PHOENIX INDIAN MEDICAL CENTER NPI 1144382219

NPI Information

NPI: 1144382219
Provider Name: PHOENIX INDIAN MEDICAL CENTER

Other Name: INDIAN PUBLIC HEALTH SERVICES

Classification: Public Health or Welfare - 251K00000X
Entity Type: Organization
Address:
4212 N 16TH ST
PHOENIX, AZ
ZIP 85016
Phone: (602) 296-4750
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PHOENIX INDIAN MEDICAL CENTER is a public health or welfare in Phoenix, AZ. PHOENIX INDIAN MEDICAL CENTER NPI is 1144382219. The provider is registered as an organization entity type.
The provider Other Name Is Indian Public Health Services.

The provider's business location address is:

4212 N 16TH ST
PHOENIX, AZ
ZIP 85016-319
Phone: (602) 296-4750
Fax: (602) 263-1621

The provider's authorized official is Velliyah Ellen Craig .
The authorized official title is Pharmacist and has the following contact phone number (602) 263-1200.

The enumeration date for this NPI number is 12/15/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	251K00000X	Public Health or Welfare		RP00005927	NEW MEXICO	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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