Organization
DHHS PHS NAIHS SHIPROCK HOSPITAL
Active
Other names
Four Corners Regional Health Center, Four Corners Regional Health Center - Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ROBINA HARVEY (HEALTH SYSTEM ADMINISTRATOR)
(505) 368-6001
Entity
Organization
Contact information
Practice address
US HWY 160 & NAVAJO ROUTE 35 - RED MESA, TEEC NOS POS, AZ 86514
(928) 656-5270
(928) 656-5272
Mailing address
PO BOX 160, SHIPROCK, NM 87420-0160
(928) 656-5270
(928) 656-5272
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
—
0354706
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
05/08/2007
Last updated
10/31/2022
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