Organization Active NPI

Tohono O'Odham Nation- DHS

  • Home Health Registered Nurse
  • Sells, AZ
National Provider Identifier
1821273475
Registry record updated Dec 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
Legal business name
TOHONO O'ODHAM NATION- DHS
Practice address
St. Rte.86-Multihealth Complex Transportation Services
Sells, AZ 85634
Phone
(520) 383-6050
Fax
(520) 383-6065
NPI assigned
Jan 2, 2008
Last updated
Dec 7, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2015

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

Authorized official

Name
Mr. Edward D Manuel
Title
Chairman
Phone
(520) 383-2028

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X NU
Home Health Registered Nurse 163WH0200X NU Primary

Addresses

Primary practice location

St. Rte.86-Multihealth Complex Transportation Services
Sells, AZ 85634

Mailing address

PO Box 810
Sells, AZ 85634-0810
Phone (520) 383-6050

Other identifiers 2

IdentifierTypeStateIssuer
440157OtherAZINDIAN HEALTH SERVICE
442012OtherAZINDIAN HEALTH SERVICE

National Provider Directory

National Provider Directory
Tax ID family
Tohono O'Odham Nation- DHS10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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": "1199232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449446400000",
    "number": "1821273475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 810",
            "city": "SELLS",
            "state": "AZ",
            "postal_code": "856340810",
            "telephone_number": "520-383-6050",
            "fax_number": "520-383-6065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ST. RTE.86-MULTIHEALTH COMPLEX TRANSPORTATION SERVICES",
            "city": "SELLS",
            "state": "AZ",
            "postal_code": "85634",
            "telephone_number": "520-383-6050",
            "fax_number": "520-383-6065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOHONO O'ODHAM NATION- DHS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-02",
        "last_updated": "2015-12-07",
        "status": "A",
        "authorized_official_last_name": "MANUEL",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CHAIRMAN",
        "authorized_official_telephone_number": "520-383-2028",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIAN HEALTH SERVICE",
            "identifier": "440157",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIAN HEALTH SERVICE",
            "identifier": "442012",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sells, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2015; 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.