PHOENIX INDIAN MEDICAL CENTER
NPI 1083643738
Public Health or Welfare in Phoenix, AZ
NPI Status: Active since July 02, 2006
Contact Information
4212 N 16TH ST
PHOENIX, AZ
ZIP 85016
Phone: (602) 263-1200
Fax: (602) 200-5383
- Organization
- Public Health or Welfare
- Accepts Insurance
- CLIA Number: 03D0664433
- CLIA Cert. Type: Hospital
- CLIA Exp. Date: 02-08-2027
About PHOENIX INDIAN MEDICAL CENTER
This page provides the complete NPI Profile along with additional information for Phoenix Indian Medical Center, a provider established in Phoenix, Arizona operating as a Public Health Or Welfare. The healthcare provider is registered in the NPI registry with number 1083643738 assigned on July 2006. The practitioner's primary taxonomy code is 251K00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's is doing business as Phoenix Indian Medical Center. The authorized official of this NPI record is Miss Laura A Tillman Md (Cmo)
- NPI
- 1083643738
- Provider Legal Name
- DHEW IND HLTH SV HLTH SVS & MNTL HLTH ADM
- Other Organization Name
- PHOENIX INDIAN MEDICAL CENTER
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 4212 N 16TH ST PHOENIX, AZ 85016
- Location Phone
- (602) 263-1200
- Location Fax
- (602) 200-5383
- Mailing Address
- PO BOX 95460 CLEVELAND, OH 44101
- Mailing Phone
- (602) 581-6088
- Mailing Fax
- (602) 200-5383
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-02-2006
- Last Update Date
- 03-19-2024
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Public Health or Welfare
- Taxonomy Code
- 251K00000X
- Type
- Agencies
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Choice Bronze HSA - HMO
- Choice Bronze HSA + Vision + Adult Dental - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Complete Silver - HMO
- Complete Silver + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Elite Gold + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Standard Expanded Bronze - HMO
- Standard Expanded Bronze + Vision + Adult Dental - HMO
- Standard Gold - HMO
- Standard Gold + Vision + Adult Dental - HMO
- Standard Silver - HMO
- Standard Silver + Vision + Adult Dental - HMO
- Lone Star - Smile Now - PPO
- Smile Now Arizona - No Waiting Period PPO - PPO
- Smile Now Michigan - No Waiting Period PPO - PPO
- Smile Now Ohio - No Waiting Period PPO - PPO
- Smile Now Texas- No Waiting Period Plan - PPO
- Smile Now Utah - No Waiting Period PPO - PPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 537821 | MEDICAID (05) | AZ | |
| P0206550 | OTHER (01) | AZ | BLUE CROSS |
| 418196 | MEDICAID (05) | AZ | |
| 022062 | MEDICAID (05) | AZ | |
| 092354 | MEDICAID (05) | AZ |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 03D0664433
- Facility Type
- Hospital
- Certificate Effective Date
- February 09, 2025
- Certificate Expiration Date
- February 08, 2027
- Laboratory Director
- DR. CARL M. MINAMI
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to Phoenix Indian Medical Center on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.
Reviews for PHOENIX INDIAN MEDICAL CENTER
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1083643738, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 8).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 62 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
PHOENIX, AZ 85016
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1083643738, enumerated as an "organization" on July 02, 2006.
The provider is located at 4212 N 16TH ST PHOENIX, AZ 85016 and the phone number is (602) 263-1200.
Public Health or Welfare with taxonomy code 251K00000X.
The provider might be accepting Accepts: Ambetter from Arizona Complete Health,. Please consult your insurance carrier or call the provider to verify.
