Organization
DHHS IHS PHOENIX AREA
Active
Other names
Whiteriver Indian Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE CLASSAY (CEO)
(928) 338-4911
Entity
Organization
Contact information
Practice address
200 WEST HOSPITAL DRIVE, WHITERIVER, AZ 85941-0860
(928) 338-4911
(928) 338-5508
Mailing address
PO BOX 860, WHITERIVER, AZ 85941-0860
(928) 338-4911
(928) 338-5508
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
—
—
261QE0002X
Emergency Care Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
—
—
261QU0200X
Urgent Care Clinic/Center
—
—
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
020561
—
AZ
01
—
092403
MEDICAID DENTAL
AZ
Enumeration date
11/09/2011
Last updated
03/16/2026
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