Organization
DHHS, PHS, NAIHS, SHIPROCK HOSPITAL
Active
Other names
Dzilth-Na-O-Dith-Hle Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
FANNESSA COMER (CEO)
(505) 368-6006
Entity
Organization
Contact information
Practice address
6 ROAD 7586, BLOOMFIELD, NM 87413
(505) 368-6401
(505) 368-6431
Mailing address
PO BOX 160, ATTNBUSINESS OFFICE MANAGER, SHIPROCK, NM 87420-0160
(505) 368-6401
(505) 368-6431
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
—
—
261QF0050X
Non-Surgical Family Planning Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QP0904X
Federal Public Health Clinic/Center
—
—
261QP1100X
Podiatric Clinic/Center
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
261QR0200X
Radiology Clinic/Center
—
—
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
—
—
261QU0200X
Urgent Care Clinic/Center
—
—
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
418188
—
AZ
05
—
7000000084
—
UT
05
—
7000000092
—
UT
05
—
89805
—
NM
05
—
95017950
—
CO
Enumeration date
06/17/2006
Last updated
07/11/2008
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