Organization
DHHS PHS NAIHS SHIPROCK HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBINA HARVEY (HEALTH SYSTEM ADMINISTRATOR)
(505) 368-6007
Entity
Organization
Contact information
Practice address
US HWY 160 & NAVAJO ROUTE 35 - RED MESA, TEECNOSPOS, AZ 86514
(928) 656-5163
(928) 656-5162
Mailing address
HCR 6100 BOX 30, TEECNOSPOS, AZ 86514
(928) 656-5163
(928) 656-5162
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
—
—
261QD0000X
Dental Clinic/Center
—
—
261QE0002X
Emergency Care Clinic/Center
—
—
261QH0700X
Hearing and Speech Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QP1100X
Podiatric Clinic/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
—
183669
—
AZ
Enumeration date
08/16/2007
Last updated
10/31/2022
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