Organization
WINSLOW INDIAN HEALTH CARE CENTER, INC
Active
Parent organization
WINSLOW INDIAN HEALTH CARE CENTER, INC
Other names
Leupp Health Center Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
WINSLOW INDIAN HEALTH CARE CENTER, INC
Authorized official
MR. VIRGIL DAVIS CEO (CHIEF EXECUTIVE OFFICER)
(928) 289-4646
Entity
Organization
Contact information
Practice address
1.5 MILE N. LEUPP CHAPTER HOUSE, LEUPP, AZ 86047
(928) 289-6565
Mailing address
500 INDIANA AVE, WINSLOW, AZ 86047-2169
(928) 289-4646
(928) 289-6290
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
05
—
728727
—
AZ
Enumeration date
02/14/2019
Last updated
09/26/2025
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