Organization
DHHS PHS NAIHS SHIPROCK HOSPITAL
Active
Other names
Four Corners Regional Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
FANNESSA COMER (CEO)
(505) 368-6001
Entity
Organization
Contact information
Practice address
US HWY 160 & NAVAJO ROUTE 25 - RED MESA, TEENNOSPOS, AZ 86514
(928) 656-5000
(928) 656-5164
Mailing address
HCR 6100, BOX 30, TEECNOSPOS, AZ 86514
(928) 656-5000
(928) 656-5164
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
03D1068558
—
Other
Enumeration date
07/16/2009
Last updated
07/16/2009
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