Organization Active NPI

The Hopi Tribe

  • Ambulance
  • Polacca, AZ
National Provider Identifier
1417007170
Registry record updated May 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
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

Updated by the provider on May 16, 2019

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
310912MedicaidAZ

Other names 1

  • Hopi Tribal Activities Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.