# 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:** 1962632646
- **Authorized official:** FANNESSA COMER (CEO)
- **Authorized official phone:** (505) 368-6001

## Contact information

- **Practice address:** 6 ROAD 7586, BLOOMFIELD, NM 87413-4934
- **Practice address phone:** (505) 368-6401
- **Practice address fax:** (505) 368-6431
- **Mailing address:** PO BOX 160, SHIPROCK, NM 87420-0160
- **Mailing address phone:** (505) 368-6401
- **Mailing address fax:** (505) 368-6431

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0200X | Radiology Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/16/2009
- **Last updated:** 07/16/2009