| Organization Name: | NORTHERN APACHE COUNTY SPECIAL HEALTH CARE DISTRICT |
| NPI Number: | 1326147893 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DAWN MARTINEZ (CONTROLLER) |
| Mailing Address: | 359-a West Highway 264 St Michaels |
| State: | AZ US |
| Postal Code: | 865110370 |
| Phone Number: | 9288103800 |
| Fax Number: | 9288103801 |
| NPI Enumeration Date: | 09/21/2006 |
| NPI Last Update Date: | 08/23/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2300X |
| License Number: | OTC2967 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |