Provider Demographics
NPI:1083656474
Name:NATIVE AMERICAN CONNECTIONS
Entity Type:Organization
Organization Name:NATIVE AMERICAN CONNECTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SR. DIRECTOR OF INTEGRATED HEALTH
Authorized Official - Prefix:
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:BESTIC
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-424-2060
Mailing Address - Street 1:4520 N CENTRAL AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85012-1831
Mailing Address - Country:US
Mailing Address - Phone:602-424-2060
Mailing Address - Fax:602-424-1623
Practice Address - Street 1:4520 N CENTRAL AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85012-1828
Practice Address - Country:US
Practice Address - Phone:602-254-3247
Practice Address - Fax:602-256-7356
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-12
Last Update Date:2023-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ151346Medicaid