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DHHS PHS NAIHS SHIPROCK HOSPITAL NPI 1215083951


NPI Information

NPI: 1215083951
Provider Name: DHHS PHS NAIHS SHIPROCK HOSPITAL

Doing Business As: FOUR CORNERS REGIONAL HEALTH CENTER

Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
US HWY 160 & NAVAJO ROUTE 35 - RED MESA
TEECNOSPOS, AZ
ZIP 86514
Phone: (928) 656-5000
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DHHS PHS NAIHS SHIPROCK HOSPITAL is a durable medical equipment medical supplies in Teecnospos, AZ. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. DHHS PHS NAIHS SHIPROCK HOSPITAL NPI is 1215083951. The provider is registered as an organization entity type.
The provider Is Doing Business As Four Corners Regional Health Center.

The provider's business location address is:

US HWY 160 & NAVAJO ROUTE 35 - RED MESA
TEECNOSPOS, AZ
ZIP 86514
Phone: (928) 656-5000
Fax: (505) 656-5164

The provider's authorized official is Fannessa Comer .
The authorized official title is Ceo and has the following contact phone number (505) 368-6001.

The enumeration date for this NPI number is 1/26/2007 and was last updated on 5/9/2013.


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
1332B00000XDurable Medical Equipment & Medical SuppliesYes

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
17000000084MEDICAIDUTAH
2320059MEDICARE OSCAR/CERTIFICATION
37000000092MEDICAIDUTAH
4HSZ418MEDICARE PIN
537256718MEDICAIDCOLORADO
661109321MEDICAIDNEW MEXICO
7282586MEDICAIDARIZONA
8183669MEDICAIDARIZONA
9HSZ218MEDICARE PIN

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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