SAN CARLOS APACHE TRIBE – NPI #1710055405
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).

Health Care Provider Taxonomy Code for Clinic/Center

SAN CARLOS APACHE TRIBE is an AHC clinic located in SAN CARLOS, AZ. NPPES has assigned the NPI number 1710055405 to SAN CARLOS APACHE TRIBE on December 01, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261Q00000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center.

The NPI profile was previously updated about 17 years ago on Nov 17, 2009. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SAN CARLOS APACHE TRIBE below.

NPI Profile for
SAN CARLOS APACHE TRIBE

NPI Number
1710055405
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SAN CARLOS APACHE TRIBE
Primary location
1 MOHAVE AVE
SAN CARLOS, AZ 85550
Phone: (928) 475-5924 Fax:
Mailing address
P.O. BOX 0
SAN CARLOS, AZ 85550
Phone: (928) 475-2361 Fax:
Organization Subpart
No
Authorized Official
WENDSLER NOSIE
TRIBAL CHAIRMAN
Phone: (928) 475-2361
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261Q00000X
- Clinic/Center (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.