Organization
DHHS PHS NAIHS CHINLE COMPREHENSIVE
Active
Other names
Chinle Comprehenive Health Care Facility
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PATRICK J YAZZIE (BUSINESS OFFICE MANAGER)
(928) 674-7030
Entity
Organization
Contact information
Practice address
HOSPITAL ROAD OFF HIGHWAY 191, CHINLE, AZ 86503
(928) 674-7030
(928) 674-7705
Mailing address
PO BOX PH, CHINLE, AZ 86503-8000
(928) 674-7030
(928) 674-7705
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AC0001
MEDICARE ASC PROVIDER NUMBER
AZ
Enumeration date
12/02/2008
Last updated
12/02/2008
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