NPIMap

Organization Active NPI

Dhew Ind HLTH SV HLTH SVS & MNTL HLTH Adm

Doing business as Ak-Chin Clinic

  • Public Health or Welfare Agency
  • Maricopa, AZ
National Provider Identifier
1538043443
Registry record updated Aug 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
DHEW IND HLTH SV HLTH SVS & MNTL HLTH ADM
Doing business as
Ak-Chin Clinic
Practice address
48203 W Farrell Rd
Maricopa, AZ 85139-3806
Phone
(602) 581-6080
Fax
(602) 263-1619
NPI assigned
Aug 4, 2025
Last updated
Aug 4, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
DHEW IND HLTH SV HLTH SVS & MNTL HLTH ADMAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 4, 2025

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

Authorized official

Name
Dr. Laura Tillman, MDNPI 1932295748
Title
Chief Medical Officer
Phone
(602) 263-1674

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X Primary
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 1

  • Ak-Chin Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, AZ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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

Other NPIs on the same Medicare enrollment 6

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

National Provider Directory

National Provider Directory
Tax ID family
Dhew Ind HLTH SV HLTH SVS Mntal HLTH Adm18 organizations share this tax ID, including this one
Part of
Dhew Ind HLTH SV HLTH SVS Mntal HLTH Adm

Other organizations with this tax ID 17

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

View all 17

Locations

1215 N Beaver St
Ste 201
Flagstaff, AZ 86001
Phone (520) 214-3920

1355 N Beaver St
#180
Flagstaff, AZ 86001
Phone (520) 214-3920

1501 N Campbell Ave
Ste 4612
Tucson, AZ 85724
Phone (520) 694-7000

Practitioners & affiliated clinicians

Practitioners 671

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 671

NPI Registry JSON

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

{
    "created_epoch": "1754265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754265600000",
    "number": "1538043443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 95460",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441010033",
            "telephone_number": "602-581-6080",
            "fax_number": "602-263-1619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48203 W FARRELL RD",
            "city": "MARICOPA",
            "state": "AZ",
            "postal_code": "851393806",
            "telephone_number": "602-581-6080",
            "fax_number": "602-263-1619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DHEW IND HLTH SV HLTH SVS & MNTL HLTH ADM",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DHEW IND HLTH SV HLTH SVS & MNTL HLTH ADM",
        "enumeration_date": "2025-08-04",
        "last_updated": "2025-08-04",
        "certification_date": "2025-08-01",
        "status": "A",
        "authorized_official_last_name": "TILLMAN",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "CHIEF MEDICAL OFFICER",
        "authorized_official_telephone_number": "602-263-1674",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ak-Chin Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Maricopa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2025; 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.