Organization
DHHS PHS NAIHS CHINLE COMPREHENSIVE HEALTH CARE FACILITY
Active
Other names
IHS CHINLE DENTAL
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PATRICK J. YAZZIE (BUSINESS OFFICE MANAGER)
(928) 674-7030
Entity
Organization
Contact information
Practice address
OFF HWY 191 & HOSPITAL ROAD, CHINLE, AZ 86503
(928) 674-7001
(928) 674-7008
Mailing address
PO DRAWER PH, CHINLE, AZ 86503
(928) 674-7001
(928) 674-7008
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
080771
—
AZ
Enumeration date
12/26/2007
Last updated
12/26/2007
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