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FORT MOJAVE INDIAN HEALTH CENTER
NPI 1306897962
Clinic/Center - Rural Health in Mohave Valley, AZ

Active since May 16, 2006CLIA 05D0888779 · Waiver
1607 PLANTATION RD, MOHAVE VALLEY, AZ 86440(928) 346-4679(928) 346-4686 Get Directions Write a Review

NPPES record last updated: February 6, 2023. Verified against the NPPES registry weekly; last sync: September 20, 2026.

About Fort Mojave Indian Health Center NPPES

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

FORT MOJAVE INDIAN HEALTH CENTER (NPI 1306897962) is a healthcare organization registered as a rural health in Mohave Valley, Arizona and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through September 8, 2027 and lists Tim Williams, Tribal Chairperson, as its authorized official.

NPPES Registry Identity

NPI1306897962
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameFORT MOJAVE INDIAN TRIBE
Location Address1607 PLANTATION RDMohave Valley, AZ 86440-9686
Mailing Address1607 Plantation RdMohave Valley, AZ 86440-9686 · (928) 346-4679 · Fax (928) 346-4686
Phone(928) 346-4679
Fax(928) 346-4686
Organization SubpartNo
Authorized OfficialTim WilliamsTribal Chairperson · (760) 629-4591
Enumeration DateMay 16, 2006
Last NPPES UpdateFebruary 6, 2023
NPPES CertifiedFebruary 6, 2023
✔ NPI 1306897962 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
1607 PLANTATION RD, Mohave Valley, AZ 86440
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Other Names 1

Other NameFort Mojave Indian Health Center

Other Identifiers 3

OtherEAP00010FCA · Eapc
Other0500888779Clia
Medicaid890211AZ

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 05D0888779

Fort Mojave Indian Health Center · Mohave Valley, AZ
Active · expires Sep 8, 2027
CLIA Number05D0888779
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateSeptember 9, 2025
Certificate Expiration DateSeptember 8, 2027
Laboratory DirectorKaye A. Cunningham
Laboratory Phone(928) 346-4679
Laboratory LocationFort Mojave Indian Health Center1607 Plantation Road, Mohave Valley, AZ 86440
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 7

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

MRS. NADINE IRENE JOHNSON RN
Registered Nurse
1607 PLANTATION RD
MOHAVE VALLEY, AZ 86440
Mohave County (928) 346-4679
FORT MOJAVE INDIAN TRIBE
Clinic/Center (Mental Health (Including Community Mental Health Center))
1607 PLANTATION RD
MOHAVE VALLEY, AZ 86440
Mohave County (928) 346-4679
FORT MOJAVE INDIAN TRIBE
Clinic/Center (Dental)
1607 PLANTATION RD
MOHAVE VALLEY, AZ 86440
Mohave County (928) 346-4679
MRS. TAMMY MARIE COMFORT RDH
Dental Hygienist
1607 PLANTATION RD
MOHAVE VALLEY, AZ 86440
Mohave County (928) 346-4679
MRS. ROSALIE BURNS R.D.
Dietitian, Registered
1607 PLANTATION RD
MOHAVE VALLEY, AZ 86440
Mohave County (928) 346-4679
MR. THOMAS GLENN BELT II PA-C
Physician Assistant (Medical)
1607 PLANTATION RD
MOHAVE VALLEY, AZ 86440
Mohave County (928) 346-4679
FORT MOJAVE HEALTH CENTER PHARMACY
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
1607 PLANTATION RD
MOHAVE VALLEY, AZ 86440
Mohave County (928) 346-4679

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 Mojave Indian Tribe's NPI number?

The NPI number for Fort Mojave Indian Tribe is 1306897962. It was assigned to this organization in the NPPES registry on May 16, 2006. The provider is also known as Fort Mojave Indian Health Center.

Where is Fort Mojave Indian Tribe located?

Fort Mojave Indian Tribe is located at 1607 Plantation Rd, Mohave Valley, AZ 86440. The listed phone number is (928) 346-4679.

What is Fort Mojave Indian Tribe's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Does Fort Mojave Indian Tribe hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0888779) is associated with this NPI, valid through September 8, 2027. 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 Mojave Indian Tribe was last updated on February 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.