSW., MHA. |
| Is Organization Subpart | Y |
| Parent Organization Name | DHEW IND HLTH SVS HLTH SVS & MNTL HLTH ADM |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103T00000X | Psychologist | Behavioral Health & Social Service Providers | ||
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 133V00000X | Dietitian, Registered | Dietary & Nutritional Service Providers | ||
| N | 367A00000X | Advanced Practice Midwife | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 812851 | 05 |
| Other Name | Type Code |
|---|---|
| Gila Bend Clinic Professional Services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962949008 | Dhew Ind Hlth Sv Hlth Svs & Mntl Hlth Adm | Public Health or Welfare | 1216 N. 307th Avenue, San Lucy Clinic, Gila Bend, AZ 85337 | 2017-01-27 |
| 1932360054 | Dhew Ind Hlth Sv Hlth Svs & Mntl Hlth Adm | Dentist | 6822 E 1000 South, Fort Duchesne, UT 84026 | 2008-06-20 |
| 1205859618 | Dhew Ind Hlth Sv Hlth Svs & Mntl Hlth Adm | Public Health or Welfare | 2121 West Reservation Loop Road, Camp Verde, AZ 86322 | 2006-07-26 |
| 1619377942 | Dhew Ind Hlth Sv Hlth Svs & Mntl Hlth Adm | Clinic/Center | 9010 Magnolia Ave, Riverside, CA 92503-4431 | 2014-08-22 |
| 1003083551 | Dhew Ind Hlth Sv Hlth Svs & Mntl Hlth Adm | Clinic/Center | 4212 North 16th Street, Phoenix Indian Medical Center Ambulatory Surgical Cent, Phoenix, AZ 85016-5319 | 2008-05-14 |
| 1831244169 | Dhew Ind Hlth Sv Hlth Svs & Mntl Hlth Adm | Psychologist | 2121 West Reservation Loop Road, Camp Verde, AZ 86322 | 2007-01-25 |
| 1578618831 | Dhew Ind Hlth Sv Hlth Svs & Mntl Hlth Adm | Dentist | 2121 West Reservation Loop Road, Camp Verde, AZ 86322-8412 | 2007-01-24 |
| 1679628531 | Dhew Ind Hlth Sv Hlth Svs & Mntl Hlth Adm | Family Medicine | 10005 E Osborn Rd, Scottsdale, AZ 85256-4019 | 2007-01-23 |
| 1730255639 | Dhew Ind Hlth Sv Hlth Svs & Mntl Hlth Adm | Durable Medical Equipment & Medical Supplies | 10005 E Osborn Rd, Scottsdale, AZ 85256-4019 | 2006-11-24 |
| 1932274214 | Dhew Ind Hlth Sv Hlth Svs & Mntl Hlth Adm | Dentist | 10005 E Osborn Rd, Scottsdale, AZ 85256-4019 | 2006-11-21 |
| Street Address |
100 NORTH GILA BOULEVARD |
| City | GILA BEND |
| State | AZ |
| Zip Code | 85227-2658 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780730549 | Dhew Indian Health Service Health Services & Mental Health Adm. | Dentist | 100 North Gila Boulevard, Gila Bend, AZ 85227-2658 | 2007-01-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629562285 | Christopher Ferschke | Nurse Practitioner | 100 N Gila Blvd, Gila Bend, AZ 85337 | 2018-06-18 |
| 1962949008 | Dhew Ind Hlth Sv Hlth Svs & Mntl Hlth Adm | Public Health or Welfare | 1216 N. 307th Avenue, San Lucy Clinic, Gila Bend, AZ 85337 | 2017-01-27 |
| 1396009809 | Whitney Raser | Specialist/Technologist | 308 N. Martin Avenue, Gila Bend, AZ 85337 | 2012-06-28 |
| 1952533556 | Sun Valley Pharmacy LLC | Pharmacy | 219 W Pima, Gila Bend, AZ 85353 | 2009-08-14 |
| 1215114723 | County of Maricopa - Maricopa County School Dist 24 | Local Education Agency (LEA) | 308 N. Martin Ave, Box V, Gila Bend, AZ 85337-0420 | 2008-01-28 |
| 1750589974 | Terez Jamille Getz | Family Medicine | 100 N. Gila Ave, Gila Bend, AZ 85337 | 2007-07-10 |
| 1386702942 | Adelante Healthcare, Inc. | Family Medicine | 100 North Gila Blvd., Gila Bend, AZ 85337-0480 | 2006-12-05 |
| 1912921677 | Dhew Ind Hlth Sv Hlth Svs & Mntl Hlth | Public Health or Welfare | 100 North Gila Boulvard, Gila Bend, AZ 85337-2658 | 2006-07-27 |
| 1619954914 | Town of Gila Bend | Ambulance | 644 W Pima, Gila Bend, AZ 85337 | 2005-12-28 |
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750589974 | Terez Jamille Getz | Family Medicine | 100 N. Gila Ave, Gila Bend, AZ 85337 | 2007-07-10 |
| 1386702942 | Adelante Healthcare, Inc. | Family Medicine | 100 North Gila Blvd., Gila Bend, AZ 85337-0480 | 2006-12-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306446349 | Holding Hands Medical Pllc | Family Medicine | 8515 S College Ln, Tempe, AZ 85284-2342 | 2020-10-29 |
| 1730789876 | Kara Lindsay | Family Medicine | 10293 N 92nd St Ste 100, Scottsdale, AZ 85258-4565 | 2020-10-28 |
| 1184238164 | Mobile Np Pllc | Family Medicine | 5807 E Vernon Ave, Scottsdale, AZ 85257-1941 | 2020-09-07 |
| 1194339200 | Madison Le | Family Medicine | 3037 W Cat Balue Dr, Phoenix, AZ 85027-2342 | 2020-09-04 |
| 1649884065 | Miranda Gamgah Njante | Family Medicine | 10445 E Pivitol Ave, Mesa, AZ 85212-8037 | 2020-09-02 |
| 1447864830 | Prevencare Health Services, LLC | Family Medicine | 750 Bartow Dr Ste 16, Sierra Vista, AZ 85635-1833 | 2020-09-02 |
| 1093328767 | Whole Health Primary Care LLC | Family Medicine | 7113 W Sophie Ln, Laveen, AZ 85339-3475 | 2020-08-24 |
| 1942811997 | Raquiel Santos | Family Medicine | 4301 Plaza Vis Apt C, Sierra Vista, AZ 85635-4323 | 2020-08-13 |
| 1609493402 | Old Pueblo Mobile Medicine LLC | Family Medicine | 9721 E Colette St, Tucson, AZ 85748-2756 | 2020-06-29 |
| 1386261386 | Lillian Dolores Puma | Family Medicine | 6349 E Joan De Arc Ave, Scottsdale, AZ 85254-3834 | 2020-06-25 |
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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.