# DHHS IHS PHOENIX AREA

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** DHHS IHS PHOENIX AREA
- **Other names:** Cibecue
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1184874034
- **Legal business name:** DHHS IHS PHOENIX AREA
- **Authorized official:** MICHELLE MARTINEZ FNP (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (928) 338-4911

## Contact information

- **Practice address:** NORTH CROMWELL ROAD, CIBECUE, AZ 85911
- **Practice address phone:** (928) 332-2560
- **Practice address fax:** (928) 338-5508
- **Mailing address:** P.O. BOX 860, 200 HOSPITAL DRIVE, WHITERIVER, AZ 85941-0860
- **Mailing address phone:** (928) 338-4911
- **Mailing address fax:** (928) 338-5508

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/29/2008
- **Last updated:** 03/27/2012