Organization
DHHS IHS PHOENIX AREA
Active
Parent organization
DHHS IHS PHOENIX AREA
Other names
WHITERIVER INDIAN HOSPITAL
Organization subpart
Yes
Provider details
NPI number
Legal business name
DHHS IHS PHOENIX AREA
Authorized official
MS. RACHEAL ALLEN (REVENUE MANAGER)
(928) 338-4911
Entity
Organization
Contact information
Practice address
200 W HOSPITAL DR, WHITERIVER, AZ 85941-0820
(928) 338-4911
(928) 338-5508
Mailing address
PO BOX 860, WHITERIVER, AZ 85941-0860
(928) 338-4911
(928) 338-5508
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020561
030113 AND HZS240
AZ
Enumeration date
03/31/2021
Last updated
03/31/2021
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