# DHHS IHS PHOENIX AREA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** NATIVE AMERICAN CARDIOLOGY PROGRAM
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568739605
- **Authorized official:** DR. HENRY VAN DYK MD (ACTING DIRECTOR)
- **Authorized official phone:** (928) 214-3920

## Contact information

- **Practice address:** 2000 S THOMPSON ST, FLAGSTAFF, AZ 86001-8759
- **Practice address phone:** (928) 214-3920
- **Practice address fax:** (928) 214-3924
- **Mailing address:** 2000 S THOMPSON ST, FLAGSTAFF, AZ 86001
- **Mailing address phone:** (928) 214-3920
- **Mailing address fax:** (928) 214-3924

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 11/17/2011
- **Last updated:** 07/21/2022