Organization
DHHS IHS PHOENIX
Active
Other names
Supai Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
LISA R CHAMBERLAIN (PATIENT BUSINESS OFFICE)
(928) 769-2918
Entity
Organization
Contact information
Practice address
1 MAIN ST, SUPAI, AZ 86435-0129
(928) 448-2641
Mailing address
PO BOX 129, SUPAI, AZ 86435-0129
(928) 448-2641
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
11/09/2011
Last updated
12/12/2022
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