Organization
DHHS IHS PHOENIX AREA
Active
Other names
Whiteriver Indian Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE MARTINEZ, FNP (CHIEF EXECUTIVE OFFICER)
(928) 338-4911
Entity
Organization
Contact information
Practice address
200 W HOSPITAL DR, WHITERIVER, AZ 85941-0860
(928) 338-4911
(928) 338-5508
Mailing address
PO BOX 860, WHITERIVER, AZ 85941-0860
(928) 338-4911
(928) 338-5508
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
05/08/2020
Last updated
05/08/2020
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