Organization
NATIVE COUNTRY HEALTHCARE SYSTEMS
Active
Other names
NATIVE COUNTRY HEALTHCARE SYSTEMS, NATIVE COUNTRY HEALTHCARE SYSTEMS
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 STE 14, PHOENIX, AZ 85031-4050
(847) 766-9779
Mailing address
1241 E BROADWAY RD STE 14, MESA, AZ 85204-2254
(847) 766-9779
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261Q00000X
Clinic/Center
—
—
261QD0000X
Dental Clinic/Center
—
—
261QH0100X
Health Service Clinic/Center
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
—
—
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
—
—
261QU0200X
Urgent Care Clinic/Center
—
—
282NC0060X
Critical Access Hospital
—
—
283Q00000X
Psychiatric Hospital
—
—
3336C0002X
Clinic Pharmacy
—
—
341600000X
Ambulance
—
—
Other
Enumeration date
11/08/2022
Last updated
11/08/2022
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