| Organization Name: | DHHS IHS PHOENIX AREA |
| NPI Number: | 1891062451 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DEALVA HONAHNIE (CEO) |
| Mailing Address: | Highway 264 Milepost 388 Polacca |
| State: | AZ US |
| Postal Code: | 860424000 |
| Phone Number: | 9287376000 |
| Fax Number: | 9287376080 |
| NPI Enumeration Date: | 11/28/2011 |
| NPI Last Update Date: | 02/07/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 282NC0060X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Hospitals |
| Taxonomy Classification: | General Acute Care Hospital |
| Taxonomy Specialization: | Critical Access |
| Taxonomy Definition: | |