Organization · Type 2 NPI

Dhew Ind HLTH SV HLTH SVS & MNTL HLTH

Public Health or Welfare Agency · Gila Bend, AZ

NPI number 1912921677 Active

Practice location

100 North Gila Boulvard
Gila Bend, AZ 85337-2658

Call (602) 263-1200 Map

Fax (602) 263-1618

Mailing address

PO Box 95460
Cleveland, OH 44101-0033

Specialties and licenses

Taxonomy	Code	License
Public Health or Welfare Agency Primary	251K00000X	None listed

Public Health or Welfare Agency: Definition to come...

Other public health or welfare agency providers in Gila Bend

Dhew Ind HLTH SV HLTH SVS & MNTL HLTH AdmPublic Health or Welfare Agency Gila Bend, AZ NPI 1962949008

See all in Gila Bend →

NPI record

NPI: 1912921677
Entity type: Organization (Type 2)
Issued: Jul 27, 2006
Last updated: Jan 26, 2026
Status: Active
Subpart: Yes of Dhew Ind HLTH SV HLTH SVS & MNTL HLTH Adm

Other names

<unavail>
Gila Bend Clinic · doing business as

Authorized official

Dr. Laura Tillman, MD
Chief Medical Officer
(602) 263-1674

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.

Is this your record? How to update it.

About NPI 1912921677

Dhew Ind HLTH SV HLTH SVS & MNTL HLTH's National Provider Identifier is 1912921677, issued on Jul 27, 2006. The primary taxonomy on file is Public Health or Welfare Agency (251K00000X), and the practice location is in Gila Bend, AZ. The record was last updated on Jan 26, 2026.