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Organization
KAYENTA ALTERNATIVE RURAL HOSPITAL
Active
Organization
KAYENTA ALTERNATIVE RURAL HOSPITAL
Active
Other names
INSCRIPTION HOUSE HEALTH CENTER PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
TERRI MAE KELEWOOD (BUSINESS OFFICE MANAGER)
(928) 697-5059
Entity
Organization
Contact information
Practice address
HWY 98 AND NAVAJO RT 16, SHONTO, AZ 86054
(928) 672-3029
(928) 672-3005
Mailing address
KAYENTA INDIAN HEALTH CTR, PO BOX 31001-0655, PASADENA, CA 91110-0655
(928) 672-3029
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
05
—
060690
—
AZ
01
—
1990677
PK
—
Enumeration date
02/28/2007
Last updated
05/31/2023
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