NPIMap

Organization Active NPI

Tohono O'Odham Nation - Division of Behavioral Health

  • Federally Qualified Health Center (FQHC)
  • Sells, AZ
National Provider Identifier
1417153685
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
TOHONO O'ODHAM NATION - DIVISION OF BEHAVIORAL HEALTH
Practice address
Highway 86 - Sells Business Loop
Highway 86 - Sells Business Loop
Sells, AZ 85634-0810
Phone
(520) 383-6165
Fax
(520) 383-5433
NPI assigned
Jun 25, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Ned Norris Jr.
Title
Chairman
Phone
(520) 383-2028

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X AZ Primary

Addresses

Primary practice location

Highway 86 - Sells Business Loop
Highway 86 - Sells Business Loop
Sells, AZ 85634-0810

Mailing address

PO Box 810
Health & Human Service Complex - Highway 86
Sells, AZ 85634-0810
Phone (520) 383-6165

Other identifiers 1

IdentifierTypeStateIssuer
630972MedicaidAZ

National Provider Directory

National Provider Directory
Tax ID family
Tohono O'Odham Nation- DHS10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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": "1182729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1417153685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 810",
            "address_2": "HEALTH & HUMAN SERVICE COMPLEX - HIGHWAY 86",
            "city": "SELLS",
            "state": "AZ",
            "postal_code": "856340810",
            "telephone_number": "520-383-6165",
            "fax_number": "520-383-5433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HIGHWAY 86 - SELLS BUSINESS LOOP",
            "address_2": "HIGHWAY 86 - SELLS BUSINESS LOOP",
            "city": "SELLS",
            "state": "AZ",
            "postal_code": "856340810",
            "telephone_number": "520-383-6165",
            "fax_number": "520-383-5433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOHONO O'ODHAM NATION - DIVISION OF BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NORRIS",
        "authorized_official_first_name": "NED",
        "authorized_official_title_or_position": "CHAIRMAN",
        "authorized_official_telephone_number": "520-383-2028",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "630972",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sells, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.