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Organization

DHHS IHS PHOENIX AREA

Active
Other names
HOPI HEALTH CARE CENTER
Organization subpart
No

Provider details

NPI number
Authorized official
DARYL MELVIN (CEO)
(928) 737-6010
Entity
Organization

Contact information

Practice address
HIGHWAY 264 MILEPOST 388, POLACCA, AZ 86042-4000
(928) 737-6000
(928) 737-6080
Mailing address
HIGHWAY 264 MILEPOST 388, PO BOX 4000, POLACCA, AZ 86042-4000
(928) 737-6000
(928) 737-6080

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
122300000X
Dentist
133N00000X
Nutritionist
152W00000X
Optometrist
163W00000X
Registered Nurse
207P00000X
Emergency Medicine Physician
207Q00000X
Family Medicine Physician
213E00000X
Podiatrist
282NC0060X
Critical Access Hospital
Primary
366937
AZ
363L00000X
Nurse Practitioner
364S00000X
Clinical Nurse Specialist

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
020529
AZ
05
861717
AZ
Enumeration date
11/09/2011
Last updated
05/24/2016
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