Organization
NAVAJO NATION EMS
Active
Organization
NAVAJO NATION EMS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HENRY WALLACE (DEPARTMENT MANAGER III)
(928) 871-6410
Entity
Organization
Contact information
Practice address
MORGAN BLVD (BEHIND POLICE DEPARTMENT), WINDOW ROCK, AZ 86515-3360
(928) 871-6410
(928) 871-7789
Mailing address
PO BOX #3360, WINDOW ROCK, AZ 86515-3360
(928) 871-6410
(928) 871-7789
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07209101
—
AZ
01
—
R3129
MEDICAID
NM
Enumeration date
08/21/2006
Last updated
08/22/2020
Update your record
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