| Organization Name: | DHHS NAIHS PHS KAYENTA HEALTH CENTER |
| NPI Number: | 1073786604 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LINDA WHITE (CEO) |
| Mailing Address: | Hwy 160 163 Building Ka 2010 Kayenta |
| State: | AZ US |
| Postal Code: | 860330368 |
| Phone Number: | 9286974000 |
| Fax Number: | 9286974145 |
| NPI Enumeration Date: | 04/03/2008 |
| NPI Last Update Date: | 04/03/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QD0000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Dental |
| Taxonomy Definition: | |