Active NPI
The Hopi Tribe
- Ambulance
- Polacca, AZ
National Provider Identifier
1417007170
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- Legal business name
- THE HOPI TRIBE
- Practice address
- Hwy 264 MP 388
Polacca, AZ 86042 - Phone
- (928) 737-6355
- Fax
- (928) 737-6046
- NPI assigned
- Jan 12, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Anthony Huma
- Title
- EMS Director
- Phone
- (928) 737-6355
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | AZ | Primary |
Addresses
Primary practice location
Hwy 264 MP 388
Polacca, AZ 86042
Mailing address
PO Box 1010
Polacca, AZ 86042-1010
Phone (928) 737-6355
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 310912 | Medicaid | AZ |
Other names 1
- Hopi Tribal Activities
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100630000592 | AZ | Part B Supplier - Ambulance Service Supplier | 6608907985 | Practice locations: Polacca, AZ |
National Provider Directory
National Provider Directory- Tax ID family
- The Hopi Tribe-the Hopi Guidance Center
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Behavioral Health Agency
- Second Mesa, AZ
- NPI 1538238563
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168560000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1557964800000",
"number": "1417007170",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1010",
"city": "POLACCA",
"state": "AZ",
"postal_code": "860421010",
"telephone_number": "928-737-6355",
"fax_number": "928-737-6046"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "HWY 264 MP 388",
"city": "POLACCA",
"state": "AZ",
"postal_code": "86042",
"telephone_number": "928-737-6355",
"fax_number": "928-737-6046"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE HOPI TRIBE",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-12",
"last_updated": "2019-05-16",
"status": "A",
"authorized_official_last_name": "HUMA",
"authorized_official_first_name": "ANTHONY",
"authorized_official_title_or_position": "EMS DIRECTOR",
"authorized_official_telephone_number": "928-737-6355",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "AZ",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "310912",
"state": "AZ"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Hopi Tribal Activities",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Polacca, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2019; 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.