Organization
NATIVE COUNTRY HEALTHCARE SYSTEMS
Active
Parent organization
NATIVE COUNTRY HEALTHCARE SYSTEMS
Other names
NATIVE COUNTRY HEALTHCARE SYSTEMS
Organization subpart
Yes
Provider details
NPI number
Legal business name
NATIVE COUNTRY HEALTHCARE SYSTEMS
Authorized official
PROF. UGORJI WILSON ONYEANI RN,MD (PRESIDENT)
(847) 766-9779
Entity
Organization
Contact information
Practice address
1241 E BROADWAY RD STE 14, MESA, AZ 85204-2254
(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
261QP2300X
Primary Care Clinic/Center
—
—
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
276400000X
Substance Use Disorder Rehabilitation Hospital Unit
—
—
310500000X
Mental Illness Intermediate Care Facility
—
—
323P00000X
Psychiatric Residential Treatment Facility
—
—
3245S0500X
Children's Substance Abuse Rehabilitation Facility
—
—
3336C0002X
Clinic Pharmacy
—
—
3336M0002X
Mail Order Pharmacy
—
—
3336M0003X
Managed Care Organization Pharmacy
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
11/08/2022
Last updated
11/08/2022
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