Active NPI
Native Health
Doing business as Native American Community Health Center, Inc.
- Federally Qualified Health Center (FQHC)
- Mesa, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Federally Qualified Health Center (FQHC)
- Legal business name
- NATIVE HEALTH
- Doing business as
- Native American Community Health Center, Inc.
- Practice address
- 777 W Southern Ave
BLDG E, Ste 501
Mesa, AZ 85210-5062 - Phone
- (480) 550-4048
- Fax
- (480) 264-5099
- NPI assigned
- Dec 12, 2017
- Organization subpart
- Yes
- Parent organization
- NATIVE HEALTH
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Walter Murillo
- Title
- Ceo
- Phone
- (602) 279-5262
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | Primary |
Addresses
Primary practice location
777 W Southern Ave
BLDG E, Ste 501
Mesa, AZ 85210-5062
Mailing address
4041 N Central Ave BLDG C
Phoenix, AZ 85012-3313
Phone (602) 279-5262
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 527706 | Medicaid | AZ |
Other names 1
- Native American Community Health Center, Inc.
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180319001101 | AZ | Part B Supplier - Clinic/Group Practice | 4385738418 |
Receives reassigned benefits from 24 practitioners 8 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Guadalupe, AZ; Mesa, AZ; Phoenix, AZ |
Other NPIs on the same Medicare enrollment 8
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba Native American Community Health Center, Inc.
- Federally Qualified Health Center (FQHC)
- Phoenix, AZ
- NPI 1427386853
O20180319001101
-
dba Native American Community Health Center
- Federally Qualified Health Center (FQHC)
- Guadalupe, AZ
- NPI 1487443115
O20180319001101
-
dba Native American Community Health Center, Inc.
- Federally Qualified Health Center (FQHC)
- Phoenix, AZ
- NPI 1578059168
O20180319001101
-
dba Native American Community Health Center, Inc.
- Federally Qualified Health Center (FQHC)
- Phoenix, AZ
- NPI 1700904075
O20180319001101
-
dba Native American Community Health Center, Inc.
- Federally Qualified Health Center (FQHC)
- Phoenix, AZ
- NPI 1740462761
O20180319001101
-
dba Native American Community Health Center, Inc.
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Phoenix, AZ
- NPI 1780121244
O20180319001101
-
dba Native American Community Health Center, Inc.
- Federally Qualified Health Center (FQHC)
- Phoenix, AZ
- NPI 1871972182
O20180319001101
-
dba Native American Community Health Center, Inc.
- Federally Qualified Health Center (FQHC)
- Phoenix, AZ
- NPI 1982830410
O20180319001101
National Provider Directory
National Provider Directory- Tax ID family
- Native Health
- Part of
- Native Health
Other organizations with this tax ID 6
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Native American Community Health Center
- Federally Qualified Health Center (FQHC)
- Guadalupe, AZ
- NPI 1487443115
-
dba Native American Community Health Center, Inc.
- Federally Qualified Health Center (FQHC)
- Phoenix, AZ
- NPI 1700904075
-
dba Native American Community Health Center, Inc.
- Federally Qualified Health Center (FQHC)
- Phoenix, AZ
- NPI 1871972182
-
dba Native American Community Health Center, Inc.
- Federally Qualified Health Center (FQHC)
- Phoenix, AZ
- NPI 1982830410
Locations
777 W Southern Ave
Ste 501
Mesa, AZ 85210
Phone (480) 550-4048
777 W Southern Ave
Bldg C
Mesa, AZ 85210
777 W Southern Ave
Mesa, AZ 85210
Practitioners & affiliated clinicians
Practitioners 7
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Phoenix, AZ
- NPI 1184292096
-
- Clinical Social Worker
- Navarre, FL
- NPI 1538556238
-
- General Practice Dentistry
- Mesa, AZ
- NPI 1972438448
-
- Family Medicine Physician
- Tempe, AZ
- NPI 1447206966
-
- Clinical Social Worker
- Mesa, AZ
- NPI 1154791580
-
- Counselor
- Mesa, AZ
- NPI 1639901846
-
- Social Worker
- Mesa, AZ
- NPI 1104400548
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1513036800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1747094400000",
"number": "1336654383",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4041 N CENTRAL AVE BLDG C",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850123313",
"telephone_number": "602-279-5262",
"fax_number": "602-279-5390"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "777 W SOUTHERN AVE",
"address_2": "BLDG E, STE 501",
"city": "MESA",
"state": "AZ",
"postal_code": "852105062",
"telephone_number": "480-550-4048",
"fax_number": "480-264-5099"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NATIVE HEALTH",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "NATIVE HEALTH",
"enumeration_date": "2017-12-12",
"last_updated": "2025-05-13",
"certification_date": "2025-05-13",
"status": "A",
"authorized_official_last_name": "MURILLO",
"authorized_official_first_name": "WALTER",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "602-279-5262"
},
"taxonomies": [
{
"code": "261QF0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "527706",
"state": "AZ"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Native American Community Health Center, Inc.",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Native American Community Health Center, Inc.",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Mesa, AZ
- Native American Air Ambulance, Inc.
- Native American Fatherhood & Families Association
- Native Anesthesia LLC
- Native Country Healthcare Systems
- Native Country Healthcare Systems
- Native Health (Native Health Mesa Pharmacy)
- Daniel Nattel
- Sierra Nattress, CPNP-PC
- Natural Choice Healthcare, PLLC
- Natural Health Chiropractic PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.