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FORT DEFIANCE INDIAN HOSPITAL NPI 1619251709


NPI Information

NPI: 1619251709
Provider Name: FORT DEFIANCE INDIAN HOSPITAL
Classification: Chronic Disease Hospital - 281P00000X
Entity Type: Organization
Address:
CORNER OF ROUTE 7 AND ROUTE 12
CORNER OF ROUTE 7 AND ROUTE 12
FORT DEFIANCE, AZ
ZIP 86504
Phone: (928) 729-8000
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FORT DEFIANCE INDIAN HOSPITAL is a chronic disease hospital in Fort Defiance, AZ. The provider is (1) A hospital including a physical plant and personnel that provides multidisciplinary diagnosis and treatment for diseases that have one or more of the following characteristics: is permanent; leaves residual disability; is caused by nonreversible pathological alteration; requires special training of the patient for rehabilitation; and/or may be expected to require a long period of supervision or care. In addition, patients require the safety, security, and shelter of these specialized inpatient or partial hospitalization settings. (2) A hospital that provides medical and skilled nursing services to patients with long-term illnesses who are not in an acute phase but who require an intensity of services not available in nursing homes. FORT DEFIANCE INDIAN HOSPITAL NPI is 1619251709. The provider is registered as an organization entity type.

The provider's business location address is:

CORNER OF ROUTE 7 AND ROUTE 12
CORNER OF ROUTE 7 AND ROUTE 12
FORT DEFIANCE, AZ
ZIP 86504
Phone: (928) 729-8000

The provider's authorized official is Wellementta Baker .
The authorized official title is Registered Nurse and has the following contact phone number (928) 729-8464.

The enumeration date for this NPI number is 10/6/2011 and was last updated on 10/6/2011.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1281P00000XChronic Disease HospitalRN139390ARIZONAYes

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: 5/5/2024

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