Organization
DHHS PHS NAIHS SHIPROCK HOSPITAL
Active
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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