PEACH SPRINGS INDIAN HEALTH CENTER
NPI 1023378825
Clinic/Center - Public Health, Federal in Peach Springs, AZ

Active since May 25, 2012CLIA 03D2042382 · Waiver
943 HUALAPAI WAY, PEACH SPRINGS, AZ 86434(928) 769-2900 Get Directions Write a Review

NPPES record last updated: May 25, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Peach Springs Indian Health Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PEACH SPRINGS INDIAN HEALTH CENTER (NPI 1023378825) is a healthcare organization registered as a public health, federal in Peach Springs, Arizona and active in the NPI registry since May 2012. The organization holds a CLIA Waiver certificate valid through June 10, 2028 and lists Randi Lynn Wood, Clinical Nurse, as its authorized official.

NPPES Registry Identity

NPI1023378825
Entity TypeOrganization
Primary Taxonomy261QP0904X
Legal Business NamePEACH SPRINGS INDIAN HEALTH CENTER
Location Address943 HUALAPAI WAYPeach Springs, AZ 86434-0190
Mailing Address943 Hualapai WayPeach Springs, AZ 86434-0190
Organization SubpartYesParent: Dhhs
Authorized OfficialRandi Lynn WoodClinical Nurse · (928) 699-8879
Enumeration DateMay 25, 2012
NPI 1023378825 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Public Health, FederalAmbulatory Health Care Facilities
Taxonomy Code261QP0904X
License Licensed in AZ · RN167054
943 HUALAPAI WAY, Peach Springs, AZ 86434

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 03D2042382

Peach Springs Indian Health Center Ancillary Dept · Peach Springs, AZ
Active · expires Jun 10, 2028
CLIA Number03D2042382
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateJune 11, 2026
Certificate Expiration DateJune 10, 2028
Laboratory DirectorDaniel W. Miller
Laboratory Phone(928) 669-3224
Laboratory LocationPeach Springs Indian Health Center Ancillary Dept943 Hualapai Wy Departments Of Nursing & Pharmacy, Peach Springs, AZ 86434
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Accreditation 39D0200097

Peach Springs Indian Health Center · Peach Springs, AZ
Expired · Aug 18, 2026
CLIA Number39D0200097
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateAugust 19, 2024
Certificate Expiration DateAugust 18, 2026
Laboratory DirectorLesley Sherwood
Laboratory Phone(928) 669-3224
Laboratory LocationPeach Springs Indian Health Center943 Hualapai Way, Peach Springs, AZ 86434
CLIA data matches this NPI record on: Address Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Addiction (Substance Use Disorder))
943 HUALAPAI WAY
PEACH SPRINGS, AZ 86434
Pharmacist
943 HUALAPAI WAY
PEACH SPRINGS, AZ 86434
Social Worker
943 HUALAPAI WAY
PEACH SPRINGS, AZ 86434
General Practice
943 HUALAPAI WAY
PEACH SPRINGS, AZ 86434
Registered Nurse
943 HUALAPAI WAY
PEACH SPRINGS, AZ 86434
Registered Nurse (Community Health)
943 HUALAPAI WAY
PEACH SPRINGS, AZ 86434
Registered Nurse (Community Health)
943 HUALAPAI WAY
PEACH SPRINGS, AZ 86434
Registered Nurse (Emergency)
943 HUALAPAI WAY
PEACH SPRINGS, AZ 86434

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Peach Springs Indian Health Center's NPI number?

The NPI number for Peach Springs Indian Health Center is 1023378825. It was assigned to this organization in the NPPES registry on May 25, 2012.

Where is Peach Springs Indian Health Center located?

Peach Springs Indian Health Center is located at 943 Hualapai Way, Peach Springs, AZ 86434. The listed phone number is (928) 769-2900.

What is Peach Springs Indian Health Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Public Health, Federal, with taxonomy code 261QP0904X.

Does Peach Springs Indian Health Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D2042382) is associated with this NPI, valid through June 10, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Peach Springs Indian Health Center was last updated on May 25, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.