Organization
KAYENTA ALTERNATIVE RURAL HOSPITAL
Active
Other names
INSCRIPTION HOUSE HEALTH CENTER PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
TERRI MAE KELEWOOD (BUSINESS OFFICE MANAGER)
(928) 697-5059
Entity
Organization
Contact information
Practice address
HWY 98 AND NAVAJO RT 16, SHONTO, AZ 86054
(928) 672-3029
(928) 672-3005
Mailing address
KAYENTA INDIAN HEALTH CTR, PO BOX 31001-0655, PASADENA, CA 91110-0655
(928) 672-3029
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
05
—
060690
—
AZ
01
—
1990677
PK
—
Enumeration date
02/28/2007
Last updated
05/31/2023
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