NPIMap

Organization Active NPI

San Carlos Apache Tribe

  • Community/Behavioral Health Agency
  • San Carlos, AZ
National Provider Identifier
1821586686
Registry record updated Apr 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
SAN CARLOS APACHE TRIBE
Practice address
San Carlos Social Services
7 San Carlos Avenue
San Carlos, AZ 85550
Phone
(928) 475-2313
Fax
(928) 475-2342
NPI assigned
Apr 27, 2018
Last updated
Apr 27, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
SAN CARLOS APACHE TRIBEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 27, 2018

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

Authorized official

Name
Mr. Ron Ritter
Title
Accountant Manager
Phone
(928) 475-2620

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

San Carlos Social Services
7 San Carlos Avenue
San Carlos, AZ 85550

Mailing address

PO Box 0
San Carlos, AZ 85550
Phone (928) 475-2620

Other names 1

  • San Carlos Social Services Other name

National Provider Directory

National Provider Directory
Tax ID family
San Carlos Wellness Center7 organizations share this tax ID, including this one
Part of
San Carlos Wellness Center

Other organizations with this tax ID 6

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": "1524787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524787200000",
    "number": "1821586686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 0",
            "city": "SAN CARLOS",
            "state": "AZ",
            "postal_code": "85550",
            "telephone_number": "928-475-2620",
            "fax_number": "928-475-2417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SAN CARLOS SOCIAL SERVICES",
            "address_2": "7 SAN CARLOS AVENUE",
            "city": "SAN CARLOS",
            "state": "AZ",
            "postal_code": "85550",
            "telephone_number": "928-475-2313",
            "fax_number": "928-475-2342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN CARLOS APACHE TRIBE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SAN CARLOS APACHE TRIBE",
        "enumeration_date": "2018-04-27",
        "last_updated": "2018-04-27",
        "status": "A",
        "authorized_official_last_name": "RITTER",
        "authorized_official_first_name": "RON",
        "authorized_official_title_or_position": "ACCOUNTANT MANAGER",
        "authorized_official_telephone_number": "928-475-2620",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "San Carlos Social Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in San Carlos, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2018; 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.