SAN CARLOS APACHE TRIBE (NPI# 1710055405) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710055405 |
| Entity Type | Organization |
| Organization Name | SAN CARLOS APACHE TRIBE |
| Practice Address |
1 Mohave Ave San Carlos AZ 85550 |
| Mailing Address |
P.o. Box 0 San Carlos AZ 85550 |
| Practice Telephone | 9284755924 |
| Mailing Telephone | 9284752361 |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2009-11-17 |
| Authorized Official Name | MR. WENDSLER NOSIE SR. (TRIBAL CHAIRMAN) |
| Authorized Official Telephone | 9284752361 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821586686 | San Carlos Apache Tribe | Community/Behavioral Health | San Carlos Social Services, 7 San Carlos Avenue, San Carlos, AZ 85550 | 2018-04-27 |
| 1912030370 | San Carlos Apache Tribe | Dietitian, Registered | 1 Mohave Avenue, San Carlos, AZ 85550 | 2007-03-14 |
| 1841354263 | San Carlos Apache Tribe | Ambulance | Bld 15 San Carlos Avenue, San Carlos, AZ 85550 | 2006-12-20 |
| 1750456307 | San Carlos Apache Tribe | Community/Behavioral Health | #5 San Carlos Ave, San Carlos, AZ 85550-9999 | 2006-11-21 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | SAN CARLOS APACHE TRIBE RELENDING PROGRAM | Hwy 70 & 170 Ste 110, Peridot, AZ 85542 |
| Street Address |
1 MOHAVE AVE |
| City | SAN CARLOS |
| State | AZ |
| Zip Code | 85550 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821586686 | San Carlos Apache Tribe | Community/Behavioral Health | San Carlos Social Services, 7 San Carlos Avenue, San Carlos, AZ 85550 | 2018-04-27 |
| 1568871762 | Aleksandra J Slaski | Counselor | Building 5 San Carlos Avenue, San Carlos, AZ 85550 | 2014-08-13 |
| 1619237377 | Justin Scott Phelps | Psychologist | 5 San Carlos Blvd., San Carlos, AZ 85550 | 2012-05-29 |
| 1669752622 | Sasha Melisa Latonis | Pharmacist | 208 Cibecue Cir, San Carlos, AZ 85550 | 2011-08-23 |
| 1699060343 | Paul Ray Delgado | Pharmacist | 208 Cibique Circle, San Carlos, AZ 85550 | 2011-06-10 |
| 1639481815 | Carlos Duarte | Family Medicine | 1 Vassar Dr Ne, Usphs Indian Hospital, San Carlos, AZ 85550 | 2010-07-05 |
| 1225355290 | Robert Reed Henley | Psychologist | 5 San Carlos Avenue, San Carlos, AZ 85550 | 2010-04-29 |
| 1912234576 | John Paul Hartman | Naturopath | 238 Seneca, San Carlos, AZ 85550 | 2009-11-03 |
| 1609015148 | Pamela Kay Kloote | Pharmacist | 208 Cibeque Circle, San Carlos, AZ 85550 | 2009-02-06 |
| 1689868317 | Jacqueline Ann Tutt | Licensed Practical Nurse | Skill Center Rd., San Carlos, AZ 85550 | 2007-09-06 |
| Find all providers in zip 85550 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215404470 | American Current Care of California, A Medical Corporation | Clinic/Center | 125 Shoreway Rd Ste A, San Carlos, CA 94070-2718 | 2018-10-25 |
| 1669836862 | Cathleen A Murphy | Clinic/Center | 751 Laurel St, 908, San Carlos, CA 94070-3113 | 2016-04-13 |
| 1386014850 | M2 Talent Incorporated | Clinic/Center | 751 Laurel St, 908, San Carlos, CA 94070-3113 | 2015-09-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
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| 1962013474 | Stable Foundations Therapy Pllc | Clinic/Center | 12115 N Peaks Pkwy, Flagstaff, AZ 86004-5589 | 2020-08-10 |
| 1285242560 | Growing Space LLC | Clinic/Center | 3940 S 79th Dr, Phoenix, AZ 85043-1694 | 2020-07-22 |
| 1487272795 | Orthopedic Specialists of North America, Pllc | Clinic/Center | 8405 N Pima Center Parkway, Scottsdale, AZ 85258 | 2020-07-13 |
| 1952928053 | Brio Inc | Clinic/Center | 11000 N Scottsdale Rd Ste 115, Scottsdale, AZ 85254-6168 | 2020-07-06 |
| 1568087187 | Arizona Imaging Specialists, LLC | Clinic/Center | 727 E Bethany Home Rd Ste A106, Phoenix, AZ 85014-2192 | 2020-06-09 |
| 1003436197 | Omo Ije's'a Pllc | Clinic/Center | 7309 E 28th St, Tucson, AZ 85710-5505 | 2020-04-20 |
| 1134752835 | Terry Wright | Clinic/Center | 1435 E University Dr, Tempe, AZ 85281-8473 | 2020-02-20 |
| 1265064265 | Hinds Mobile Md | Clinic/Center | 8485 E Mcdonald Dr # 214, Scottsdale, AZ 85250-6335 | 2020-02-07 |
| 1932731130 | Arcadia Neuropsychology, Pllc | Clinic/Center | 2929 N 44th St Ste 330, Phoenix, AZ 85018-7241 | 2020-02-06 |
| Find all providers with the same taxonomy | ||||
| City | SAN CARLOS |
| Zip Code | 85550 |
Please comment or provide details below to improve the information on SAN CARLOS APACHE TRIBE.
| 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.