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WASSAJA MEMORIAL HEALTH CENTER
NPI 1053418533
Clinic/Center - Primary Care in Fort Mcdowell, AZ

Active since September 19, 2006CLIA 03D0954825 · Waiver
16240 NORTH FORT MCDOWELL, FORT MCDOWELL, AZ 85264(480) 789-7890(480) 789-7894 Get Directions Write a Review

NPPES record last updated: May 5, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Wassaja Memorial Health Center NPPES

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

WASSAJA MEMORIAL HEALTH CENTER (NPI 1053418533) is a healthcare organization registered as a primary care in Fort Mcdowell, Arizona and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through December 8, 2026 and lists Demetra Barr Reynolds, Medical Health Director, as its authorized official.

NPPES Registry Identity

NPI1053418533
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameFORT MCDOWELL YAVAPAI NATION
Location Address16240 NORTH FORT MCDOWELLFort Mcdowell, AZ 85264-3402
Mailing AddressPo Box 17779Fountain Hills, AZ 85269-7779 · (480) 789-7890 · Fax (480) 789-7894
Phone(480) 789-7890
Fax(480) 789-7894
Organization SubpartYes
Authorized OfficialDemetra Barr ReynoldsMedical Health Director · (480) 816-7199
Enumeration DateSeptember 19, 2006
Last NPPES UpdateMay 5, 2017
✔ NPI 1053418533 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
16240 NORTH FORT MCDOWELL, Fort Mcdowell, AZ 85264
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Other Names 1

Doing Business AsWassaja Memorial Health Center

Other Identifiers 1

Medicare PINZ75856AZ

CLIA Laboratory Certificates CMS CLIA

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 03D0954825

Wassaja Memorial Health Center · Fort Mcdowell, AZ
Active · expires Dec 8, 2026
CLIA Number03D0954825
Laboratory TypeCommunity Clinic
Certificate Effective DateDecember 9, 2024
Certificate Expiration DateDecember 8, 2026
Laboratory DirectorFrancesca Baile
Laboratory Phone(480) 789-7890
Laboratory LocationWassaja Memorial Health Center16240 N Ft Mcdowell Road, Fort Mcdowell, AZ 85264
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Fort Mcdowell Yavapai Nation's NPI number?

The NPI number for Fort Mcdowell Yavapai Nation is 1053418533. It was assigned to this organization in the NPPES registry on September 19, 2006.

Where is Fort Mcdowell Yavapai Nation located?

Fort Mcdowell Yavapai Nation is located at 16240 North Fort Mcdowell, Fort Mcdowell, AZ 85264. The listed phone number is (480) 789-7890.

What is Fort Mcdowell Yavapai Nation's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Fort Mcdowell Yavapai Nation hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D0954825) is associated with this NPI, valid through December 8, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Fort Mcdowell Yavapai Nation was last updated on May 5, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.