Fort Mojave Indian Health Center - Medicare Primary Care in Mohave Valley, AZ

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Fort Mojave Indian Health Center is a medicare enrolled primary clinic (Clinic/center - Rural Health) in Mohave Valley, Arizona. The current practice location for Fort Mojave Indian Health Center is 1607 Plantation Rd, Mohave Valley, Arizona. For appointments, you can reach them via phone at (928) 346-4679. The mailing address for Fort Mojave Indian Health Center is 1607 Plantation Rd, Mohave Valley, Arizona and phone number is (928) 346-4679.

Fort Mojave Indian Health Center is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1306897962. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (928) 346-4679.

Contact Information

Fort Mojave Indian Health Center
1607 Plantation Rd
Mohave Valley
AZ 86440-9686
(928) 346-4679
(928) 346-4686

Map and Direction


Primary Care Clinic Profile

Full NameFort Mojave Indian Health Center
SpecialityClinic/Center
Location1607 Plantation Rd, Mohave Valley, Arizona
Authorized Official Name and PositionTim Williams (TRIBAL CHAIRPERSON)
Authorized Official Contact7606294591
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Fort Mojave Indian Health Center
1607 Plantation Rd
Mohave Valley
AZ 86440-9686

Ph: (928) 346-4679		Fort Mojave Indian Health Center
1607 Plantation Rd
Mohave Valley
AZ 86440-9686

Ph: (928) 346-4679

NPI Details:

NPI Number1306897962
Provider Enumeration Date05/16/2006
Last Update Date02/06/2023

Medicare PECOS Information:

Medicare PECOS PAC ID0547220576
Medicare Enrollment IDO20041014000464

Medical Identifiers

Medical identifiers for Fort Mojave Indian Health Center such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1306897962NPI-NPPES
EAP00010FOtherCAEAPC
0500888779OtherCLIA
890211MedicaidAZ

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QR1300XClinic/center - Rural Health (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Fort Mojave Indian Health Center acts as a billing entity for following providers:
Provider NameJulia G Nasser
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1306917851
PECOS PAC ID: 0446384473
Enrollment ID: I20100812000974
Provider NameJames Hampton
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1689621534
PECOS PAC ID: 4183811078
Enrollment ID: I20101203000842
Provider NameChar M Murff
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1114156429
PECOS PAC ID: 3476680208
Enrollment ID: I20110316000088
Provider NameMichael H Gravatt
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1053517961
PECOS PAC ID: 9931233178
Enrollment ID: I20120301000286
Provider NameJeffrey H Miller
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1114010006
PECOS PAC ID: 6204877715
Enrollment ID: I20140630000899
Provider NameLane A Woldum
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1588609481
PECOS PAC ID: 9739166794
Enrollment ID: I20180111002549
Provider NameRussell W Buford
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1144687682
PECOS PAC ID: 5991088817
Enrollment ID: I20181105000961
Provider NameHeather Harper Patton
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1487126736
PECOS PAC ID: 2264865450
Enrollment ID: I20191202000713
Provider NameMohamed I Ramadan
Provider TypePractitioner - Preventive Medicine
Provider IdentifiersNPI Number: 1225025984
PECOS PAC ID: 4183657034
Enrollment ID: I20191202001619
Provider NameMonette Pierre Louis
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1962440313
PECOS PAC ID: 8224118427
Enrollment ID: I20191202001878
Provider NameScott I Boggs
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1467439331
PECOS PAC ID: 6800815101
Enrollment ID: I20191204001357
Provider NameMargaret D Barden
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1063840601
PECOS PAC ID: 8527296490
Enrollment ID: I20211011000115

Reviews and Comments


Clinic/Center in Mohave Valley, AZ

Willow Valley Medical Center Pc
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 8700 Highway 95, Mohave Valley, AZ 86440
Phone: 760-217-2464    Fax: 928-453-9207
Tri-state Community Healthcare Center
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 8700 S Highway 95, Mohave Valley, AZ 86440
Phone: 928-768-7113    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.