Organization
DHHS NAIHS PHS INSCRIPTION HOUSE HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA WHITE (CEO)
(928) 697-4234
Entity
Organization
Contact information
Practice address
HWY 98 NAVAJO ROUTE 16, SHONTO, AZ 86045-7397
(928) 672-3000
(928) 672-3005
Mailing address
PO BOX 7397, HWY 98 NAVAJO ROUTE 16, SHONTO, AZ 86045-7397
(928) 672-3000
(928) 672-3005
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
080812
—
AZ
Enumeration date
04/03/2008
Last updated
04/03/2008
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