WHITE MOUNTAIN APACHE (NPI# 1619148772) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619148772 |
| Entity Type | Organization |
| Organization Name | WHITE MOUNTAIN APACHE |
| Practice Address |
522 South Fourth Avenue Whiteriver AZ 85941 |
| Mailing Address |
Po Box 1210 Whiteriver AZ 85941-1210 |
| Practice Telephone | 9283381808 |
| Practice Fax Number | 9283385254 |
| Mailing Telephone | 9283381808 |
| Mailing Fax Number | 9283385252 |
| Enumeration Date | 2008-03-17 |
| Last Update Date | 2008-03-17 |
| Authorized Official Name | EMMIE CROMWELL (DIRECTOR) |
| Authorized Official Telephone | 9283381808 |
| Is Organization Subpart | Y |
| Parent Organization Name | WHITE MOUNTAIN APACHE TRIBE |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 343900000X | Non-emergency Medical Transport (VAN) | Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 044701 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | WHITE MOUNTAIN APACHE COMMUNITY DEVELOPMENT CORP | Honda Dr A 20, Pinetop, AZ 85935 |
| System for Award Management (SAM) Entities | WHITE MOUNTAIN APACHE HOUSING AUTHORITY | 50 West Chinatown St, Whiteriver, AZ 85941 |
| System for Award Management (SAM) Entities | WHITE MOUNTAIN APACHE TRIBE UTILITY AUTH | 1306 Industrial Park Rd, Whiteriver, AZ 85941 |
| Street Address |
522 SOUTH FOURTH AVENUE |
| City | WHITERIVER |
| State | AZ |
| Zip Code | 85941 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649816778 | Benjamin Robert Bishop | Pharmacist | 200 W Hospital Road, Whiteriver, AZ 85941 | 2019-11-25 |
| 1750922308 | Christal A Brewer | Specialist/Technologist | 1 N 1st Ave, Whiteriver, AZ 85941 | 2019-10-04 |
| 1154880862 | Ivan Atole IIi | Counselor | 302 W Ponderosa St, Whiteriver, AZ 85941 | 2019-03-13 |
| 1912456732 | Jamie Baha | Counselor | 302 West Ponderosa Street, White River, AZ 85941 | 2016-09-22 |
| 1891243382 | Donna Mauree Stevens | Counselor | 302 W. Ponderosa St., Whiteriver, AZ 85941 | 2016-09-14 |
| 1811445307 | Aura Josefina Ortiz | Counselor | 302 W Ponderosa Street, Whiteriver, AZ 85941 | 2016-09-14 |
| 1891152567 | White Mountain Apache Tribe Fire and Rescue | Ambulance | 612 S. Chief Ave, Whiteriver, AZ 85941 | 2016-01-26 |
| 1528450855 | Carla Francis Turrentine | Social Worker | 249 West Ponderosa Street, Whiteriver, AZ 85941 | 2015-02-24 |
| 1477890390 | Muhammad Kanakri | Pharmacist | 200 West Whiteriver, Usphs Indian Hospital, Whitriver, AZ 85941 | 2013-01-11 |
| 1871870980 | Kathleen Wynn | Registered Nurse | 400 Apache Drive, Whiteriver, AZ 85941 | 2011-11-03 |
| Find all providers in zip 85941 | ||||
| Taxonomy Code | 343900000X |
| Grouping | Transportation Services |
| Classification | Non-emergency Medical Transport (VAN) |
| A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265033500 | M&m Medical Transportation | Non-emergency Medical Transport (VAN) | 4421 W Cholla St, Glendale, AZ 85304-3533 | 2020-11-03 |
| 1528667045 | Raymond George Bulot | Non-emergency Medical Transport (VAN) | 2331 W Palm Ln, Phoenix, AZ 85009-2902 | 2020-10-26 |
| 1033718275 | Husameldin Osman | Non-emergency Medical Transport (VAN) | 4610 S Rural Rd Apt 508, Tempe, AZ 85282-7039 | 2020-10-19 |
| 1306452552 | Michael Rebuck | Non-emergency Medical Transport (VAN) | 1325 W Roma Ave, Phoenix, AZ 85013-2827 | 2020-09-22 |
| 1942812417 | Hopefaith Transportation Inc | Non-emergency Medical Transport (VAN) | 4422 N 75th St Unit 6010, Scottsdale, AZ 85251-4080 | 2020-08-17 |
| 1174131247 | Nemt Solution | Non-emergency Medical Transport (VAN) | 872 E Morelos St, Chandler, AZ 85225-6465 | 2020-07-15 |
| 1942826219 | Ashraf Ali Omer Sr. | Non-emergency Medical Transport (VAN) | 19820 N 13th Ave Unit 147, Phoenix, AZ 85027-4310 | 2020-06-22 |
| 1184240954 | Extreme Medical Transportation | Non-emergency Medical Transport (VAN) | 34000 N 27th Dr Unit 3069, Phoenix, AZ 85085-6646 | 2020-06-17 |
| 1669094199 | Up Right Transportation LLC | Non-emergency Medical Transport (VAN) | 4532 E Gleneagle Dr, Chandler, AZ 85249-7428 | 2020-05-06 |
| 1124649165 | Tracie Armstead-payton | Non-emergency Medical Transport (VAN) | 42778 W Irene Rd, Maricopa, AZ 85138-5898 | 2020-04-30 |
| Find all providers with the same taxonomy | ||||
| City | WHITERIVER |
| Zip Code | 85941 |
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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.