Organization
DHHS PHS NAIHS CHINLE COMPREHENSIVE HEALTH CARE FACILITY
Active
Other names
PINON HEALTH CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
TILDA SMITH PHRMD (ADMIN OFFICER)
(928) 725-9538
Entity
Organization
Contact information
Practice address
NR 4 2 MI EAST OF PINON, PINON, AZ 86510
(928) 725-9514
(928) 725-9542
Mailing address
CHINLE HEALTH CARE, PO BOX 31001-0651, PASADENA, CA 91110-0651
(928) 725-9500
(928) 725-9805
Taxonomy
Speciality
Code
Description
License number
State
332800000X
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0354782
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
03/13/2007
Last updated
03/07/2013
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