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DHHS PHS NAIHS SHIPROCK HOSPITAL NPI 1386857993


NPI Information

NPI: 1386857993
Provider Name: DHHS PHS NAIHS SHIPROCK HOSPITAL

Doing Business As: FOUR CORNERS REGIONAL HEALTH CENTER

Classification: Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy - 332800000X
Entity Type: Organization

CLIA Number: 03D1068558

Address:
US HWY 160 & NAVAJO ROUTE 35 - RED MESA
TEEC NOS POS, AZ
ZIP 86514
Phone: (928) 656-5270
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DHHS PHS NAIHS SHIPROCK HOSPITAL is an indian health service tribal urban indian health i t u pharmacy in Teec Nos Pos, AZ. The provider is an Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy means a pharmacy operated by the Indian Health Service, an Indian tribe or tribal organization, or an urban Indian organization, all of which are defined in Section 4 of the Indian Health Care Improvement Act, 25 U.S.C. 1603. DHHS PHS NAIHS SHIPROCK HOSPITAL NPI is 1386857993. 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
TEEC NOS POS, AZ
ZIP 86514
Phone: (928) 656-5270
Fax: (928) 656-5272

The provider's authorized official is Robina Harvey .
The authorized official title is Health System Administrator and has the following contact phone number (505) 368-6001.

The CLIA number assigned to this NPI record is 03D1068558 - federally qualified health center with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 5/8/2007 and was last updated on 10/31/2022.


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
1332800000XIndian Health Service/Tribal/Urban Indian Health (I/T/U) PharmacyYes

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
10354706OTHERNCPDP PROVIDER IDENTIFICATION NUMBER

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.