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 (CEO)
(928) 729-8014
Entity
Organization
Contact information
Practice address
CORNER OF ROUTE N12 & N7, FORT DEFIANCE, AZ 86504
(928) 729-8003
(928) 729-8158
Mailing address
PO BOX 649, CORNER OF ROUTE N12 & N7, FORT DEFIANCE, AZ 86504-0649
(928) 729-8014
(928) 729-8158
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
282N00000X
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
417982
—
AZ
05
—
H0010
—
NM
Enumeration date
02/19/2008
Last updated
05/27/2008
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