Provider Demographics
NPI:1417505611
Name:ASSOCIATION OF INDIGENOUS PIONEERS, INCORPORATED (AIPI)
Entity Type:Organization
Organization Name:ASSOCIATION OF INDIGENOUS PIONEERS, INCORPORATED (AIPI)
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:BRANDON
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:LESTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:928-421-5201
Mailing Address - Street 1:28 N HIGHWAY 77, PMB #5105
Mailing Address - Street 2:
Mailing Address - City:HOLBROOK
Mailing Address - State:AZ
Mailing Address - Zip Code:86025
Mailing Address - Country:US
Mailing Address - Phone:928-421-5201
Mailing Address - Fax:
Practice Address - Street 1:NEC NAVAJO ROUTE 15 & 60
Practice Address - Street 2:SUITE #2
Practice Address - City:WINSLOW
Practice Address - State:AZ
Practice Address - Zip Code:86047
Practice Address - Country:US
Practice Address - Phone:928-421-5201
Practice Address - Fax:480-287-8843
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ASSOCIATION OF INDIGENOUS PIONEERS, INCORPORATED (AIPI)
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-08-30
Last Update Date:2019-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)