Native Health

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

NATIVE HEALTH

Doing business as

Native American Community Health Center, Inc.

Practice address

8800 N 22ND Ave
Phoenix, AZ 85021-4258

Phone

(602) 279-5351

Fax

(602) 279-5361

NPI assigned

Jun 10, 2009

Last updated

May 13, 2025By the provider in NPPES

Organization subpart

Yes

Parent organization

NATIVE HEALTHAs reported in NPPES

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

Authorized official

Name

Mr. Walter Murillo

Title

Ceo

Phone

(602) 279-5262

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

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

Medicare fee-for-service enrollment

Enrolled in AZ2 enrollments

Enrollment records 2

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1982830410. Details of each certification follow.

• CCN 031879 Federally qualified health center · Active · Details

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.

• Native Health

  dba Native American Community Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Mesa, AZ
  • NPI 1336654383

  O20180319001101

  Same enrollment
• Native Health

  dba Native American Community Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Phoenix, AZ
  • NPI 1427386853

  O20180319001101

  Same enrollment
• Native Health

  dba Native American Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Guadalupe, AZ
  • NPI 1487443115

  O20180319001101

  Same enrollment
• Native Health

  dba Native American Community Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Phoenix, AZ
  • NPI 1578059168

  O20180319001101

  Same enrollment
• Native Health

  dba Native American Community Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Phoenix, AZ
  • NPI 1700904075

  O20180319001101

  Same enrollment
• Native Health

  dba Native American Community Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Phoenix, AZ
  • NPI 1740462761

  O20070920000529, O20180319001101

  Same enrollment
• Native Health

  dba Native American Community Health Center, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Phoenix, AZ
  • NPI 1780121244

  O20070920000529, O20180319001101

  Same enrollment
• Native Health

  dba Native American Community Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Phoenix, AZ
  • NPI 1871972182

  O20070920000529, O20180319001101

  Same enrollment

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.

• Native Health

  dba Native American Community Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Mesa, AZ
  • NPI 1336654383
  NPD tax ID
• Native Health

  dba Native American Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Guadalupe, AZ
  • NPI 1487443115
  NPD tax ID
• Native Health

  dba Native American Community Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Phoenix, AZ
  • NPI 1700904075
  NPD tax ID
• Native Health

  dba Native Health Mesa Pharmacy

  • Community/Retail Pharmacy
  • Mesa, AZ
  • NPI 1770437006
  NPD tax ID
• Native Health

  dba Native Health West Pharmacy

  • Community/Retail Pharmacy
  • Phoenix, AZ
  • NPI 1871384586
  NPD tax ID
• Native Health

  dba Native American Community Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Phoenix, AZ
  • NPI 1871972182
  NPD tax ID

Locations

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.

Owners & managing parties with NPI records 2

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

• Native Health

  dba Native American Community Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Phoenix, AZ
  • NPI 1700904075

  Operational/Managerial Control

  CMS ownership
• Native Health

  dba Native American Community Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Phoenix, AZ
  • NPI 1740462761

  Operational/Managerial Control

  CMS ownership

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Eric Carmen Betancourt, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Phoenix, AZ
  • NPI 1578945572
  NPD
• Erica Carreon, FNP-BC

  • Family Nurse Practitioner
  • Guadalupe, AZ
  • NPI 1902682248
  NPD
• Kyra Castillo

  • Mental Health Counselor
  • Glendale, AZ
  • NPI 1750993234
  NPD
• Heather Hochsprung, LCSW

  • Clinical Social Worker
  • Phoenix, AZ
  • NPI 1699135053
  NPD
• Paul Ace Jim III, LCSW

  • Clinical Social Worker
  • Mesa, AZ
  • NPI 1154791580
  NPD
• Vafa Matin, DO

  • Family Medicine Physician
  • Phoenix, AZ
  • NPI 1184695371
  NPD
• Danielle Ringgold, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Phoenix, AZ
  • NPI 1578425088
  NPD
• Alissa Monique Rivera Olguin, FNP

  • Nurse Practitioner
  • Surprise, AZ
  • NPI 1669206231
  NPD
• Mario-Luis Islas, M.D.

  • Family Medicine Physician
  • Tempe, AZ
  • NPI 1447206966
  NPD (past)

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

{
    "created_epoch": "1244592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747094400000",
    "number": "1982830410",
    "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": "PHOENIX",
            "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": "2009-06-10",
        "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",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "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"
        },
        {
            "organization_name": "Native American Community Health Center, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Native Health (Native American Community Health Center, Inc.)
• Native Health (Native American Community Health Center, Inc.)
• Native Health (Native American Community Health Center, Inc.)
• Native Health (Native Health West Pharmacy)
• Native Health (Native American Community Health Center, Inc.)
• Native Rising of Arizona LLC
• Native Visions Inc.
• Linda Diane Natkin
• Vivian Natoolo, MPH MBA LBHT
• Amy Jo Natter, LCSW

• Federally Qualified Health Center (FQHC) in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Federally Qualified Health Center (FQHC) in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.