| Organization Name: | DHHS IHS PHOENIX AREA |
| NPI Number: | 1447431804 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ROSEMARY SULLIVAN (HEALTH SYSTEM ADMINISTRATOR) |
| Mailing Address: | 943 Hualapai Way Peach Springs |
| State: | AZ US |
| Postal Code: | 864340190 |
| Phone Number: | 9287692900 |
| Fax Number: | 9287692701 |
| NPI Enumeration Date: | 11/14/2007 |
| NPI Last Update Date: | 03/30/2012 |
| 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: | |