Organization
KAYENTA ALTERNATIVE RURAL HOSPITAL
Active
Parent organization
KAYENTA ALTERNATIVE RURAL HOSPITAL
Other names
Kayenta Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
KAYENTA ALTERNATIVE RURAL HOSPITAL
Authorized official
TERRI MAE KELEWOOD (BUSINESS OFFICE MANAGER)
(928) 697-5059
Entity
Organization
Contact information
Practice address
US HIGHWAY 160, S MP 394, KAYENTA, AZ 86033-0368
(928) 697-4000
(928) 697-4052
Mailing address
PO BOX 368, KAYENTA, AZ 86033-0368
(928) 697-4000
(928) 697-4030
Taxonomy
Speciality
Code
Description
License number
State
332800000X
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1989872
PK
—
Enumeration date
03/22/2007
Last updated
06/08/2023
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