# INDIAN HEALTH SERVICE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467663583
- **Authorized official:** MR. TERRY MCDOWELL ROSS MCDOWELL BS, CDS II (SUBSTANCE ABUSE SPECIALIST)
- **Authorized official phone:** (928) 448-2641

## Contact information

- **Practice address:** 312 MAIN STREET, SUPAI, AZ 86435-0129
- **Practice address phone:** (928) 448-2641
- **Practice address fax:** (928) 448-2312
- **Mailing address:** PO BOX 129, SUPAI, AZ 86435-0129
- **Mailing address phone:** (928) 448-2641
- **Mailing address fax:** (928) 448-2312

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251K00000X | Public Health or Welfare Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 05/24/2007
- **Last updated:** 07/07/2008