Organization
DHHS, PHS, NAIHS, SHIPROCK HOSPITAL
Active
Other names
NORTHERN NAVAJO MEDICAL CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
FANNESSA COMER (CEO)
(505) 368-6006
Entity
Organization
Contact information
Practice address
US HIGHWAY 491 NORTH, SHIPROCK, NM 87420-0160
(505) 368-6401
(505) 368-6431
Mailing address
PO BOX 160, US HIGHWAY 491 NORTH, SHIPROCK, NM 87420-0160
(505) 368-6401
(505) 368-6431
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
—
—
261QD0000X
Dental Clinic/Center
—
—
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
020503
—
AZ
05
—
7000000084
—
UT
05
—
7000000092
—
UT
05
—
80796
—
NM
05
—
95017950
—
CO
05
—
H6785
—
NM
05
—
PENDING
—
CO
Enumeration date
05/24/2006
Last updated
12/23/2008
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