NPIMap

Organization Active NPI

Ak-Chin Indian Community

  • Case Manager/Care Coordinator
  • Maricopa, AZ
National Provider Identifier
1861124505
Registry record updated Jun 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Legal business name
AK-CHIN INDIAN COMMUNITY
Practice address
47314 W. Farrell Road
Maricopa, AZ 85139
Phone
(520) 568-1088
Fax
(520) 568-1042
NPI assigned
Jun 30, 2022
Last updated
Jun 30, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
AK-CHIN INDIAN COMMUNITYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 30, 2022

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

Authorized official

Name
Concepcion Miguel
Title
Purchased/Referred Care Manager
Phone
(520) 568-1795

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Primary

Addresses

Primary practice location

47314 W. Farrell Road
Maricopa, AZ 85139

Mailing address

P.O. Box 123
Maricopa, AZ 85139
Phone (520) 568-1088

National Provider Directory

National Provider Directory
Tax ID family
Pima Agency2 organizations share this tax ID, including this one
Part of
Pima Agency

Other organizations with this tax ID 1

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

Locations

47314 W Farrell Rd
Maricopa, AZ 85139
Phone (520) 568-1088

NPI Registry JSON

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

{
    "created_epoch": "1656547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656547200000",
    "number": "1861124505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 123",
            "city": "MARICOPA",
            "state": "AZ",
            "postal_code": "85139",
            "telephone_number": "520-568-1088",
            "fax_number": "520-568-1042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47314 W. FARRELL ROAD",
            "city": "MARICOPA",
            "state": "AZ",
            "postal_code": "85139",
            "telephone_number": "520-568-1088",
            "fax_number": "520-568-1042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AK-CHIN INDIAN COMMUNITY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AK-CHIN INDIAN COMMUNITY",
        "enumeration_date": "2022-06-30",
        "last_updated": "2022-06-30",
        "certification_date": "2022-06-30",
        "status": "A",
        "authorized_official_last_name": "MIGUEL",
        "authorized_official_first_name": "CONCEPCION",
        "authorized_official_title_or_position": "PURCHASED/REFERRED CARE MANAGER",
        "authorized_official_telephone_number": "520-568-1795"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jun 30, 2022; 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.