Dhhs Phs Naihs Shiprock Hospital
Clinic/Center, Radiology in Teecnospos, AZ. Organization (NPI-2).
NPI number1497985196
StatusActive
Last updated in NPPESJul 16, 2009
Details
- NPI
- 1497985196
- Entity type
- Organization (NPI-2)
- Legal business name
- Dhhs Phs Naihs Shiprock Hospital
- Organization subpart
- No
- Enumeration date
- Jul 16, 2009
- Last updated
- Jul 16, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QR0200X | Clinic/Center, Radiology | – | – | Yes |
Other names
- Four Corners Regional Health Center (Doing Business As)
Practice location
Us Hwy 160 & Navajo Route 25 - Red MesaTeecnospos, AZ 86514
Phone 928-656-5000 · Fax 928-656-5164
Mailing address
Hcr 6100, Box 30Teecnospos, AZ 86514
Phone 928-656-5000 · Fax 928-656-5164
Authorized official
Fannessa Comer
Ceo
5053686001
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