Organization · Type 2 NPI
San Carlos Apache Tribe
Clinic/Center · San Carlos, AZ
NPI number
1710055405
Active
Practice location
1 Mohave Ave
San Carlos, AZ 85550
Mailing address
P.o. Box 0
San Carlos, AZ 85550
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center Primary | 261Q00000X | None listed |
Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
About NPI 1710055405
San Carlos Apache Tribe's National Provider Identifier is 1710055405, issued on Dec 1, 2006. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in San Carlos, AZ. The record was last updated on Nov 17, 2009.