AK-CHIN INDIAN COMMUNITY — NPI 1861124505 (Licensed & Credentialed Case Manager/Care Coordinator in MARICOPA, AZ)

CMS-1500 Box 24J / 33a • NPI

1861124505

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

171M00000X

Licensed & Credentialed Case Manager/Care Coordinator

Box 32 Service Location & ZIP+4

47314 W. FARRELL ROAD, MARICOPA, AZ, 85139

Official NPPES Practice Location

Practice Phone & Referral Fax

(520) 568-1088

Fax: (520) 568-1042

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1861124505 (AK-CHIN INDIAN COMMUNITY) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1861124505` (NPI-2 Organization / Facility)
Provider / Legal Name	AK-CHIN INDIAN COMMUNITY
Plain-English Specialty	Licensed & Credentialed Case Manager/Care Coordinator NUCC Code: `171M00000X` (Case Manager/Care Coordinator)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	47314 W. FARRELL ROAD, MARICOPA, AZ, 85139
Practice Telephone / Fax	Tel: (520) 568-1088 \| Fax: (520) 568-1042
Administrative Mailing Address	P.O. BOX 123, MARICOPA, AZ, 85139
Enumeration & Last Sync	Enumerated: 2022-06-30 \| CMS Record Updated: 2022-06-30
Authorized Official	CONCEPCION MIGUEL (Purchased/Referred Care Manager)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

47314 W. FARRELL ROAD, MARICOPA, AZ, 85139

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Plain-English Taxonomy & CMS Crosswalk (171M00000X)

What Does Taxonomy Code 171M00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 171M00000X translates to:
"Licensed & Credentialed Case Manager/Care Coordinator"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Case Manager/Care Coordinator for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (AK-CHIN INDIAN COMMUNITY)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`171M00000X` — Case Manager/Care Coordinator Plain English: Licensed & Credentialed Case Manager/Care Coordinator	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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AK-CHIN INDIAN COMMUNITY (NPI #1861124505)