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.
|Practice Location|| 1 Mohave Avenue, San Carlos, AZ 85550, US |
|Practice Location Phone||928-475-2798|
|Practice Location Fax||928-475-5925|
|Legal Business Name||SAN CARLOS APACHE TRIBE|
|Enumeration Date ? ||Mar 14, 2007|
|Last Update Date ? ||Jul 9, 2007|
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).
Specialties & Licenses of San Carlos Apache Tribe
|Specialty||Provider Type||Specialization||License||License State|
|Dietitian, Registered||Dietary & Nutritional Service Providers|| ||85002233||Arizona|
Legacy Provider IDs of San Carlos Apache Tribe
|Provider Id||Issuer State||Issuer Type||Issuer|
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/Position||TRIBAL CHAIRMAN|
|Authorized Official Phone Number||928-475-2361|