Organization
DHHS, PHS, NAIHS, SHIPROCK HOSPITAL
Active
Other names
Dzilth Na O Dith Hle Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
FANNESSA COMER (CEO)
(505) 368-6006
Entity
Organization
Contact information
Practice address
6 ROAD 7586, BLOOMFIELD, NM 87413-4934
(505) 368-6001
(505) 368-6431
Mailing address
6 ROAD 7586, BLOOMFIELD, NM 87413-4934
(505) 368-6401
(505) 368-6431
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
418188
—
AZ
05
—
7000000084
—
UT
05
—
7000000092
—
UT
05
—
89805
—
NM
05
—
95017950
—
CO
Enumeration date
04/12/2007
Last updated
12/05/2008
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