Organization Name: | DHHS PHS NAIHS KAYENTA HEALTH CENTER |
NPI Number: | 1194991679 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LINDA WHITE (CEO) |
Mailing Address: | Hwy 160 163 Building Ka2010 Kayenta |
State: | AZ US |
Postal Code: | 860330368 |
Phone Number: | 9286974000 |
Fax Number: | 9286974030 |
NPI Enumeration Date: | 05/05/2008 |
NPI Last Update Date: | 05/05/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |