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Organization
DHHS, PHS, NAIHS, SHIPROCK HOSPITAL
Active
Organization
DHHS, PHS, NAIHS, SHIPROCK HOSPITAL
Active
Other names
Toadlena Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
FANNESSA COMER (CEO)
(505) 368-6006
Entity
Organization
Contact information
Practice address
NAVAJO ROUTE 19, TOADLENA, NM 87324
(505) 368-6001
(505) 368-6431
Mailing address
PO BOX 160, IN CARE OF NORTHERN NAVAJO MEDICAL CENTER, SHIPROCK, NM 87420
(505) 368-6001
(505) 368-6431
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
NULL
261QC1500X
Community Health Clinic/Center
—
NULL
261QP2300X
Primary Care Clinic/Center
—
NULL
261QS1000X
Student Health Clinic/Center
—
NULL
282N00000X
General Acute Care Hospital
Primary
—
NULL
Other
Enumeration date
04/13/2007
Last updated
07/11/2008
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