NORTHERN APACHE COUNTY SPECIAL HEALTH CARE DISTRICT
NPI 1235238700
Clinic/Center - Primary Care in Sanders, AZ

Active since September 21, 2006
RIO VISTA ESTATES LOT #24, SANDERS, AZ 86512(928) 688-3903(928) 688-4471 Get Directions Write a Review

NPPES record last updated: June 10, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 20, 2023, Apr 28, 2022 (2 updates tracked since 2022).

About Northern Apache County Special Health Care District NPPES

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

NORTHERN APACHE COUNTY SPECIAL HEALTH CARE DISTRICT (NPI 1235238700), doing business as Sanders Clinic, is a healthcare organization registered as a primary care in Sanders, Arizona and active in the NPI registry since September 2006. The organization lists Raina E Roan, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1235238700
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameNORTHERN APACHE COUNTY SPECIAL HEALTH CARE DISTRICT
Location AddressRIO VISTA ESTATES LOT #24Sanders, AZ 86512
Mailing AddressPo Box 489Sanders, AZ 86512-0489 · (928) 688-3903 · Fax (928) 688-4471
Fax(928) 688-4471
Organization SubpartNo
Authorized OfficialRaina E RoanExecutive Director · (928) 688-3903
Enumeration DateSeptember 21, 2006
Last NPPES UpdateJune 10, 20262 updates tracked since enumeration
NPPES CertifiedJune 10, 2026
✔ NPI 1235238700 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in AZ · OTC3822

Other Names 1

Doing Business AsSanders Clinic

Other Identifiers 1

Medicaid191513AZ

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Northern Apache County Special Health Care District is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Northern Apache County Special Health Care District, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1184209579
20 E WHITE MOUNTAIN BLVD STE A5294
Lakeside, AZ 85929
(954) 822-8219
✔ PECOS✔ Accepts Medicare

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Northern Apache County Special Health Care District's NPI number?

The NPI number for Northern Apache County Special Health Care District is 1235238700. It was assigned to this organization in the NPPES registry on September 21, 2006. The provider is doing business as Sanders Clinic.

Where is Northern Apache County Special Health Care District located?

Northern Apache County Special Health Care District is located at Rio Vista Estates Lot #24, Sanders, AZ 86512. The listed phone number is (928) 688-3903.

What is Northern Apache County Special Health Care District's specialty?

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

Is Northern Apache County Special Health Care District enrolled in Medicare?

Yes. Northern Apache County Special Health Care District is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Northern Apache County Special Health Care District?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Northern Apache County Special Health Care District. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Northern Apache County Special Health Care District was last updated on June 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.