Organization
DHHS IHS PHOENIX AREA
Active
Other names
HOPI HEALTH CARE CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
DEALVA HONAHNIE (CEO)
(928) 737-6000
Entity
Organization
Contact information
Practice address
HIGHWAY 264 MILEPOST 388, POLACCA, AZ 86042-4000
(928) 737-6000
(928) 737-6080
Mailing address
PO BOX 4000, POLACCA, AZ 86042-4000
(928) 737-6000
(928) 737-6080
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
092429
—
AZ
Enumeration date
11/28/2011
Last updated
02/07/2012
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