# FORT DEFIANCE INDIAN HOSPITAL BOARD, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Tsehootsooi Medical Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366993636
- **Authorized official:** SANDI ARINTINO (CEO)
- **Authorized official phone:** (928) 729-8902

## Contact information

- **Practice address:** CORNER OF ROUTE N12 AND N7, FORT DEFIANCE INDIAN HOSPITAL BOARD, INC, FORT DEFIANCE, AZ 86504-0589
- **Practice address phone:** (928) 279-8000
- **Mailing address:** P.O. BOX 589, FORT DEFIANCE INDIAN HOSPITAL BOARD, INC., FORT DEFIANCE, AZ 86504
- **Mailing address phone:** (928) 279-8000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282NR1301X | Rural Acute Care Hospital | MD2012-0766 | NM | Yes |

## Other

- **Enumeration date:** 10/20/2016
- **Last updated:** 10/20/2016