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DHHS PHS NAIHS SHIPROCK HOSPITAL NPI 1477615789


NPI Information

NPI: 1477615789
Provider Name: DHHS, PHS, NAIHS, SHIPROCK HOSPITAL

Other Name: FOUR CORNERS REGIONAL HEALTH CENTER

Classification: General Acute Care Hospital - 282N00000X
Entity Type: Organization
Address:
US HWY 160 & NAVAJO ROUTE 35 - RED MESA
TEECNOSPOS, AZ
ZIP 86514
Phone: (505) 368-6401
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DHHS, PHS, NAIHS, SHIPROCK HOSPITAL is a general acute care hospital in Teecnospos, AZ. The provider is an acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. DHHS, PHS, NAIHS, SHIPROCK HOSPITAL NPI is 1477615789. The provider is registered as an organization entity type.
The provider Other Name Is 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: (505) 368-6401
Fax: (505) 368-6431

The provider's authorized official is Fannessa Comer .
The authorized official title is Ceo and has the following contact phone number (505) 368-6005.

The enumeration date for this NPI number is 12/14/2006 and was last updated on 1/7/2011.


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
1261QC1500XClinic/CenterCommunity HealthNo
2261QD0000XClinic/CenterDentalNo
3261QE0002XClinic/CenterEmergency CareNo
4261QH0700XClinic/CenterHearing and SpeechNo
5261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No
6261QP1100XClinic/CenterPodiatricNo
7261QP2000XClinic/CenterPhysical TherapyNo
8261QP2300XClinic/CenterPrimary CareNo
9261QU0200XClinic/CenterUrgent CareNo
10282N00000XGeneral Acute Care HospitalYes

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
161109321MEDICAIDNEW MEXICO
237256718MEDICAIDCOLORADO
3282586MEDICAIDARIZONA
47000000084MEDICAIDUTAH
57000000092MEDICAIDUTAH
6320059MEDICARE OSCAR/CERTIFICATION
7HSZ218MEDICARE 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

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.