Dhew Ind HLTH SV HLTH SVS & MNTL HLTH Adm
Organization Active NPI Public Health or Welfare Agency · Maricopa, AZ
NPI 1538043443 · NPPES record last updated Aug 4, 2025
Key facts
- NPI
- 1538043443
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Public Health or Welfare Agency 251K00000X
- Legal business name
- DHEW IND HLTH SV HLTH SVS & MNTL HLTH ADM
- Practice address
- 48203 W Farrell Rd
Maricopa, AZ 85139-3806 - Phone
- (602) 581-6080
- Fax
- (602) 263-1619
- NPI assigned
- Aug 4, 2025
- Organization subpart
- Yes
- Parent organization (as reported)
- DHEW IND HLTH SV HLTH SVS & MNTL HLTH ADM
Authorized official
- Name
- Dr. Laura Tillman, MD
- Title
- Chief Medical Officer
- Phone
- (602) 263-1674
Other NPIs on the same Medicare enrollment 6
Corporate family (same tax ID) 17
Practitioners 671
-
Olusegun Adetuyi, MD, MPH
-
Shifat Ahmed, MD
-
Daniel H Ahn, D.O.
-
Tahir Alkhairy, MD
-
Glenn Howard Allbritton, CRNA/MS
-
Shireen Kay Allen-Lawson, DNP, FNP-C
-
MHD Kussay Alsamkari, M.D.
-
Belinda Anderson, PMHNP-BC AND FNP-C
-
Jessica A Ankney, D.O.
-
Neeta Arya, DDS
-
Kendallyn Ashley, FNP
-
Caroline M Badeer, M.D.
-
Aimee L Baek, M.D.
-
Skye Bass, LCSW
-
Colleen Ladina Irene Beaufils, APRN, FNP-C
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in TX, AZ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031105000797 | TX | Part B Supplier - Clinic/Group Practice | 1759290901 |
Receives reassigned benefits from 636 practitioners 25 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Camp Verde, AZ; Gila Bend, AZ; Maricopa, AZ; Phoenix, AZ |
| O20100802000518 | AZ | Part a Provider - Indian Health Services Facility | 1759290901 |
2 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Camp Verde, AZ; Phoenix, AZ; Maricopa, AZ |
National Provider Directory
- Tax ID family
- Phoenix Indian Med Cent
- Part of
- Phoenix Indian Med Cent
Locations
1355 N Beaver St
#180
Flagstaff, AZ 86001
Phone (520) 214-3920
48203 W Farrell Rd
Maricopa, AZ 85139
Phone (520) 568-3881
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health or Welfare Agency | 251K00000X | Yes | ||
| Clinic/Center | 261Q00000X |
Addresses
Primary practice location
48203 W Farrell Rd
Maricopa, AZ 85139-3806
Mailing address
PO Box 95460
Cleveland, OH 44101-0033
Phone (602) 581-6080
Other names
- Ak-Chin Clinic
Other providers in Maricopa, AZ
- Desert Angels Behavioral Health Services, LLC
- Desert Eyecare Center
- Desert Oasis Dermatology PLLC
- Desert Storm K9 LLC
- Dharma Residential Az LLC
- Rupinder K Dhillon
- Michele E. Dickinson
- Joseph O Diduro
- Cherilin Michelle Diefenbacher-Phariss
- Dignity Behavioral Health
All providers in Maricopa, AZ · Public Health or Welfare Agency in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 4, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.