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DHHS IHS PHOENIX AREA NPI 1184874034


NPI Information

NPI: 1184874034
Provider Name: DHHS IHS PHOENIX AREA

Doing Business As: CIBECUE

Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
NORTH CROMWELL ROAD
CIBECUE, AZ
ZIP 85911
Phone: (928) 332-2560
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DHHS IHS PHOENIX AREA is a dental clinic center in Cibecue, AZ. DHHS IHS PHOENIX AREA NPI is 1184874034. The provider is registered as an organization entity type.
The provider Is Doing Business As Cibecue.

The provider's business location address is:

NORTH CROMWELL ROAD
CIBECUE, AZ
ZIP 85911
Phone: (928) 332-2560
Fax: (928) 338-5508

The provider's authorized official is Michelle Martinez .
The authorized official title is Chief Executive Officer and has the following contact phone number (928) 338-4911.

The enumeration date for this NPI number is 9/29/2008 and was last updated on 3/27/2012.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QD0000XClinic/CenterDentalYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1030113MEDICARE OSCAR/CERTIFICATION
2092461MEDICAIDARIZONA

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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