NPIMap

Organization Active NPI

Gila Health Resources

  • Radiology Clinic/Center
  • Morenci, AZ
National Provider Identifier
1710142658
Registry record updated Jul 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
License
OTC 3507 Issued in AZ
Legal business name
GILA HEALTH RESOURCES
Practice address
401 Burro Aly
Morenci, AZ 85540-9647
Phone
(928) 865-7505
Fax
(928) 865-7571
NPI assigned
Jul 21, 2008
Last updated
Jul 21, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2008

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

Authorized official

Name
Sharon A Farrington
Title
Administrator
Phone
(928) 865-7505

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X OTC 3507 AZ Primary

Addresses

Primary practice location

401 Burro Aly
Morenci, AZ 85540-9647

Mailing address

PO Box 218
Morenci, AZ 85540-0218
Phone (928) 865-7505

Other identifiers 1

IdentifierTypeStateIssuer
843088MedicaidAZ

National Provider Directory

National Provider Directory
Tax ID family
Gila Health Resources4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1216598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216598400000",
    "number": "1710142658",
    "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": "928-865-7505",
            "fax_number": "928-865-7571"
        },
        {
            "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": "928-865-7505",
            "fax_number": "928-865-7571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GILA HEALTH RESOURCES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-21",
        "last_updated": "2008-07-21",
        "status": "A",
        "authorized_official_last_name": "FARRINGTON",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "928-865-7505"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "AZ",
            "license": "OTC 3507",
            "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 Jul 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.