PEACH SPRINGS INDIAN HEALTH CENTER NPI 1023378825

NPI Information

NPI: 1023378825
Provider Name: PEACH SPRINGS INDIAN HEALTH CENTER
Classification: Clinic/Center - 261QP0904X
Entity Type: Organization

Specialization: Public Health, Federal

CLIA Number: 03D2042382

Address:
943 HUALAPAI WAY
PEACH SPRINGS, AZ
ZIP 86434
Phone: (928) 769-2900
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PEACH SPRINGS INDIAN HEALTH CENTER is a public health and federal clinic center in Peach Springs, AZ. PEACH SPRINGS INDIAN HEALTH CENTER NPI is 1023378825. The provider is registered as an organization entity type.

The provider's business location address is:

943 HUALAPAI WAY
PEACH SPRINGS, AZ
ZIP 86434-190
Phone: (928) 769-2900

The provider's authorized official is Randi Lynn Wood .
The authorized official title is Clinical Nurse and has the following contact phone number (928) 699-8879.

The CLIA number assigned to this NPI record is 03D2042382 - ancillary testing site in health care center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/25/2012 and was last updated on 5/25/2012.

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	261QP0904X	Clinic/Center	Public Health, Federal	RN167054	ARIZONA	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: 4/28/2024

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