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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: August 16, 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
Phone(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
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan, Ambetter of Oklahoma and more.Insurance ›

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

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

Other Providers at the Same Location NPPES 17

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

BRIAN CLUFF PHARMD
Pharmacist
103 MEDICINE WAY ROAD
PERIDOT, AZ 85542
Gila County (928) 475-1400
LELOOLE SOLE BARIKA F.N.P.
Nurse Practitioner (Family)
103 MEDICINE WAY ROAD
PERIDOT, AZ 85542
Gila County (928) 475-1400
SAN CARLOS APACHE HEALTHCARE CORPORATION
Dentist (General Practice)
103 MEDICINE WAY ROAD
PERIDOT, AZ 85542
Gila County (928) 475-1200
TAMARA SCOTT RDN
Dietitian, Registered
103 MEDICINE WAY ROAD
PERIDOT, AZ 85542
Gila County (928) 475-1343
DR. CHRISTINA LOUISE FELIZ D.D.S.
Dentist
103 MEDICINE WAY ROAD
PERIDOT, AZ 85542
Gila County (928) 475-1400
JESSICA M MADRID-WARDEN NP-BC
Nurse Practitioner (Family)
103 MEDICINE WAY ROAD
PERIDOT, AZ 85542
Gila County (928) 475-1400
SAN CARLOS APACHE HEALTHCARE CORPORATION
Physical Therapist
103 MEDICINE WAY ROAD
PERIDOT, AZ 85542
Gila County (928) 475-1200
ANTHONY ROBERT PAUL FNP-C
Nurse Practitioner (Family)
103 MEDICINE WAY ROAD
PERIDOT, AZ 85542
Gila County (928) 475-1200

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.

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, Ambetter from Superior HealthPlan, Ambetter of Oklahoma, Blue Cross Blue Shield of Arizona and Blue Cross Blue Shield of Wyoming 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 20 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.