Family Medicine
DHHS IHS PHOENIX AREA
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1487906418 · enumerated 2012-10-15 · record updated 2012-10-15. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: Mrs. SHIRLEY BONI, Administrative Officer · (928) 475-7348
Other names: SAN CARLOS INDIAN HOSPITAL
Addresses and phones
- Mailing address PO BOX 208, SAN CARLOS, AZ, 85550-0208 (928) 475-7285 Fax (928) 475-7371 Google Maps Apple Maps OpenStreetMap
- Practice location 223 CIBECUE CIRCLE ROAD, SAN CARLOS, AZ, 85550-0208 (928) 475-7285 Google Maps Apple Maps OpenStreetMap
Specialties
- Dentist 122300000X
- Optometrist 152W00000X
- Emergency Medicine 207P00000X
- Internal Medicine 207R00000X
- Pediatrics 208000000X
- Nurse Practitioner, Family 363LF0000X
- Family Medicine 207Q00000X · Primary
In this directory
Locations and evidence
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Practice location
SAN CARLOS, AZ, 855500208
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.