Organization
COLORADO RIVER INDIAN TRIBES
Active
Other names
Community Health Representative, Community Health Services, Community Health Rep.
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VIRGINIA ANNA BEULKE M.S. LPC (ACTING DHSS ED)
(928) 669-6577
Entity
Organization
Contact information
Practice address
1321 MOHAVE AVE, SECOND FLOOR, PARKER, AZ 85344
(928) 575-4431
(928) 669-8881
Mailing address
12302 KENNEDY DRIVE, PARKER, AZ 85344
(928) 669-6577
(928) 669-8881
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1083887574
—
AZ
05
—
536451
—
AZ
Enumeration date
09/11/2012
Last updated
08/24/2026
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