Organization
DHHS, PHS, NAIHS, SHIPROCK HOSPITAL
Active
Other names
Northern Navajo Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
FANNESSA COMER (CEO)
(505) 368-6006
Entity
Organization
Contact information
Practice address
US HIGHWAY 491 NORTH, SHIPROCK, NM 87420
(505) 368-6401
(505) 368-6431
Mailing address
PO BOX 160, SHIPROCK, NM 87420-0160
(505) 368-6401
(505) 368-6431
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07088752
—
CO
05
—
080721
—
AZ
Enumeration date
12/11/2007
Last updated
12/05/2008
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