SAN CARLOS APACHE HEALTHCARE CORPORATION
NPI 1265813075
Clinic/Center - Critical Access Hospital in Peridot, AZ

Active since June 17, 2015CLIA Certified · 2 labs
103 MEDICINE WAY ROAD, PERIDOT, AZ 85542(928) 475-1200 Get Directions Write a Review

NPPES record last updated: December 18, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 18, 2024, Nov 15, 2016 (2 updates tracked since 2016).

About San Carlos Apache Healthcare Corporation NPPES

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

SAN CARLOS APACHE HEALTHCARE CORPORATION (NPI 1265813075) is a healthcare organization registered as a critical access hospital in Peridot, Arizona and active in the NPI registry since June 2015. The organization holds 2 active CLIA laboratory certificates and lists Victoria Began, Ceo, as its authorized official.

NPPES Registry Identity

NPI1265813075
Entity TypeOrganization
Primary Taxonomy261QC0050X
Legal Business NameSAN CARLOS APACHE HEALTHCARE CORPORATION
Location Address103 MEDICINE WAY ROADPeridot, AZ 85542
Mailing AddressPo Box 787Peridot, AZ 85542-0787 · (928) 475-1200
Organization SubpartNo
Authorized OfficialVictoria BeganCeo · (928) 475-1208
Enumeration DateJune 17, 2015
Last NPPES UpdateDecember 18, 20242 updates tracked since enumeration
NPPES CertifiedDecember 18, 2024
✔ NPI 1265813075 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Critical Access HospitalAmbulatory Health Care Facilities
Taxonomy Code261QC0050X
Definition
An outpatient entity, facility, or distinct part of a facility within or affiliated with a Critical Access Hospital that provides access to primary care services for individuals in a small rural community and is Medicare certified.
Also ListedGeneral Acute Care Hospital · RuralTaxonomy 282NR1301X
103 MEDICINE WAY ROAD, Peridot, AZ 85542

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

San Carlos Apache Healthcare Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

437

Medicare enrollment records show 437 clinicians reassign Medicare billing to San Carlos Apache Healthcare Corporation, which bills Medicare for the services they deliver. Of these, 6 practice at this address and 24 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 41

Diagnostic Radiology89
Emergency Medicine89
Nurse Practitioner48
Internal Medicine36
Family Practice22
Dentist17
Neurology17
Orthopedic Surgery10
33 other specialties109

Nearest to this location (20)

See all 437
Nurse Practitioner
NPI 1871323600
103 MEDICINE WAY RD
Peridot, AZ 85542
(928) 475-1400
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1295223675
103 MEDICINE WAY RD
Peridot, AZ 85542
(928) 475-1400
✔ PECOS✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1821709247
103 MEDICINE WAY RD
Peridot, AZ 85542
(928) 475-1200
Same address
Registered Dietitian or Nutrition Professional
NPI 1033812581
103 MEDICINE WAY RD
Peridot, AZ 85542
(217) 820-8705
✔ Accepts MedicareSame address
Registered Dietitian or Nutrition Professional
NPI 1407228794
103 MEDICINE WAY ROAD
Peridot, AZ 85542
(928) 475-1343
Same address
Occupational Therapist in Private Practice
NPI 1376360982
103 MEDICINE WAY RD
Peridot, AZ 85542
(928) 475-1400
Same address
Nurse Practitioner
NPI 1124315908
103 MEDICINE WAY ROAD
Peridot, AZ 85542
(928) 475-1400
✔ PECOS✔ Accepts Medicare0.8 mi
Nurse Practitioner
NPI 1629710967
103 MEDICINE WAY RD
Peridot, AZ 85542
(928) 475-7300
✔ PECOS✔ Accepts Medicare0.8 mi
Emergency Medicine
NPI 1538798376
103 MEDICINE WAY RD
Peridot, AZ 85542
(928) 475-1400
✔ PECOS✔ Accepts Medicare0.8 mi
Emergency Medicine
NPI 1528416088
103 MEDICINE WAY RD
Peridot, AZ 85542
(928) 475-1400
✔ PECOS✔ Accepts Medicare0.8 mi
Physical Therapist in Private Practice
NPI 1710607445
103 MEDICINE WAY RD
Peridot, AZ 85542
(928) 475-1400
0.8 mi
Nurse Practitioner
NPI 1801505425
103 MEDICINE WAY RD
Peridot, AZ 85542
(928) 475-1400
✔ PECOS✔ Accepts Medicare0.8 mi
Nurse Practitioner
NPI 1477409548
103 MEDICINE WAY RD
Peridot, AZ 85542
(928) 475-1400
✔ PECOS✔ Accepts Medicare0.8 mi
Emergency Medicine
NPI 1194220855
103 MEDICINE WAY RD
Peridot, AZ 85542
(928) 475-1400
✔ PECOS0.8 mi
Nurse Practitioner
NPI 1528557485
103 MEDICINE WAY ROAD
Peridot, AZ 85542
(928) 475-1400
✔ PECOS✔ Accepts Medicare0.8 mi
Nurse Practitioner
NPI 1043843436
103 MEDICINE WAY RD
Peridot, AZ 85542
(928) 475-1400
✔ PECOS✔ Accepts Medicare0.8 mi
Internal Medicine
NPI 1841853777
103 MEDICINE WAY RD
Peridot, AZ 85542
(928) 475-1400
✔ PECOS✔ Accepts Medicare0.8 mi
Nurse Practitioner
NPI 1992433874
103 MEDICINE WAY RD
Peridot, AZ 85542
(928) 475-1400
✔ PECOS✔ Accepts Medicare0.8 mi
Dentist
NPI 1336694116
103 MEDICINE WAY RD
Peridot, AZ 85542
(928) 475-1495
✔ PECOS0.8 mi
Nurse Practitioner
NPI 1679963169
103 MEDICINE WAY ROAD
Peridot, AZ 85542
(928) 475-1200
✔ PECOS✔ Accepts Medicare1.5 mi
See all 437 clinicians

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

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 Accreditation 03D0531813

San Carlos Apache Healthcare Corporation · Peridot, AZ
Active · expires Jan 2, 2027
CLIA Number03D0531813
Laboratory TypeHospital
Certificate Effective DateJanuary 3, 2025
Certificate Expiration DateJanuary 2, 2027
Laboratory DirectorChristopher Gilles
Laboratory Phone(928) 475-1372
Laboratory LocationSan Carlos Apache Healthcare Corporation103 Medicine Way Rd, Peridot, AZ 85542
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.

Certificate of Waiver 03D2274223

San Carlos Apache Healthcare · Peridot, AZ
Active · expires Dec 27, 2026
CLIA Number03D2274223
Laboratory TypeMobile Health Unit
Certificate Effective DateDecember 28, 2024
Certificate Expiration DateDecember 27, 2026
Laboratory DirectorJames M. Darragh
Laboratory Phone(928) 475-1203
Laboratory LocationSan Carlos Apache Healthcare102 Medicine Way Rd, Peridot, AZ 85542
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Hospital Quality Ratings CMS Care Compare

Quality and patient-experience ratings for San Carlos Apache Healthcare Corporation (CMS certification number 031320), from CMS Care Compare.

San Carlos Apache Healthcare Corporation

Critical Access Hospitals · Peridot, AZ
OwnershipTribal
CMS Certification Number031320
Location103 Medicine Way RoadPeridot, AZ 85542 · Gila County · (928) 475-1200
Emergency services

Timely & Effective Care 3

Healthcare workers given influenza vaccination
93%
Appropriate care for severe sepsis and septic shock
57%
Severe Sepsis 3-Hour Bundle
79%

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 San Carlos Apache Healthcare Corporation's NPI number?

The NPI number for San Carlos Apache Healthcare Corporation is 1265813075. It was assigned to this organization in the NPPES registry on June 17, 2015.

Where is San Carlos Apache Healthcare Corporation located?

San Carlos Apache Healthcare Corporation is located at 103 Medicine Way Road, Peridot, AZ 85542. The listed phone number is (928) 475-1200.

What is San Carlos Apache Healthcare Corporation's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Critical Access Hospital, with taxonomy code 261QC0050X.

Is San Carlos Apache Healthcare Corporation enrolled in Medicare?

Yes. San Carlos Apache Healthcare Corporation is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through San Carlos Apache Healthcare Corporation?

According to the CMS Revalidation Reassignment List (October 2026 release), 437 clinicians in 41 Medicare specialties reassign their Medicare billing to San Carlos Apache Healthcare Corporation. 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. The largest specialties are Diagnostic Radiology (89), Emergency Medicine (89) and Nurse Practitioner (48). Of these, 6 practice at this address and 24 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does San Carlos Apache Healthcare Corporation hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

Is San Carlos Apache Healthcare Corporation a Medicare-certified hospital?

Yes. San Carlos Apache Healthcare Corporation is a Medicare-certified hospital (Critical Access Hospitals). The hospital provides emergency services.

What insurance does San Carlos Apache Healthcare Corporation accept?

Health plans from Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana and Cigna HealthCare of Arizona, Inc and 2 other insurers list San Carlos Apache Healthcare Corporation as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for San Carlos Apache Healthcare Corporation was last updated on December 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.