# AK-CHIN INDIAN COMMUNITY

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** AK-CHIN INDIAN COMMUNITY
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1861124505
- **Legal business name:** AK-CHIN INDIAN COMMUNITY
- **Authorized official:** CONCEPCION MIGUEL (PURCHASED/REFERRED CARE MANAGER)
- **Authorized official phone:** (520) 568-1795

## Contact information

- **Practice address:** 47314 W. FARRELL ROAD, MARICOPA, AZ 85139
- **Practice address phone:** (520) 568-1088
- **Practice address fax:** (520) 568-1042
- **Mailing address:** P.O. BOX 123, MARICOPA, AZ 85139
- **Mailing address phone:** (520) 568-1088
- **Mailing address fax:** (520) 568-1042

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171M00000X | Case Manager/Care Coordinator | — | NULL | Yes |
| 171M00000X | Case Manager/Care Coordinator | — | — | Yes |

## Other

- **Enumeration date:** 06/30/2022
- **Last updated:** 06/30/2022