Organization
DHHS NAIHS PHS KAYENTA HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA WHITE (CEO)
(928) 697-4234
Entity
Organization
Contact information
Practice address
HWY 160 163 BUILDING KA 2010, KAYENTA, AZ 86033-0368
(928) 697-4000
(928) 697-4145
Mailing address
PO BOX 368, HWY 160 163 BUILDING KA 2010, KAYENTA, AZ 86033-0368
(928) 697-4000
(928) 697-4145
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
080804
—
AZ
Enumeration date
04/03/2008
Last updated
04/03/2008
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