Healthcare Provider Details

I. General information

NPI: 1417505611
Provider Name (Legal Business Name): ASSOCIATION OF INDIGENOUS PIONEERS, INCORPORATED (AIPI)
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/30/2019
Last Update Date: 08/30/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

NEC NAVAJO ROUTE 15 & 60 SUITE #2
WINSLOW AZ
86047
US

IV. Provider business mailing address

28 N HIGHWAY 77, PMB #5105
HOLBROOK AZ
86025
US

V. Phone/Fax

Practice location:
  • Phone: 928-421-5201
  • Fax: 480-287-8843
Mailing address:
  • Phone: 928-421-5201
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: BRANDON MICHAEL LESTER
Title or Position: CEO
Credential:
Phone: 928-421-5201