Organization Active NPI

White Mountain Meals on Wheels

  • Voluntary or Charitable Agency
  • Show Low, AZ
National Provider Identifier
1861556078
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Voluntary or Charitable AgencyTaxonomy code 251V00000X
Legal business name
WHITE MOUNTAIN MEALS ON WHEELS
Practice address
301 E McNeil
Show Low, AZ 85901-5952
Phone
(480) 814-9046
NPI assigned
Dec 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Joel Premselaar
Title
Chairman
Phone
(480) 814-9046

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Voluntary or Charitable Agency 251V00000X Primary

Addresses

Primary practice location

301 E McNeil
Show Low, AZ 85901-5952

Mailing address

301 E McNeil
Show Low, AZ 85901-5952
Phone (480) 814-9046

Other identifiers 1

IdentifierTypeStateIssuer
060343MedicaidAZ

National Provider Directory

National Provider Directory

Locations

301 E McNeil
Show Low, AZ 85901
Phone (480) 814-9046

NPI Registry JSON

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861556078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 E MCNEIL",
            "city": "SHOW LOW",
            "state": "AZ",
            "postal_code": "859015952",
            "telephone_number": "480-814-9046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 E MCNEIL",
            "city": "SHOW LOW",
            "state": "AZ",
            "postal_code": "859015952",
            "telephone_number": "480-814-9046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITE MOUNTAIN MEALS ON WHEELS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PREMSELAAR",
        "authorized_official_first_name": "JOEL",
        "authorized_official_title_or_position": "CHAIRMAN",
        "authorized_official_telephone_number": "480-814-9046"
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "060343",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Show Low, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.