Organization
WINSLOW INDIAN HEALTH CARE CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VIRGIL DAVIS CEO (CHIEF EXECUTIVE OFFICER)
(928) 289-4646
Entity
Organization
Contact information
Practice address
500 N INDIANA AVE, WINSLOW, AZ 86047-2169
(928) 289-4646
(928) 289-6290
Mailing address
500 INDIANA AVE, WINSLOW, AZ 86047-2169
(928) 289-4646
(928) 289-6290
Taxonomy
Speciality
Code
Description
License number
State
261QP0904X
Federal Public Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
728701
—
AZ
Enumeration date
09/13/2006
Last updated
09/25/2025
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