| Native American Community Health Center, Inc. | |
|
777 W Southern Ave Bldg E, Ste 501 Mesa AZ 85210-5062 | |
| (480) 550-4048 | |
| (480) 264-5099 |
| Full Name | Native American Community Health Center, Inc. |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 777 W Southern Ave, Mesa, Arizona |
| Authorized Official Name and Position | Walter Murillo (CEO) |
| Authorized Official Contact | 6022795262 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Native American Community Health Center, Inc. 4041 N Central Ave Bldg C Phoenix AZ 85012-3313 Ph: (602) 279-5262 | Native American Community Health Center, Inc. 777 W Southern Ave Bldg E, Ste 501 Mesa AZ 85210-5062 Ph: (480) 550-4048 |
| NPI Number | 1336654383 |
|---|---|
| Provider Enumeration Date | 12/12/2017 |
| Last Update Date | 05/13/2025 |
| Certification Date | 05/13/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336654383 | NPI | - | NPPES |
| 527706 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | () | Primary |
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