Organization
NATIVE HEALTH
Active
Other names
Native American Community Health Center, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
WALTER MURILLO (CEO)
(602) 279-5262
Entity
Organization
Contact information
Practice address
4041 N CENTRAL AVE BLDG C, PHOENIX, AZ 85012-3313
(602) 279-5262
(602) 279-5390
Mailing address
4041 N CENTRAL AVE BLDG C, PHOENIX, AZ 85012-3313
(602) 279-5262
(602) 279-5390
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
479794
—
AZ
Enumeration date
01/23/2017
Last updated
05/13/2025
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