NPIMap

Organization Active NPI

Native Americans for Community Action, Inc

  • Federally Qualified Health Center (FQHC)
  • Flagstaff, AZ
National Provider Identifier
1053326751
Registry record updated Jul 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
NATIVE AMERICANS FOR COMMUNITY ACTION, INC
Practice address
1500 E Cedar Ave
Ste 26
Flagstaff, AZ 86004-1642
Phone
(928) 773-1245
Fax
(928) 773-9429
NPI assigned
Jul 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Christopher DavidNPI 1952715880
Title
Ceo
Phone
(928) 526-2968

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary
Primary Care Clinic/Center 261QP2300X OTC0677 AZ
Primary Care Clinic/Center 261QP2300X OTC0677

Addresses

Primary practice location

1500 E Cedar Ave
Ste 26
Flagstaff, AZ 86004-1642

Mailing address

1500 E Cedar Ave. #56
Flagstaff, AZ 86004-1643
Phone (928) 607-3994

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040623001126 AZ Part B Supplier - Clinic/Group Practice 5597740464 Receives reassigned benefits from 22 practitioners
Practice locations: Flagstaff, AZ
O20130530000125 AZ Part A Provider - Federally Qualified Health Center (FQHC) 5597740464 Practice locations: Flagstaff, AZ

Federally qualified health center certification: CCN 031910

Legal name
NATIVE AMERICANS FOR COMMUNITY ACTION INC
Doing business as
FAMILY HEALTH CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
May 30, 2013
Last certification
May 30, 2013
Ownership / control type
Non-profit – church related
Organization structure
CorporationNon-profit
Incorporated
Sep 30, 1971 in AZ
Enrollment address
1500E Cedar Ave 26
Family Health Center
Flagstaff, AZ 86004-1642

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D0684915Naca Family Health Center1500 E Cedar Ave Ste 26, Flagstaff, AZ 86004Certificate of waiverJun 26, 2028

National Provider Directory

National Provider Directory
Tax ID family
Native Americans for Community Action2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1500 E Cedar Ave
Ste 56
Flagstaff, AZ 86004
Phone (928) 526-2968

Ownership & related parties

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Gerald Clark Individual Corporate OfficerChief Finance Officer May 1, 2019
W-2 Managing EmployeeChief Finance Office May 1, 2019
Jeffrey Axtell Individual Corporate OfficerChief Executive Officer May 1, 2019
W-2 Managing EmployeeChief Executive Officer May 1, 2019

Practitioners & affiliated clinicians

Practitioners 25

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 25

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753660800000",
    "number": "1053326751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 E CEDAR AVE. #56",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860041643",
            "telephone_number": "928-607-3994",
            "fax_number": "928-773-9429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 E CEDAR AVE",
            "address_2": "STE 26",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860041642",
            "telephone_number": "928-773-1245",
            "fax_number": "928-773-9429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATIVE AMERICANS FOR COMMUNITY ACTION, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2025-07-28",
        "certification_date": "2025-07-28",
        "status": "A",
        "authorized_official_last_name": "DAVID",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "928-526-2968"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "AZ",
            "license": "OTC0677",
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": "OTC0677",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flagstaff, AZ

Sources for this page

Verify at the official NPI Registry.