Organization
KAYENTA HEALTH CENTER, RADIOLOGY DEPT
Active
Parent organization
IHS/DHHS
Organization subpart
Yes
Provider details
NPI number
Legal business name
IHS/DHHS
Authorized official
MS. MARJORIE CHINNOCK (RADIOLOGY MANAGER/ SUPERVISOR)
(928) 697-4315
Entity
Organization
Contact information
Practice address
HIGHWAY 160,, KAYENTA HEALTH CENTER, KAYENTA, AZ 86033
(928) 697-4306
(928) 697-4107
Mailing address
15951 W COCOPAH ST, GOODYEAR, AZ 85338-7930
(928) 697-4306
(928) 697-4107
Taxonomy
Speciality
Code
Description
License number
State
2471C3402X
Radiography Radiologic Technologist
Primary
ARRT#271815
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14256
MRTBE
AZ
Enumeration date
10/11/2016
Last updated
10/11/2016
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