Organization Name: | INDIAN HEALTH SERVICE |
NPI Number: | 1134313232 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DAVID WARD (DIRECTOR) |
Mailing Address: | Rustling Willow Complex D Towaoc |
State: | CO US |
Postal Code: | 813340049 |
Phone Number: | 9705654441 |
Fax Number: | 9705653578 |
NPI Enumeration Date: | 08/31/2007 |
NPI Last Update Date: | 08/31/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2300X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Primary Care |
Taxonomy Definition: |