SALT RIVER PIMA-MARICOPA INDIAN COMMUNITY


Address: 10005 E Osborn Rd Bldg 61, Scottsdale, AZ 85256-4019
Phone: 4809469227

SALT RIVER PIMA-MARICOPA INDIAN COMMUNITY (NPI# 1790210755) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1790210755
Entity Type Organization
Organization Name SALT RIVER PIMA-MARICOPA INDIAN COMMUNITY
Other Organization Name SALT RIVER INTEGRATED HEALTH CARE
Practice Address 10005 E Osborn Rd Bldg 61
Scottsdale
AZ 85256-4019
Practice Telephone 4809469227
Practice Fax Number 4802787186
Mailing Telephone 4809469227
Mailing Fax Number 4802787186
Enumeration Date 2017-04-27
Last Update Date 2018-01-22
Authorized Official Name VIOLET MITCHELL-ENOS (DIRECTOR)
Authorized Official Telephone 4803625480
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 333600000X Pharmacy Suppliers
Y 332800000X Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
PK 2171598 01
AZ 275266 05

Other Provider/Organization Names

Other Name Type Code
Salt River Integrated Health Care Other Name - Individual/Organization
Salt River Integrated Health Care - Pharmacy Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1942668991 Salt River Pima-maricopa Indian Community Clinic/Center 10005 E Osborn Rd, Scottsdale, AZ 85256-4019 2016-02-05
1306261870 Salt River Pima-maricopa Indian Community Non-emergency Medical Transport (VAN) 10005 E Osborn Rd, Scottsdale, AZ 85256-4019 2014-02-20
1538583125 Salt River Pima-maricopa Indian Community Home Health 10005 E Osborn Rd, Building 13, Scottsdale, AZ 85256-4019 2014-02-18
1497000293 Salt River Pima-maricopa Indian Community Substance Abuse Rehabilitation Facility 10005 E Osborn Rd, Scottsdale, AZ 85256-4019 2012-07-17

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities SALT RIVER PIMA-MARICOPA INDIAN COMMUNITY SOCIAL SERVICE, THE 10005 E Osborn Rd, Scottsdale, AZ 85256-4019

Office Location

Street Address 10005 E OSBORN RD BLDG 61
City SCOTTSDALE
State AZ
Zip Code 85256-4019

Providers in the same location

NPI Name Taxonomy Address Enumeration
1114144185 Robert Scott Boyle Pharmacist 10005 E Osborn Rd Bldg 61, Scottsdale, AZ 85256-4019 2007-04-19

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1518312883 Lisa Kaufman Counselor 10005 E Osborne Rd, Scottsdale, AZ 85256 2016-04-25
1649428459 Vicky Tsinnijinnie Lomay Psychologist 10005 E Osborn Rd, Scottsdale, AZ 85256 2008-09-04
1790208767 Bonnie A. Gray Psychologist 9000 E Chaparral Rd, Scottsdale, AZ 85256-2625 2017-07-21
1891334728 Globaltranz Family Health Clin Clinic/Center 7350 N Dobson Rd # 130, Scottsdale, AZ 85256-2710 2019-12-23
1518419134 Careatc-talking Stick Clinic/Center 7350 N Dobson Rd, Scottsdale, AZ 85256-2710 2016-10-30
1922659325 Careatc Clinic/Center 7350 N Dobson Rd, Scottsdale, AZ 85256-2710 2019-09-26
1568574374 Renal Dimensions, LLC Clinic/Center 10301 E Osborn Rd, Scottsdale, AZ 85256-4008 2006-08-31
1326391061 Winnifred Ellen Mendivil Counselor 10005 E. Osborn Road, Scottsdale, AZ 85256-4019 2012-10-18
1598851297 Steven Neil Thompson Nurse Practitioner Salt River Clinic, 10005 E. Osborn, Scottsdale, AZ 85256-4019 2006-10-04
1144263377 Michael P Truesdell Family Medicine 10005 E Osborn Rd, Scottsdale, AZ 85256-4019 2006-06-14
Find all providers in zip 85256

Taxonomy Information

Taxonomy Code 332800000X
Grouping Suppliers
Classification Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy

Taxonomy Definition

An Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy means a pharmacy operated by the Indian Health Service, an Indian tribe or tribal organization, or an urban Indian organization, all of which are defined in Section 4 of the Indian Health Care Improvement Act, 25 U.S.C. 1603.
Notes: Source: The Medicare Prescription Drug, Improvement and Modernization Act of 2003 [1/1/2006: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1396817607 Dhew Ind Hlth Sv Hlth Svs & Mntl Hlth Adm Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 10005 E Osborn Rd, Scottsdale, AZ 85256-4019 2006-11-14

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1396244976 Remgbekor Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 7227 S Central Ave Ste 1080, Phoenix, AZ 85042-5457 2018-02-08
1831448398 Lechee Health Facility Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 3 Miles South of Page, Az, Coppermine Road, Lechee, AZ 86040-0000 2012-08-30
1467690966 Medone Healthcare LLC Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 2615 S Industrial Park Ave, Tempe, AZ 85282-1821 2009-01-22
1811165319 Ton San Simon Health Center Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy West Hwy 86 Mile Marker 74, Sells, AZ 85634 2008-02-19
1659490225 Tsaile Health Center Pharmacy Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy Intersection Rt 64 and 12, Tsaile, AZ 86556 2007-03-28
1912030768 Dhhs Phs Naihs Chinle Comprehensive Health Care Facility Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy Nr 4 2 Mi East of Pinon, Pinon, AZ 86510 2007-03-13
1346377926 Inscription House Hlth Ctr Pharmacy Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy Hwy 98 and Navajo Rt 16, Shonto, AZ 86054 2007-02-28
1467587030 Dhhs Ihs Phoenix Area Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 2 West 3rd St, Cibecue, AZ 85911 2007-02-22
1023143609 Dhhs Ihs Phoenix Area Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 238 Cibecue Circle, San Carlos, AZ 85550 2007-02-22
1376678946 Dhhs Ihs Phoenix Area Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy Hwy 264 Mile Marker 388, Polacca, AZ 86042 2007-02-22
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Competitor

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City SCOTTSDALE
Zip Code 85256

Improve Information

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Dataset Information

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.

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