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San Carlos Apache Tribe

San Carlos Apache Tribe is a health care provider in San Carlos, AZ. In this page you will find its mailing address, practice location, phone number, specialty etc.

physician-icon Basic Information

Practice Location 1 Mohave Avenue, San Carlos, AZ 85550, US
Practice Location Phone928-475-2798
Practice Location Fax928-475-5925
Legal Business NameSAN CARLOS APACHE TRIBE
NPI ?1912030370
Entity TypeOrganization
Enumeration Date ? Mar 14, 2007
Last Update Date ? Jul 9, 2007
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of San Carlos Apache Tribe

SpecialtySpecializationLicenseLicense State
Dietitian, Registered 85002233Arizona

legacy-id-icon Legacy Provider IDs of San Carlos Apache Tribe

Provider IdIssuer StateIssuer TypeIssuer
153159ArizonaMedicaid

official-icon Authorized Official of San Carlos Apache Tribe

An authorized official is an appointed official with the legal authority to make changes and/or updates to the San Carlos Apache Tribe's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).

Authorized Official Mr. Wendsler Nosie
Authorized Official Title/PositionTRIBAL CHAIRMAN
Authorized Official Phone Number928-475-2361