Healthcare Provider Details

I. General information

NPI: 1053326751
Provider Name (Legal Business Name): NATIVE AMERICANS FOR COMMUNITY ACTION, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/30/2006
Last Update Date: 07/28/2025
Certification Date: 07/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 E CEDAR AVE STE 26
FLAGSTAFF AZ
86004-1642
US

IV. Provider business mailing address

1500 E CEDAR AVE. #56
FLAGSTAFF AZ
86004-1643
US

V. Phone/Fax

Practice location:
  • Phone: 928-773-1245
  • Fax: 928-773-9429
Mailing address:
  • Phone: 928-607-3994
  • Fax: 928-773-9429

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QF0400X
TaxonomyFederally Qualified Health Center (FQHC)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License NumberOTC0677
License Number StateAZ
# 3
Primary TaxonomyN
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License NumberOTC0677
License Number State

VIII. Authorized Official

Name: CHRISTOPHER DAVID
Title or Position: CEO
Credential:
Phone: 928-526-2968