# DHHS, PHS, NAIHS, SHIPROCK HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Dzilth-Na-O-Dith-Hle Health Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760427587
- **Authorized official:** FANNESSA COMER (CEO)
- **Authorized official phone:** (505) 368-6006

## Contact information

- **Practice address:** 6 ROAD 7586, BLOOMFIELD, NM 87413
- **Practice address phone:** (505) 368-6401
- **Practice address fax:** (505) 368-6431
- **Mailing address:** PO BOX 160, ATTNBUSINESS OFFICE MANAGER, SHIPROCK, NM 87420-0160
- **Mailing address phone:** (505) 368-6401
- **Mailing address fax:** (505) 368-6431

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | — |
| 261QF0050X | Non-Surgical Family Planning Clinic/Center | — | NULL | — |
| 261QM0801X | Mental Health Clinic/Center (Including Community Mental Health Center) | — | NULL | — |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | — |
| 261QP0904X | Federal Public Health Clinic/Center | — | NULL | — |
| 261QP1100X | Podiatric Clinic/Center | — | NULL | — |
| 261QP2000X | Physical Therapy Clinic/Center | — | NULL | — |
| 261QR0200X | Radiology Clinic/Center | — | NULL | — |
| 261QS0112X | Oral and Maxillofacial Surgery Clinic/Center | — | NULL | — |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | — |
| 282N00000X | General Acute Care Hospital | — | NULL | Yes |

## Other

- **Enumeration date:** 06/17/2006
- **Last updated:** 07/11/2008