DHHS IHS PHOENIX AREA NPI 1447431804

NPI Information

NPI: 1447431804
Provider Name: DHHS IHS PHOENIX AREA
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
943 HUALAPAI WAY
PEACH SPRINGS, AZ
ZIP 86434
Phone: (928) 769-2900
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DHHS IHS PHOENIX AREA is a dental clinic center in Peach Springs, AZ. DHHS IHS PHOENIX AREA NPI is 1447431804. 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
Fax: (928) 769-2701

The provider's authorized official is Rosemary Sullivan .
The authorized official title is Health System Administrator and has the following contact phone number (928) 769-2900.

The enumeration date for this NPI number is 11/14/2007 and was last updated on 3/30/2012.

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	261QD0000X	Clinic/Center	Dental			Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	HSZ137	MEDICARE PIN	ARIZONA
2	HSZ239	MEDICARE PIN	ARIZONA
3	092411	MEDICAID	ARIZONA

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

NPI Synchronization or Removal

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