# DHHS, PHS, NAIHS, SHIPROCK HOSPITAL

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Four Corners Regional Health Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477615789
- **Authorized official:** KATRINA LESLIE-PUHUYAOMA DDS (CEO)
- **Authorized official phone:** (505) 368-6001

## Contact information

- **Practice address:** US HWY 160 & NAVAJO ROUTE 35 - RED MESA, TEECNOSPOS, AZ 86514
- **Practice address phone:** (505) 368-6401
- **Practice address fax:** (505) 368-6431
- **Mailing address:** PO BOX 160, SHIPROCK, NM 87420-0160
- **Mailing address phone:** (505) 368-6401
- **Mailing address fax:** (505) 368-6431

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 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 | — | NULL | Yes |

## Other

- **Enumeration date:** 12/14/2006
- **Last updated:** 08/02/2026