Organization Active NPI

Gila Health and Wellness Center LLC

  • Community Health Clinic/Center
  • Payson, AZ
National Provider Identifier
1366134835
Registry record updated May 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
Legal business name
GILA HEALTH AND WELLNESS CENTER LLC
Practice address
616 S Beeline Hwy Ste 101
Payson, AZ 85541-5380
Phone
(602) 706-4405
NPI assigned
May 23, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2023

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

Authorized official

Name
Naim Robinson
Title
Owner
Phone
(602) 706-4405

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X Primary

Addresses

Primary practice location

616 S Beeline Hwy Ste 101
Payson, AZ 85541-5380

Mailing address

616 S Beeline Hwy Ste 101
Payson, AZ 85541-5380

National Provider Directory

National Provider Directory

Locations

616 S Beeline Hwy
Ste 101
Payson, AZ 85541
Phone (602) 706-4405

NPI Registry JSON

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

{
    "created_epoch": "1684800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684800000000",
    "number": "1366134835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "616 S BEELINE HWY STE 101",
            "city": "PAYSON",
            "state": "AZ",
            "postal_code": "855415380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 S BEELINE HWY STE 101",
            "city": "PAYSON",
            "state": "AZ",
            "postal_code": "855415380",
            "telephone_number": "602-706-4405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GILA HEALTH AND WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-23",
        "last_updated": "2023-05-23",
        "certification_date": "2023-05-23",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "NAIM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-706-4405"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Payson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2023; 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.