SAN CARLOS APACHE HEALTHCARE CORPORATION
NPI 1710475124
Durable Medical Equipment & Medical Supplies in Peridot, AZ

Active since May 01, 2018
103 MEDICINE WAY ROAD, PERIDOT, AZ 85542(928) 475-1400(928) 475-7371 Get Directions Write a Review

NPPES record last updated: May 1, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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 1710475124) is a healthcare organization registered as a durable medical equipment & medical supplies in Peridot, Arizona and active in the NPI registry since May 2018. The organization maintains a secondary practice location in Bylas and lists Valerie J Chee, Director Patient Financial Services, as its authorized official.

NPPES Registry Identity

NPI1710475124
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameSAN CARLOS APACHE HEALTHCARE CORPORATION
Location Address103 MEDICINE WAY ROADPeridot, AZ 85542
Mailing AddressPo Box 787Peridot, AZ 85542-0787 · (928) 475-1290 · Fax (928) 475-7371
Fax(928) 475-7371
Organization SubpartNo
Authorized OfficialValerie J CheeDirector Patient Financial Services · (928) 475-1290
Enumeration DateMay 1, 2018
NPI 1710475124 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
103 MEDICINE WAY ROAD, Peridot, AZ 85542

Secondary Practice Location 1

Location 1101 Medicine RoadBylas, AZ 85530 · Phone (928) 475-1290 · Fax (928) 475-7371

Other Identifiers 2

Medicaid059898AZ
Medicaid099458AZ

Medical Equipment Supplier Medicare DMEPOS 14

Medicare supplier enrollment and the product categories San Carlos Apache Healthcare Corpor carries, from the Medicare DMEPOS supplier directory.

San Carlos Apache Healthcare Corpor

DMEPOS supplier · Peridot, AZOperated by San Carlos Apache Healthcare Corporation

Accepts Medicare assignment

San Carlos Apache Healthcare Corpor agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20482877
Medicare Participant SinceJuly 12, 2015
Supplier Location103 Medicine Way RoadPeridot, AZ 85542
Provider TypeIndian Health Service

Medicare Product Categories

Commodes, Urinals, Bedpans
Raised toilets, Drop-arm commodes, Folding commodes, Plastic urinals, Plastic bedpans, Disposable urinals
Blood Glucose Monitors/Supplies (Non-Mail Order)
Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device
(TENS) Transcutaneous Electrical Nerve Stimulators and/or Supplies
Transcutaneous Electrical Nerve Stimulation (TENS) for the relief of acute post-operative pain
Canes and/or Crutches
Standard Canes, Quad Canes, Offset Canes, Standard Crutches, Forearm Crutches
Walkers
Standard Walkers, Wheeled Walkers, Folding Walker
Wheelchairs (Standard Manual)
Standard wheelchairs, transport wheelchairs, heavy duty wheelchairs
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

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.

Pharmacist
103 MEDICINE WAY ROAD
PERIDOT, AZ 85542
Nurse Practitioner (Family)
103 MEDICINE WAY ROAD
PERIDOT, AZ 85542
Clinic/Center (Critical Access Hospital)
103 MEDICINE WAY ROAD
PERIDOT, AZ 85542
Dentist (General Practice)
103 MEDICINE WAY ROAD
PERIDOT, AZ 85542
Dietitian, Registered
103 MEDICINE WAY ROAD
PERIDOT, AZ 85542
Dentist
103 MEDICINE WAY ROAD
PERIDOT, AZ 85542
Nurse Practitioner (Family)
103 MEDICINE WAY ROAD
PERIDOT, AZ 85542
Physical Therapist
103 MEDICINE WAY ROAD
PERIDOT, AZ 85542

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 1710475124. It was assigned to this organization in the NPPES registry on May 1, 2018.

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) 475-1400.

What is San Carlos Apache Healthcare Corporation's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

Does San Carlos Apache Healthcare Corporation accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, San Carlos Apache Healthcare Corpor accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

When was this NPI record last updated?

The NPPES record for San Carlos Apache Healthcare Corporation was last updated on May 1, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.