Organization
DHHS PHS NAIHS FORT DEFIANCE HOSPITAL
Active
Other names
PHS FORT DEFIANCE INDIAN HOSPITAL
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FRANKLIN R FREELAND ED.D. (CHIEF EXECUTIVE OFFICER)
(928) 729-8010
Entity
Organization
Contact information
Practice address
CORNER OF ROUTE N12 & N7, FORT DEFIANCE, AZ 86504-0649
(928) 729-8000
(928) 729-8019
Mailing address
PO BOX 649, CORNER OF ROUTE N12 & N7, FORT DEFIANCE, AZ 86504-0649
(928) 729-8000
(928) 729-8019
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
020488
—
AZ
05
—
H0010
—
NM
Enumeration date
10/27/2006
Last updated
02/26/2010
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