WHITE MOUNTAIN APACHE TRIBE (NPI# 1760522155) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1760522155 |
Entity Type | Organization |
Organization Name | WHITE MOUNTAIN APACHE TRIBE |
Other Organization Name | WHITE MOUNTAIN APACHE TRIBE EMS |
Practice Address |
103 W. Rainbow Whiteriver AZ 85941-1210 |
Mailing Address |
Po Box 1210 Whiteriver AZ 85941-1210 |
Practice Telephone | 9283383095 |
Practice Fax Number | 9283383097 |
Mailing Telephone | 9283383095 |
Mailing Fax Number | 9283383097 |
Enumeration Date | 2007-02-07 |
Last Update Date | 2013-12-09 |
Authorized Official Name | ED BENALLY (EMS DIRECTOR) |
Authorized Official Telephone | 9283383095 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3416L0300X |
Ambulance Specialization: Land Transport |
Transportation Services |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AZ | 071184 | 05 |
Other Name | Type Code |
---|---|
White Mountain Apache Tribe EMS | Doing Business As Name - Organization |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | WHITE MOUNTAIN APACHE TRIBE UTILITY AUTH | 1306 Industrial Park Rd, Whiteriver, AZ 85941 |
Street Address |
103 W. RAINBOW |
City | WHITERIVER |
State | AZ |
Zip Code | 85941-1210 |
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 | 3416L0300X |
Grouping | Transportation Services |
Classification | Ambulance |
Specialization | Land Transport |
Definition to come... |
Notes: [1/1/2005: title modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891152567 | White Mountain Apache Tribe Fire and Rescue | Ambulance | 612 S. Chief Ave, Whiteriver, AZ 85941 | 2016-01-26 |
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Find all providers with the same taxonomy |
City | WHITERIVER |
Zip Code | 85941 |
Please comment or provide details below to improve the information on WHITE MOUNTAIN 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.