FORT MCDOWELL YAVAPAI NATION (NPI# 1053418533) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053418533 |
| Entity Type | Organization |
| Organization Name | FORT MCDOWELL YAVAPAI NATION |
| Other Organization Name | WASSAJA MEMORIAL HEALTH CENTER |
| Practice Address |
16240 North Fort Mcdowell Fort Mcdowell AZ 85264-3402 |
| Mailing Address |
Po Box 17779 Fountain Hills AZ 85269-7779 |
| Practice Telephone | 4807897890 |
| Practice Fax Number | 4807897894 |
| Mailing Telephone | 4807897890 |
| Mailing Fax Number | 4807897894 |
| Enumeration Date | 2006-09-19 |
| Last Update Date | 2017-05-05 |
| Authorized Official Name | DEMETRA BARR REYNOLDS (MEDICAL HEALTH DIRECTOR) |
| Authorized Official Telephone | 4808167199 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | FORT MCDOWELL YAVAPAI NATION |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Wassaja Memorial Health Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972652535 | Fort Mcdowell Yavapai Nation | Ambulance | 10755 N Fort Mcdowell Rd, Suite 4, Fort Mcdowell, AZ 85264-3107 | 2007-01-10 |
| Street Address |
16240 NORTH FORT MCDOWELL |
| City | FORT MCDOWELL |
| State | AZ |
| Zip Code | 85264-3402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962041459 | Nicolle Leite Fier | Registered Nurse | 16240 N Fortmcdowell Rd, Fort Mcdowell, AZ 85264 | 2019-12-31 |
| 1255451985 | Lecia Joy Becenti | Registered Nurse | 16240 North Fort Mcdowell Road, Fort Mcdowell, AZ 85264 | 2007-03-29 |
| 1003856071 | Jose M Matos | Family Medicine | 16240 N Ft Mcdowell Road, Wassaja Memorial Health Center, Ft Mcdowell, AZ 85264 | 2006-06-07 |
| 1235441650 | Lori J Rico | Dietitian, Registered | 16240 North Fort Mcdowell Road, Fort Mcdowell, AZ 85264 | 2010-07-14 |
| 1972652535 | Fort Mcdowell Yavapai Nation | Ambulance | 10755 N Fort Mcdowell Rd, Suite 4, Fort Mcdowell, AZ 85264-3107 | 2007-01-10 |
| 1417075227 | Babs E Zurcher | Registered Nurse | 16240 N Fort Mcdowell Rd, Fort Mcdowell, AZ 85264-3402 | 2007-03-27 |
| 1831738459 | Sharise Wagner | Registered Nurse | 16240 N Fort Mcdowell Rd, Fort Mcdowell, AZ 85264-3402 | 2019-12-30 |
| 1295273241 | Trisha A Miller | Pharmacist | 16240 N Fort Mcdowell Rd, Fort Mcdowell, AZ 85264-3402 | 2017-02-09 |
| 1861885469 | Laura Siegel | Registered Nurse | 16240 N Fort Mcdowell Rd, Fort Mcdowell, AZ 85264-3402 | 2015-03-06 |
| 1548609530 | Amy Nicole Phillips | Nurse Practitioner | 16240 N Fort Mcdowell Rd, Fort Mcdowell, AZ 85264-3402 | 2013-06-23 |
| Find all providers in zip 85264 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508471970 | Pulse Healthcare Solution Pllc | Clinic/Center | 1991 E Lindrick Dr, Gilbert, AZ 85298-7406 | 2020-09-12 |
| 1386269728 | Blu Advocate Primary Care LLC | Clinic/Center | 13029 W Vista Paseo Dr, Litchfield Park, AZ 85340-5572 | 2020-06-11 |
| 1114541752 | Allied Medical Associates Plc | Clinic/Center | 7525 E Broadway Rd Ste 9, Mesa, AZ 85208-1156 | 2020-05-29 |
| 1679196372 | Total Orthopedics, LLC | Clinic/Center | 4701 N 24th St Ste A1, Phoenix, AZ 85016-9145 | 2020-05-28 |
| 1154941763 | Queen Creek Naturopathic Pllc | Clinic/Center | 21820 S Ellsworth Rd # 101, Queen Creek, AZ 85142-9485 | 2020-04-23 |
| 1043830623 | Fhmc Clinic LLC | Clinic/Center | 9700 N Saguaro Blvd Suite 100, Fountain Hills, AZ 85268-6241 | 2020-04-23 |
| 1952934218 | Thrive Internal Medicine LLC | Clinic/Center | 8102 E Mcdowell Rd Ste 1a, Scottsdale, AZ 85257-3815 | 2020-02-14 |
| 1730712100 | Best Life Family Medicine Pllc | Clinic/Center | 3719 W Anthem Way Ste 102, Anthem, AZ 85086-0477 | 2020-02-13 |
| 1447881933 | Milagros Family Healthcare LLC | Clinic/Center | 11900 N La Canada Dr Unit 68222, Tucson, AZ 85737-4010 | 2020-02-03 |
| 1891334728 | Globaltranz Family Health Clin | Clinic/Center | 7350 N Dobson Rd # 130, Scottsdale, AZ 85256-2710 | 2019-12-23 |
| Find all providers with the same taxonomy | ||||
| City | FORT MCDOWELL |
| Zip Code | 85264 |
Please comment or provide details below to improve the information on FORT MCDOWELL YAVAPAI NATION.
| 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.