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NPI Code Detail

MEDICARE: DHHS PHS NAIHS SHIPROCK HOSPITAL

MEDICARE: DHHS PHS NAIHS SHIPROCK HOSPITAL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1332800000XIndian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
23210286OTHERNCPDP PROVIDER IDENTIFICATION NUMBER

General Provider Information

NPI Number : 1336278597
Entity Type Code : Organization
Provider Name (Legal Business Name) : DHHS PHS NAIHS SHIPROCK HOSPITAL
Provider Business Mailing Address
First Line : PO BOX 160
Second Line :
City : SHIPROCK
State : NM
Zip : 87420-0160
Country : US
Telephone Number : 505-368-8144
Fax Number : 505-368-8009
Provider Business Practice Location Address
First Line : 6 ROAD 7586
Second Line :
City : BLOOMFIELD
State : NM
Zip : 87413-4934
Country : US
Telephone Number : 505-368-8144
Fax Number : 505-368-8009
Authorized Official
Title or Position : HEALTH SYSTEM ADMINISTRATOR
Name : ROBINA HARVEY
Credential :
Telephone Number : 505-368-6001
Provider Enumeration Date : 03/05/2007
Last Update Date : 10/31/2022

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1316938996 — MRS. ARIEL ROSE HOWARD LBSW
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1437134046 — DEANNA DEVORE LMSW
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1396851127 — DR. BRYAN WAYNE HARBER D.D.S.
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1114141876 — DHHS, PHS, NAIHS, SHIPROCK HOSPITAL
Practice Location Address:
6 ROAD 7586
BLOOMFIELD, NM
87413-4934
Practice Phone: 505-368-6001
Practice Fax: 505-368-6431

Directions to “DHHS PHS NAIHS SHIPROCK HOSPITAL ” Practice Location

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