Organization
THE FORT DEFIANCE INDIAN HOSPITAL BOARD, INCORPORATION
Active
Other names
Fort Defiance Indian Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SANDRA L.S. ADKINS DDS (CHIEF EXECUTIVE OFFICER)
(928) 729-8902
Entity
Organization
Contact information
Practice address
CORNER OF ROUTE N12 & N7, FORT DEFIANCE, AZ 86504
(928) 729-8000
(928) 729-8169
Mailing address
PO BOX 649, FORT DEFIANCE, AZ 86504-0649
(928) 729-8000
(928) 729-8158
Taxonomy
Speciality
Code
Description
License number
State
332800000X
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0356609
NCPDP NUMBER
—
Enumeration date
03/11/2010
Last updated
03/07/2023
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