# PARKER INDIAN HEALTH SERVICE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1831220854
- **Authorized official:** ROBERTA CHRISTINE WAGNER RN (REGISTERED NURSE)
- **Authorized official phone:** (928) 669-3296

## Contact information

- **Practice address:** 12033 AGENCY RD, PARKER, AZ 85344-7718
- **Practice address phone:** (928) 669-3296
- **Mailing address:** 801 W 11TH ST, PARKER, AZ 85344-5815
- **Mailing address phone:** (928) 669-3296
- **Mailing address fax:** (928) 669-2023

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282NR1301X | Rural Acute Care Hospital | RN029540 | AZ | Yes |

## Other

- **Enumeration date:** 03/08/2007
- **Last updated:** 08/22/2020