NPIMap

Organization Active NPI

Neighborhood Outreach Access to Health

Doing business as Midtown Health Center

  • Federally Qualified Health Center (FQHC)
  • Phoenix, AZ
National Provider Identifier
1265979850
Registry record updated Jun 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
NEIGHBORHOOD OUTREACH ACCESS TO HEALTH
Doing business as
Midtown Health Center
Practice address
4131 N 24TH St Ste B102
Phoenix, AZ 85016-6231
Phone
(602) 906-3740
Fax
(602) 265-3385
NPI assigned
Jan 20, 2017
Last updated
Jun 3, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2025

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

Authorized official

Name
Wendy Armendariz
Title
Ceo
Phone
(480) 882-4545

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X AZ Primary

Addresses

Primary practice location

4131 N 24TH St Ste B102
Phoenix, AZ 85016-6231

Mailing address

7500 N Dreamy Draw Dr Ste 145
Phoenix, AZ 85020-4668
Phone (480) 882-4545

Other identifiers 1

IdentifierTypeStateIssuer
271018MedicaidAZ

Other names 1

  • Midtown Health Center Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20110204000504 AZ Part B Supplier - Clinic/Group Practice 3577743764 Receives reassigned benefits from 134 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Glendale, AZ; Phoenix, AZ; Scottsdale, AZ
O20170410001155 AZ Part A Provider - Federally Qualified Health Center (FQHC) 3577743764 1 other NPI on this enrollment
Practice locations: Phoenix, AZ

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1265979850. Details of each certification follow.

Federally qualified health center certification: CCN 031949

Legal name
NEIGHBORHOOD OUTREACH ACCESS TO HEALTH
Doing business as
MIDTOWN HEALTH CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Mar 13, 2017
Last certification
Mar 13, 2017
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Jul 28, 2010 in AZ
Enrollment address
4131 N 24TH St
Ste B102
Phoenix, AZ 85016-6231

Other NPIs with the same Medicare PAC ID 8

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

8705 E McDowell Rd
Scottsdale, AZ 85257

Ownership & related parties

All disclosed owners & managing parties 12

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

NameRoleSinceShare
Lance R Monahan Individual Corporate OfficerChief Financial Officer Jan 20, 2025
Wendy Armendariz Individual Corporate OfficerChief Executive Officer Mar 18, 2013
Operational/Managerial ControlChief Executive Officer Mar 18, 2013
Douglas Guffey Individual Corporate DirectorBoard Member Feb 28, 2019
Mary Jung Individual Corporate DirectorBoard Member Oct 24, 2024
Marvin M Bell Individual Corporate DirectorBoard Member Dec 16, 2021
Gina C Conforti-Griffiths Individual Corporate DirectorBoard Member May 1, 2023
Tara McCollum Plese Individual Corporate DirectorBoard Member Dec 16, 2021
Robert Brunner Individual Corporate DirectorBoard Member Oct 24, 2024
Kavita Bernstein Individual Corporate DirectorBoard Vice Chair Jun 28, 2019
Francisco Avalos Individual Corporate DirectorBoard Member Oct 24, 2024
Scott Richter Individual Corporate DirectorBoard Member Aug 26, 2021
Kimberly Butler Perry Individual Corporate DirectorBoard Secretary Apr 23, 2021

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Noah Copperwood II Health CenterGlendale, AZ, CCN 031021 Federally qualified health center Operational/Managerial Control Nov 1, 2010

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1484870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748908800000",
    "number": "1265979850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7500 N DREAMY DRAW DR STE 145",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850204668",
            "telephone_number": "480-882-4545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4131 N 24TH ST STE B102",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850166231",
            "telephone_number": "602-906-3740",
            "fax_number": "602-265-3385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEIGHBORHOOD OUTREACH ACCESS TO HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-20",
        "last_updated": "2025-06-03",
        "certification_date": "2025-06-03",
        "status": "A",
        "authorized_official_last_name": "ARMENDARIZ",
        "authorized_official_first_name": "WENDY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "480-882-4545"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "271018",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Midtown Health Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Midtown Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.