Active NPI
Native Country Healthcare Systems
- Health Service Clinic/Center
- Phoenix, AZ
National Provider Identifier
1144938192
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- Legal business name
- NATIVE COUNTRY HEALTHCARE SYSTEMS
- Practice address
- 4805 W Thomas Rd Ste 14
Phoenix, AZ 85031-4050 - Phone
- (847) 766-9779
- NPI assigned
- Nov 8, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Prof. Ugorji Wilson Onyeani, RN,MD
- Title
- President
- Phone
- (602) 922-6182
Specialties & licenses 13
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | |||
| Clinic/Center | 261Q00000X | |||
| Dental Clinic/Center | 261QD0000X | |||
| Health Service Clinic/Center | 261QH0100X | Primary | ||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | |||
| Multi-Specialty Clinic/Center | 261QM1300X | |||
| Primary Care Clinic/Center | 261QP2300X | |||
| Comprehensive Outpatient Rehabilitation Facility (CORF) | 261QR0401X | |||
| Urgent Care Clinic/Center | 261QU0200X | |||
| Critical Access Hospital | 282NC0060X | |||
| Psychiatric Hospital | 283Q00000X | |||
| Clinic Pharmacy | 3336C0002X | |||
| Ambulance | 341600000X |
Addresses
Primary practice location
4805 W Thomas Rd Ste 14
Phoenix, AZ 85031-4050
Mailing address
1241 E Broadway Rd Ste 14
Mesa, AZ 85204-2254
Phone (847) 766-9779
Other names 1
- NATIVE COUNTRY HEALTHCARE SYSTEMS
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | admin@nativecountryhealthcare.com | Health Information Exchange (HIE) |
National Provider Directory
National Provider Directory- Tax ID family
- Native Country Healthcare Systems
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Behavioral Health Agency
- Phoenix, AZ
- NPI 1003525312
-
- Adult Mental Health Clinic/Center
- Mesa, AZ
- NPI 1386352599
-
- Urgent Care Clinic/Center
- Mesa, AZ
- NPI 1811605942
Locations
4805 W Thomas Rd
Ste 14
Phoenix, AZ 85031
Phone (847) 766-9779
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1667865600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1667865600000",
"number": "1144938192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1241 E BROADWAY RD STE 14",
"city": "MESA",
"state": "AZ",
"postal_code": "852042254",
"telephone_number": "847-766-9779"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4805 W THOMAS RD STE 14",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850314050",
"telephone_number": "847-766-9779"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NATIVE COUNTRY HEALTHCARE SYSTEMS",
"organizational_subpart": "NO",
"enumeration_date": "2022-11-08",
"last_updated": "2022-11-08",
"certification_date": "2022-11-08",
"status": "A",
"authorized_official_last_name": "ONYEANI",
"authorized_official_first_name": "UGORJI",
"authorized_official_middle_name": "WILSON",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "602-922-6182",
"authorized_official_name_prefix": "Prof.",
"authorized_official_credential": "RN,MD"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QR0401X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "282NC0060X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital, Critical Access",
"state": null,
"license": null,
"primary": false
},
{
"code": "283Q00000X",
"taxonomy_group": "",
"desc": "Psychiatric Hospital",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0002X",
"taxonomy_group": "",
"desc": "Pharmacy, Clinic Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "admin@nativecountryhealthcare.com",
"affiliation": "N",
"endpointDescription": "practice 2",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "4805 W Thomas Rd Ste 14",
"city": "Phoenix",
"state": "AZ",
"country_code": "US",
"postal_code": "850314050",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "NATIVE COUNTRY HEALTHCARE SYSTEMS",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "NATIVE COUNTRY HEALTHCARE SYSTEMS",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Phoenix, AZ
- Native American Connections, Inc.
- Native American Connections, Inc.
- Native Care LLC
- Native Care Trans LLC
- Native Country Healthcare Systems
- Native Family Homecare Inc
- Native Family Treatment Center Inc
- Native Health
- Native Health (Native American Community Health Center, Inc.)
- Native Health (Native American Community Health Center, Inc.)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.