Organization
TOHONO O'ODHAM NATION- DHS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDWARD D MANUEL (CHAIRMAN)
(520) 383-2028
Entity
Organization
Contact information
Practice address
ST. RTE.86-MULTIHEALTH COMPLEX TRANSPORTATION SERVICES, SELLS, AZ 85634
(520) 383-6050
(520) 383-6065
Mailing address
PO BOX 810, SELLS, AZ 85634-0810
(520) 383-6050
(520) 383-6065
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
440157
INDIAN HEALTH SERVICE
AZ
01
—
442012
INDIAN HEALTH SERVICE
AZ
Enumeration date
01/02/2008
Last updated
12/07/2015
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