Organization Active NPI

Native Country Healthcare Systems

  • Health Service Clinic/Center
  • Phoenix, AZ
National Provider Identifier
1144938192
Registry record updated Nov 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
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

Updated by the provider on Nov 8, 2022

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)CodeLicenseStatePrimary
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 Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address admin@nativecountryhealthcare.com Health Information Exchange (HIE)

National Provider Directory

National Provider Directory
Tax ID family
Native Country Healthcare Systems4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

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

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.

Verify at the official NPI Registry.