NPIMap

Organization Active NPI

San Carlos Apache Healthcare Corporation

Doing business as Clarence Wesley Health Center

  • Clinic/Center
  • Bylas, AZ
National Provider Identifier
1417330713
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
SAN CARLOS APACHE HEALTHCARE CORPORATION
Doing business as
Clarence Wesley Health Center
Practice address
9A Clarence Wesley Health Center Loop
Bylas, AZ 85530
Phone
(928) 475-2686
NPI assigned
Jul 6, 2015
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Victoria Began
Title
Ceo
Phone
(928) 475-1208

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

9A Clarence Wesley Health Center Loop
Bylas, AZ 85530

Mailing address

PO Box 787
Peridot, AZ 85542-0787
Phone (928) 475-1400

Other names 1

  • Clarence Wesley Health Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, AZ3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20151105002091 TX Part B Supplier - Clinic/Group Practice 0648580597 Receives reassigned benefits from 445 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Bylas, AZ; Peridot, AZ
O20161115002165 TX Part B Supplier - Pharmacy 0648580597 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Bylas, AZ; Peridot, AZ
O20210211002524 AZ Part A Provider - Critical Access Hospital 0648580597 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Bylas, AZ; Peridot, AZ

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1417330713. Details of each certification follow.

Hospital certification: CCN 031320

Legal name
SAN CARLOS APACHE HEALTHCARE CORPORATION
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Jan 10, 2023
Last certification
Jan 10, 2023
Beds
12
Ownership / control type
Tribal
Organization structure
GovernmentNon-profit
Enrollment address
103 Medicine Way Rd
Peridot, AZ 85542-5000
Main/Primary Hospital Location

Other NPIs on the same Medicare enrollment 2

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

Care Compare: Hospital

Medicare Care Compare
Listed as
San Carlos Apache Healthcare CorporationCCN 031320 · All quality measures
Type
Critical Access Hospitals
Ownership
Tribal
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
San Carlos Apache Healthcare Corporation10 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.

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
San Carlos Apache Tribe Organization, San Carlos, AZ 5% Or Greater Direct Ownership Interest Jul 12, 2015 100%
Operational/Managerial Control Jul 12, 2015 100%
Valerie J Chee Individual Corporate Director Jan 10, 2023
Victoria D Began Individual W-2 Managing EmployeeCeo Feb 22, 2016 100%

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 442

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 442

Affiliated clinicians 111

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 111

NPI Registry JSON

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

{
    "created_epoch": "1436140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1417330713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 787",
            "city": "PERIDOT",
            "state": "AZ",
            "postal_code": "855420787",
            "telephone_number": "928-475-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9A CLARENCE WESLEY HEALTH CENTER LOOP",
            "city": "BYLAS",
            "state": "AZ",
            "postal_code": "85530",
            "telephone_number": "928-475-2686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN CARLOS APACHE HEALTHCARE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-06",
        "last_updated": "2025-09-11",
        "certification_date": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "BEGAN",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "928-475-1208"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clarence Wesley Health Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Clarence Wesley Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bylas, AZ

Sources for this page

Verify at the official NPI Registry.