WHITERIVER SERVICE UNIT DENTAL CLINIC – NPI #1144347501
Clinic/Center
WHITERIVER SERVICE UNIT DENTAL CLINIC is an AHC clinic located in WHITERIVER, AZ. NPPES has assigned the NPI number 1144347501 to WHITERIVER SERVICE UNIT DENTAL CLINIC on March 23, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “WHITERIVER SERVICE UNIT DENTAL CLINIC” is a dba name, the actual legal business name for this organization is DHHS IHS PHOENIX AREA. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QD0000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Dental Keep in mind, having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.
The NPI profile was previously updated about 14 years ago on Dec 27, 2011. 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 WHITERIVER SERVICE UNIT DENTAL CLINIC below.
NPI Profile for
DHHS IHS PHOENIX AREA
(more than 19 years ago)
WHITERIVER, AZ 85941-0860 Phone: (928) 338-4911 Fax: (928) 338-5508
200 WEST HOSPITAL DRIVE
WHITERIVER, AZ 85941-0860 Phone: (928) 338-4911 Fax: (928) 338-5508
CHIEF EXECUTIVE OFFICER
Phone: (928) 338-4911
Identifiers for WHITERIVER SERVICE UNIT DENTAL CLINIC
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| OTHER | BC DENTAL | AZ | AZ0109760 |
| MEDICAID | AZ | 020561 | |
| MEDICAID | AZ | 092403-01 |
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 |
|---|---|---|
| 261QD0000X - Clinic/Center / Dental (Primary) |
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| 124Q00000X - Dental Hygienist |
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| 1223P0221X - Dentist / Pediatric Dentistry |
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| 1223G0001X - Dentist / General Practice |
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| 1223D0001X - Dentist / Dental Public Health |
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.