NPIMap

Organization Active NPI

Native Health

  • Federally Qualified Health Center (FQHC)
  • Phoenix, AZ
National Provider Identifier
1871972182
Registry record updated May 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
NATIVE HEALTH
Practice address
8800 N 22ND Ave
Phoenix, AZ 85021-4258
Phone
(602) 279-5351
Fax
(602) 279-5361
NPI assigned
May 20, 2015
Organization subpart
Yes
Parent organization
NATIVE HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 13, 2025

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

Authorized official

Name
Walter Murillo
Title
Ceo
Phone
(602) 279-5262

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

8800 N 22ND Ave
Phoenix, AZ 85021-4258

Mailing address

4041 N. Central Ave
Building C
Pheonix, AZ 85012-3313
Phone (602) 279-5262

Other identifiers 1

IdentifierTypeStateIssuer
936906MedicaidAZ

Other names 1

  • Native American Community Health Center, Inc. Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20070920000529 AZ Part A Provider - Federally Qualified Health Center (FQHC) 4385738418 3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Phoenix, AZ
O20180319001101 AZ Part B Supplier - Clinic/Group Practice 4385738418 Receives reassigned benefits from 24 practitioners
8 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Guadalupe, AZ; Mesa, AZ; Phoenix, AZ

Federally qualified health center certification: CCN 031879

Legal name
NATIVE HEALTH
Doing business as
NATIVE AMERICAN COMMUNITY HEALTH CENTER, INC.
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Oct 27, 2009
Last certification
Oct 27, 2009
Ownership / control type
Non-profit – church related
Organization structure
CorporationNon-profit
Incorporated
Jun 1, 1997 in AZ
Enrollment address
2423 W Dunlap Ave
Ste 140
Phoenix, AZ 85021-5818

Other NPIs on the same Medicare enrollment 8

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Native Health7 organizations share this tax ID, including this one
Part of
Native Health

Other organizations with this tax ID 6

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

Locations

2423 W Dunlap Ave
Ste 140
Phoenix, AZ 85021
Phone (602) 246-0330

Ownership & related parties

All disclosed owners & managing parties 15

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Cody Nelson Individual Operational/Managerial ControlCfo Oct 1, 2018
Olivia Wauneka Individual Corporate DirectorBoard Member Jun 18, 2019
John Molina Individual Corporate OfficerCompliance Officer Jan 12, 2017
Brianna Jajelski Individual Corporate DirectorBoard Member Jun 18, 2019
Christina Brown Individual Corporate DirectorBoard Member Jun 1, 2018
Carol Dahozy Individual Corporate DirectorBoard Member Jun 1, 2017
Francie Brown-Spencer Individual Corporate OfficerFunds Development Officer Mar 5, 2020
Native Health Organization, Phoenix, AZ Corporation, Non-profit Operational/Managerial Control Aug 30, 1978
Deanna Sangster Individual Corporate OfficerCoo May 13, 2021
Jeanine Edaakie Individual Corporate DirectorBoard Member Jun 1, 2018
Rishi Popat Individual Corporate DirectorBoard Member Jun 1, 2017
Shawn Sellers Individual Corporate DirectorBoard Member Jun 1, 2017
Tahnisha Sungino Individual Corporate DirectorBoard Member Jun 1, 2018
Walter R Murillo Individual Operational/Managerial ControlCeo May 31, 2011
Elena Young Individual Corporate DirectorBoard Member Jun 1, 2017

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1432080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747094400000",
    "number": "1871972182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4041 N. CENTRAL AVE",
            "address_2": "BUILDING C",
            "city": "PHEONIX",
            "state": "AZ",
            "postal_code": "850123313",
            "telephone_number": "602-279-5262",
            "fax_number": "602-279-5390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8800 N 22ND AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850214258",
            "telephone_number": "602-279-5351",
            "fax_number": "602-279-5361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATIVE HEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NATIVE HEALTH",
        "enumeration_date": "2015-05-20",
        "last_updated": "2025-05-13",
        "certification_date": "2025-05-13",
        "status": "A",
        "authorized_official_last_name": "MURILLO",
        "authorized_official_first_name": "WALTER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "602-279-5262"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "936906",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Native American Community Health Center, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.