Organization
NATIVE COUNTRY HEALTHCARE SYSTEMS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PROF. UGORJI WILSON ONYEANI RN,MD (PRESIDENT)
(602) 922-6182
Entity
Organization
Contact information
Practice address
4805 W THOMAS RD, PHOENIX, AZ 85031-4050
(602) 706-8741
Mailing address
4805 W THOMAS RD, PHOENIX, AZ 85031-4050
(602) 706-8741
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QD0000X
Dental Clinic/Center
—
—
261QE0002X
Emergency Care Clinic/Center
—
—
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
—
—
261QI0500X
Infusion Therapy Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QM2800X
Methadone Clinic
—
—
261QP2300X
Primary Care Clinic/Center
—
—
261QU0200X
Urgent Care Clinic/Center
—
—
282N00000X
General Acute Care Hospital
—
—
3336C0002X
Clinic Pharmacy
—
—
Other
Enumeration date
11/16/2022
Last updated
11/16/2022
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