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Organization
DHHS, PHS, NAIHS, SHIPROCK HOSPITAL
Active
Organization
DHHS, PHS, NAIHS, SHIPROCK HOSPITAL
Active
Other names
Northern Navajo Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
FANNESSA COMER (CEO)
(505) 368-6006
Entity
Organization
Contact information
Practice address
US HIGHWAY 491 NORTH, SHIPROCK, NM 87420
(505) 368-6401
(505) 368-6431
Mailing address
PO BOX 160, SHIPROCK, NM 87420-0160
(505) 368-6401
(505) 368-6431
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07088752
—
CO
05
—
080721
—
AZ
Enumeration date
12/11/2007
Last updated
12/05/2008
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