# THE FORT DEFIANCE INDIAN HOSPITAL BOARD, INCORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Fort Defiance Indian Hospital
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487977914
- **Authorized official:** DR. NAOMI J. YOUNG MD (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (928) 729-8013

## Contact information

- **Practice address:** CORNER OF ROUTE N12 & N7, FORT DEFIANCE, AZ 86504-0649
- **Practice address phone:** (928) 729-8000
- **Practice address fax:** (928) 729-8169
- **Mailing address:** PO BOX 649, FORT DEFIANCE, AZ 86504-0649
- **Mailing address phone:** (928) 729-8000
- **Mailing address fax:** (928) 729-8169

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/11/2010
- **Last updated:** 01/03/2025