Active NPI
Gila Health Resources
- Family Medicine Physician
- Morenci, AZ
National Provider Identifier
1497740187
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- OTC3507
- Legal business name
- GILA HEALTH RESOURCES
- Practice address
- 401 Burro Aly
Morenci, AZ 85540-9647 - Phone
- (928) 865-7502
- Fax
- (928) 865-9186
- NPI assigned
- Sep 19, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Anissa Boling
- Title
- Operations Support Specialist
- Phone
- (928) 865-7526
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | OTC3507 | AZ | Primary |
Addresses
Primary practice location
401 Burro Aly
Morenci, AZ 85540-9647
Mailing address
PO Box 218
Morenci, AZ 85540-0218
Phone (928) 865-7500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 843088 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040423000876 | AZ | Part B Supplier - Clinic/Group Practice | 1254327216 |
Receives reassigned benefits from 38 practitioners Practice locations: Bagdad, AZ; Morenci, AZ |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 39
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Emergency Medical Services (Emergency Medicine) Physician
- Safford, AZ
- NPI 1811935703
AZ, Emergency Medical Services
-
- Emergency Medicine Physician
- Tucson, AZ
- NPI 1295268837
AZ, Family Medicine
-
- Emergency Medical Services (Emergency Medicine) Physician
- Chandler, AZ
- NPI 1457395253
AZ, Emergency Medical Services
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127088000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1767744000000",
"number": "1497740187",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 218",
"city": "MORENCI",
"state": "AZ",
"postal_code": "855400218",
"telephone_number": "928-865-7500",
"fax_number": "928-865-9186"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 BURRO ALY",
"city": "MORENCI",
"state": "AZ",
"postal_code": "855409647",
"telephone_number": "928-865-7502",
"fax_number": "928-865-9186"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GILA HEALTH RESOURCES",
"organizational_subpart": "NO",
"enumeration_date": "2005-09-19",
"last_updated": "2026-01-07",
"certification_date": "2026-01-07",
"status": "A",
"authorized_official_last_name": "BOLING",
"authorized_official_first_name": "ANISSA",
"authorized_official_title_or_position": "OPERATIONS SUPPORT SPECIALIST",
"authorized_official_telephone_number": "928-865-7526"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "AZ",
"license": "OTC3507",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "843088",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Morenci, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2026; 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.