Organization
FORT DEFIANCE INDIAN HOSPITAL BOARD, INC
Active
Other names
Tsehootsooi Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
SANDI ARINTINO (CEO)
(928) 729-8902
Entity
Organization
Contact information
Practice address
CORNER OF ROUTE N12 AND N7, FORT DEFIANCE INDIAN HOSPITAL BOARD, INC, FORT DEFIANCE, AZ 86504-0589
(928) 279-8000
Mailing address
P.O. BOX 589, FORT DEFIANCE INDIAN HOSPITAL BOARD, INC., FORT DEFIANCE, AZ 86504
(928) 279-8000
Taxonomy
Speciality
Code
Description
License number
State
282NR1301X
Rural Acute Care Hospital
Primary
MD2012-0766
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1982915443
—
NM
Enumeration date
10/20/2016
Last updated
10/20/2016
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