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Organization

PEACH SPRINGS INDIAN HEALTH CENTER

Active
Parent organization
DHHS
Organization subpart
Yes

Provider details

NPI number
Legal business name
DHHS
Authorized official
RANDI LYNN WOOD R.N (CLINICAL NURSE)
(928) 699-8879
Entity
Organization

Contact information

Practice address
943 HUALAPAI WAY, PEACH SPRINGS, AZ 86434-0190
(928) 769-2900
Mailing address
943 HUALAPAI WAY, PEACH SPRINGS, AZ 86434-0190

Taxonomy

Speciality
Code
Description
License number
State
261QP0904X
Federal Public Health Clinic/Center
Primary
RN167054
AZ

Other

Enumeration date
05/25/2012
Last updated
05/25/2012
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