NPIMap

Organization Active NPI

Gila River Health Care Corporation

Doing business as Komatke Health Center

  • Critical Access Hospital
  • Laveen, AZ
National Provider Identifier
1376538231
Registry record updated Jun 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
Legal business name
GILA RIVER HEALTH CARE CORPORATION
Doing business as
Komatke Health Center
Practice address
17487 S. Health Care Dr.
Laveen, AZ 85339-0038
Phone
(520) 550-6000
Fax
(520) 550-6027
NPI assigned
Sep 16, 2005
Last updated
Jun 17, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2025

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

Authorized official

Name
Dr. Anthony J Santiago
Title
Ceo
Phone
(602) 528-1200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X AZ Primary

Addresses

Primary practice location

17487 S. Health Care Dr.
Laveen, AZ 85339-0038

Mailing address

P.O. Box 38
Sacaton, AZ 85147-0038
Phone (602) 528-1200

Other names 1

  • Komatke Health Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031125000648 TX Part B Supplier - Clinic/Group Practice 0648174185 Receives reassigned benefits from 503 practitioners
10 other NPIs on this enrollment
Practice locations: Bapchute, AZ; Chandler, AZ; Laveen, AZ; Maricopa, AZ; Sacaton, AZ

Other NPIs with the same Medicare PAC ID 3

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

Other NPIs on the same Medicare enrollment 10

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

National Provider Directory

National Provider Directory

Locations

17487 S Healthcare Dr
#H
Laveen, AZ 85339
Phone (520) 550-6000

Ownership & related parties

All facility ownership & control disclosures 1

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

FacilityTypeRoleSince
The Caring HouseSacaton, AZ, CCN 035216 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Direct Ownership Interest (100%)		 Aug 5, 2015
Aug 5, 2015

Owned or controlled facilities with NPI records 1

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

  • The Caring House
    • Skilled Nursing Facility
    • Sacaton, AZ
    • NPI 1912909391

    5% Or Greater Direct Ownership Interest, Direct Ownership Interest

    CMS ownership

Practitioners & affiliated clinicians

Practitioners 513

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.

View all 513

NPI Registry JSON

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

{
    "created_epoch": "1126828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750118400000",
    "number": "1376538231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 38",
            "city": "SACATON",
            "state": "AZ",
            "postal_code": "851470038",
            "telephone_number": "602-528-1200",
            "fax_number": "602-528-1255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17487 S. HEALTH CARE DR.",
            "city": "LAVEEN",
            "state": "AZ",
            "postal_code": "853390038",
            "telephone_number": "520-550-6000",
            "fax_number": "520-550-6027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GILA RIVER HEALTH CARE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-16",
        "last_updated": "2025-06-17",
        "certification_date": "2025-06-17",
        "status": "A",
        "authorized_official_last_name": "SANTIAGO",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "602-528-1200",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Komatke Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Laveen, AZ

Sources for this page

Verify at the official NPI Registry.