Native Health

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

NATIVE HEALTH

Doing business as

Native American Community Health Center, Inc.

Practice address

4041 N Central Ave BLDG C
Phoenix, AZ 85012-3313

Phone

(602) 279-5262

Fax

(602) 279-5390

NPI assigned

Nov 23, 2009

Last updated

May 13, 2025By the provider in NPPES

Organization subpart

Yes

Parent organization

NATIVE HEALTHAs reported in NPPES

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

Authorized official

Name

Mr. Walter Murillo

Title

Ceo

Phone

(602) 279-5262

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Native American Community Health Center, Inc. Doing business as

Medicare fee-for-service enrollment

Enrolled in AZ2 enrollments

Enrollment records 2

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1427386853. Details of each certification follow.

• CCN 031825 Federally qualified health center · Active · Details

Federally qualified health center certification: CCN 031825

Legal name

NATIVE HEALTH

Doing business as

NATIVE AMERICAN COMMUNITY HEALTH CENTER, INC.

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Jul 1, 1996

Last certification

Jul 1, 1996

Ownership / control type

For profit – corporation

Organization structure

CorporationNon-profit

Incorporated

Jun 1, 1997 in AZ

Enrollment address

4041 N Central Ave
BLDG C
Phoenix, AZ 85012-3313

Other NPIs on the same Medicare enrollment 8

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

• Native Health

  dba Native American Community Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Mesa, AZ
  • NPI 1336654383

  O20180319001101

  Same enrollment
• Native Health

  dba Native American Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Guadalupe, AZ
  • NPI 1487443115

  O20180319001101

  Same enrollment
• Native Health

  dba Native American Community Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Phoenix, AZ
  • NPI 1578059168

  O20180319001101

  Same enrollment
• Native Health

  dba Native American Community Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Phoenix, AZ
  • NPI 1700904075

  O20180319001101, O20190418001393

  Same enrollment
• Native Health

  dba Native American Community Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Phoenix, AZ
  • NPI 1740462761

  O20180319001101, O20190418001393

  Same enrollment
• Native Health

  dba Native American Community Health Center, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Phoenix, AZ
  • NPI 1780121244

  O20180319001101, O20190418001393

  Same enrollment
• Native Health

  dba Native American Community Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Phoenix, AZ
  • NPI 1871972182

  O20180319001101

  Same enrollment
• Native Health

  dba Native American Community Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Phoenix, AZ
  • NPI 1982830410

  O20180319001101

  Same enrollment

Part of

Native Health

All disclosed owners & managing parties 11

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

Owners & managing parties with NPI records 3

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

• Vafa Matin, DO

  • Family Medicine Physician
  • Phoenix, AZ
  • NPI 1184695371

  Corporate Officer

  CMS ownership
• Native Health

  dba Native American Community Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Phoenix, AZ
  • NPI 1700904075

  Operational/Managerial Control

  CMS ownership
• Native Health

  dba Native American Community Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Phoenix, AZ
  • NPI 1740462761

  Operational/Managerial Control

  CMS ownership

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

{
    "created_epoch": "1258934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747094400000",
    "number": "1427386853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4041 N. CENTRAL AVE",
            "address_2": "BUILDING C",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850123313",
            "telephone_number": "602-279-5262",
            "fax_number": "602-279-5390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4041 N CENTRAL AVE BLDG C",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850123313",
            "telephone_number": "602-279-5262",
            "fax_number": "602-279-5390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATIVE HEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NATIVE HEALTH",
        "enumeration_date": "2009-11-23",
        "last_updated": "2025-05-13",
        "certification_date": "2025-05-13",
        "status": "A",
        "authorized_official_last_name": "MURILLO",
        "authorized_official_first_name": "WALTER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "602-279-5262",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "936933",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Native American Community Health Center, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Native Country Healthcare Systems
• Native Country Healthcare Systems
• Native Family Homecare Inc
• Native Family Treatment Center Inc
• Native Health
• Native Health (Native American Community Health Center, Inc.)
• Native Health (Native American Community Health Center, Inc.)
• Native Health (Native American Community Health Center, Inc.)
• Native Health (Native American Community Health Center, Inc.)
• Native Health (Native Health West Pharmacy)

• Federally Qualified Health Center (FQHC) in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Federally Qualified Health Center (FQHC) in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.