NPIMap

Organization Active NPI

Salt River Pima-Maricopa Indian Community

  • Community/Behavioral Health Agency
  • Scottsdale, AZ
National Provider Identifier
1497000293
Registry record updated Jun 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
SALT RIVER PIMA-MARICOPA INDIAN COMMUNITY
Practice address
10901 E McDowell Rd
Scottsdale, AZ 85256-5300
Phone
(480) 278-7742
Fax
(480) 362-6790
NPI assigned
Jul 17, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2024

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

Authorized official

Name
Frances Hernandez
Title
RCM Manager
Phone
(480) 362-6641

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary
Substance Abuse Rehabilitation Facility 324500000X

Addresses

Primary practice location

10901 E McDowell Rd
Scottsdale, AZ 85256-5300

Mailing address

10005 E Osborn Rd
Scottsdale, AZ 85256-4019
Phone (480) 362-7400

Other practice location 1

10005 E Osborn Rd
Scottsdale, AZ 85256-4019
Phone (480) 362-5500

Other identifiers 1

IdentifierTypeStateIssuer
813333MedicaidAZ

Other names 1

  • SALT RIVER PIMA MARICOPA INDIAN COMMUNITY Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150312001652 TX Part B Supplier - Clinic/Group Practice 6204078025 Receives reassigned benefits from 145 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Scottsdale, AZ

Other NPIs on the same Medicare enrollment 2

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

National Provider Directory

National Provider Directory
Tax ID family
Salt River Pima Maricop6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Locations

4827 N Country Club Dr
Scottsdale, AZ 85256

11562 E Highland Ave
Scottsdale, AZ 85256

10215 E Osborn Rd
Scottsdale, AZ 85256

10879 E McDowell Rd
Scottsdale, AZ 85256

Practitioners & affiliated clinicians

Practitioners 34

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 34

NPI Registry JSON

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

{
    "created_epoch": "1342483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717977600000",
    "number": "1497000293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10005 E OSBORN RD",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852564019",
            "telephone_number": "480-362-7400",
            "fax_number": "480-362-5950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10901 E MCDOWELL RD",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852565300",
            "telephone_number": "480-278-7742",
            "fax_number": "480-362-6790"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10005 E Osborn Rd",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852564019",
            "country_code": "US",
            "telephone_number": "480-362-5500",
            "fax_number": "480-362-5566",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SALT RIVER PIMA-MARICOPA INDIAN COMMUNITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-17",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-10",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "FRANCES",
        "authorized_official_title_or_position": "RCM MANAGER",
        "authorized_official_telephone_number": "480-362-6641"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "813333",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SALT RIVER PIMA MARICOPA INDIAN COMMUNITY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2024; 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.