Organization
DHHS IHS PHOENIX AREA
Active
Other names
PARKER INDIAN HOSPITAL
Organization subpart
No
Provider details
NPI number
Authorized official
TRACI HALLIGAN (HEALTH SYSTEM SPECIALIST)
(928) 669-2137
Entity
Organization
Contact information
Practice address
12033 AGENCY RD, PARKER, AZ 85344-7718
(928) 669-2137
(928) 669-3232
Mailing address
12033 AGENCY RD, PARKER, AZ 85344-7718
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
020537
—
AZ
05
—
09236201
—
AZ
05
—
520131
—
AZ
01
—
P0109720
BCBS DENTAL
AZ
01
—
P0201750
BCBS MEDICAL
AZ
Enumeration date
11/09/2011
Last updated
08/06/2025
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