Wellness Center

LBN: San Carlos Apache Tribe
Wellness Center is an health care organization with primary practice located at #5 San Carlos Ave , San Carlos AZ 85550-9999. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. San Carlos Apache Tribe can be contacted via phone (928) 475-4875, or through Nosie, Wendsler A via phone (928) 475-2361.

Contact Information

Primary practice address
#5 San Carlos Ave San Carlos AZ 85550-9999
Phone: (928) 475-4875
Fax: (928) 475-4880
Website:
Map and Directions
Authorized official contact:
Name: Nosie, Wendsler A
Phone: (928) 475-2361

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X 180-004505 Illinois
Agencies / Community/Behavioral Health 251S00000X Arizona

Profile Details

NPI number 1750456307
LBN Legal business name San Carlos Apache Tribe
DBA Doing business as Wellness Center
Authorized official Nosie, Wendsler A
Entity Organization
Organization subpart 1 Yes
Enumeration date Nov 21st, 2006
Last updated Jul 1st, 2009 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750456307 NPPES
Arizona MEDICAID 624230

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