Organization
DHHS PHS NAIHS CHINLE COMPREHENSIVE HEALTH CARE FACILITY
Active
Other names
Chinle Comprehensive Health Care Facility
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK YAZZIE (BUSINESS OFFICE MANAGER)
(928) 674-7030
Entity
Organization
Contact information
Practice address
OFF HIGHWAY 191, HOSPITAL ROAD, CHINLE, AZ 86503-8000
(928) 674-7030
(928) 674-7705
Mailing address
OFF HIGHWAY 191, HOSPITAL ROAD, CHINLE, AZ 86503-8000
(928) 674-7030
(928) 674-7705
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
021171
—
AZ
Enumeration date
10/19/2016
Last updated
10/19/2016
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