Organization
DHHS, PHS, NAIHS, SHIPROCK HOSPITAL
Active
Other names
Toadlena Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
FANNESSA COMER (CEO)
(505) 368-6006
Entity
Organization
Contact information
Practice address
NAVAJO ROUTE 19, TOADLENA, NM 87324
(505) 368-6001
(505) 368-6431
Mailing address
PO BOX 160, IN CARE OF NORTHERN NAVAJO MEDICAL CENTER, SHIPROCK, NM 87420
(505) 368-6001
(505) 368-6431
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QC1500X
Community Health Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
—
—
261QS1000X
Student Health Clinic/Center
—
—
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33901546
—
NM
Enumeration date
04/13/2007
Last updated
07/11/2008
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