Organization · Type 2 NPI

Fort McDowell Yavapai Nation

Primary Care Clinic/Center · Fort Mcdowell, AZ

NPI number 1053418533 Active

Practice location

16240 North Fort Mcdowell
Fort Mcdowell, AZ 85264-3402

Call (480) 789-7890 Map

Fax (480) 789-7894

Mailing address

PO Box 17779
Fountain Hills, AZ 85269-7779

Specialties and licenses

Taxonomy	Code	License
Primary Care Clinic/Center Primary	261QP2300X	None listed

Primary Care Clinic/Center: Definition to come...

NPI record

NPI: 1053418533
Entity type: Organization (Type 2)
Issued: Sep 19, 2006
Last updated: May 5, 2017
Status: Active
Subpart: Yes of Fort McDowell Yavapai Nation

Other names

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Wassaja Memorial Health Center · doing business as

Authorized official

Demetra Barr Reynolds, MD
Medical Health Director
(480) 816-7199

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1053418533

Fort McDowell Yavapai Nation's National Provider Identifier is 1053418533, issued on Sep 19, 2006. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Fort Mcdowell, AZ. The record was last updated on May 5, 2017.