Organization
DHHS PHS NAIHS CROWNPOINT HOSPITAL
Active
Other names
Crownpoint IHS
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANSLEM ROANHORSE (CEO)
(505) 786-5291
Entity
Organization
Contact information
Practice address
JUNCTION OF HWY 371, NAVAJO RT9, CROWNPOINT, NM 87313-0358
(505) 786-5291
(505) 786-6440
Mailing address
PO BOX 358, CROWNPOINT, NM 87313-0358
(505) 786-5291
(505) 786-6440
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
32U062
MEDICARE SWINGBED
NM
05
—
H8906
—
NM
01
—
HSZ143
MEDICARE GROUP PTAN
NM
Enumeration date
06/14/2006
Last updated
10/18/2012
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