NPIMap

Organization Active NPI

Gila Health Resources

  • Family Medicine Physician
  • Morenci, AZ
National Provider Identifier
1497740187
Registry record updated Jan 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OTC3507 Issued in AZ
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
Last updated
Jan 7, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2026

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 Directory

Practitioners & affiliated clinicians

Practitioners 39

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 39

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": [],
    "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.

Verify at the official NPI Registry.