# DHHS PHS NAIHS FORT DEFIANCE HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** PHS FORT DEFIANCE INDIAN HOSPITAL
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790953214
- **Authorized official:** DR. FRANKLIN R FREELAND (CEO)
- **Authorized official phone:** (928) 729-8014

## Contact information

- **Practice address:** CORNER OF ROUTE N12 & N7, FORT DEFIANCE, AZ 86504
- **Practice address phone:** (928) 729-8003
- **Practice address fax:** (928) 729-8158
- **Mailing address:** PO BOX 649, CORNER OF ROUTE N12 & N7, FORT DEFIANCE, AZ 86504-0649
- **Mailing address phone:** (928) 729-8014
- **Mailing address fax:** (928) 729-8158

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 282N00000X | AZ | Yes |

## Other

- **Enumeration date:** 02/19/2008
- **Last updated:** 05/27/2008