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Organization
DHHS, PHS, NAIHS, SHIPROCK HOSPITAL
Active
Organization
DHHS, PHS, NAIHS, SHIPROCK HOSPITAL
Active
Other names
Four Corners Regional Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
KATRINA LESLIE-PUHUYAOMA DDS (CEO)
(505) 368-6001
Entity
Organization
Contact information
Practice address
US HWY 160 & NAVAJO ROUTE 35 - RED MESA, TEECNOSPOS, AZ 86514
(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
261QC1500X
Community Health Clinic/Center
—
NULL
261QD0000X
Dental Clinic/Center
—
NULL
261QE0002X
Emergency Care Clinic/Center
—
NULL
261QH0700X
Hearing and Speech Clinic/Center
—
NULL
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
NULL
261QP1100X
Podiatric Clinic/Center
—
NULL
261QP2000X
Physical Therapy Clinic/Center
—
NULL
261QP2300X
Primary Care Clinic/Center
—
NULL
261QU0200X
Urgent Care Clinic/Center
—
NULL
282N00000X
General Acute Care Hospital
Primary
—
NULL
Other
Enumeration date
12/14/2006
Last updated
08/02/2026
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