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Organization
DHHS PHS NAIHS SHIPROCK HOSPITAL
Active
Organization
DHHS PHS NAIHS SHIPROCK HOSPITAL
Active
Other names
Dzilth Na O Dith Hle Health Center - Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ROBINA HARVEY (HEALTH SYSTEM ADMINISTRATOR)
(505) 368-6001
Entity
Organization
Contact information
Practice address
6 ROAD 7586, BLOOMFIELD, NM 87413-4934
(505) 368-8144
(505) 368-8009
Mailing address
PO BOX 160, SHIPROCK, NM 87420-0160
(505) 368-8144
(505) 368-8009
Taxonomy
Speciality
Code
Description
License number
State
332800000X
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3210286
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
B3315
—
NM
Enumeration date
03/05/2007
Last updated
10/31/2022
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