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NPI Code Detail

MEDICARE: NATIVE HEALTH

MEDICARE: NATIVE HEALTH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QF0400XFederally Qualified Health Center (FQHC)

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1982830410
Entity Type Code : Organization
Provider Name (Legal Business Name) : NATIVE HEALTH
Provider Business Mailing Address
First Line : 4041 N. CENTRAL AVE
Second Line : BUILDING C
City : PHOENIX
State : AZ
Zip : 85012-3313
Country : US
Telephone Number : 602-279-5262
Fax Number : 602-279-5390
Provider Business Practice Location Address
First Line : 8800 N 22ND AVE
Second Line :
City : PHOENIX
State : AZ
Zip : 85021-4258
Country : US
Telephone Number : 602-279-5351
Fax Number : 602-279-5361
Authorized Official
Title or Position : CEO
Name : MR. WALTER MURILLO
Credential :
Telephone Number : 602-279-5262
Provider Enumeration Date : 06/10/2009
Last Update Date : 05/13/2025

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Directions to “NATIVE HEALTH ” Practice Location

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