# DHHS IHS PHOENIX AREA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** San Carlos Indian Hospital
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538446166
- **Authorized official:** MRS. VALERIE J. CHEE (DIRECTOR - PATIENT FINANCIAL SRVCS)
- **Authorized official phone:** (928) 475-1290

## Contact information

- **Practice address:** 103 MEDICINE WAY RD, PERIDOT, AZ 85542-0787
- **Practice address phone:** (928) 475-1200
- **Mailing address:** PO BOX 787, PERIDOT, AZ 85542-0787
- **Mailing address phone:** (928) 475-1200

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | — | NULL | Yes |

## Other

- **Enumeration date:** 11/10/2011
- **Last updated:** 08/19/2015
