Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Havasupai Tribe Head Start

Organization Community Health Worker · NPI 1104112655

Havasupai Tribe Head Start is a Community Health Worker in Supai, Arizona. Licensed in Arizona. Registered with an NPI since 2011.

Licensed in
AZ
In the registry since
2011

Practice location Address checks out

130 Main St
Supai, AZ 86435-0130
Phone: (928) 448-2821
Fax: (928) 448-2341
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community Health Worker (primary) Taxonomy 172V00000X · Licence 172V00000X (AZ)

Record details

NPI number1104112655
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jacqueline Siyuja — Health Coordinator · (928) 448-2821
NPI enumeratedJune 23, 2011
Last updated in NPPESJune 23, 2011
Mailing addressPo Box 130, Supai, AZ 86435-0130