Organization
FORT DEFIANCE INDIAN HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WELLEMENTTA BAKER (REGISTERED NURSE)
(928) 729-8464
Entity
Organization
Contact information
Practice address
CORNER OF ROUTE 7 AND ROUTE 12, CORNER OF ROUTE 7 AND ROUTE 12, FORT DEFIANCE, AZ 86504
(928) 729-8000
Mailing address
PO BOX 649, FORT DEFIANCE, AZ 86504-0649
(928) 729-8000
Taxonomy
Speciality
Code
Description
License number
State
281P00000X
Chronic Disease Hospital
Primary
RN139390
AZ
Other
Enumeration date
10/06/2011
Last updated
10/06/2011
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