PEACH SPRINGS INDIAN HEALTH CENTER (NPI# 1023378825) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1023378825 |
Entity Type | Organization |
Organization Name | PEACH SPRINGS INDIAN HEALTH CENTER |
Practice Address |
943 Hualapai Way Peach Springs AZ 86434-0190 |
Practice Telephone | 9287692900 |
Enumeration Date | 2012-05-25 |
Last Update Date | 2012-05-25 |
Authorized Official Name | RANDI LYNN WOOD (CLINICAL NURSE) |
Authorized Official Telephone | 9286998879 |
Authorized Official Credential | R.N |
Is Organization Subpart | Y |
Parent Organization Name | DHHS |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QP0904X |
Clinic/Center Specialization: Public Health, Federal |
RN167054 | AZ | Ambulatory Health Care Facilities |
Street Address |
943 HUALAPAI WAY |
City | PEACH SPRINGS |
State | AZ |
Zip Code | 86434-0190 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720014608 | Gloria C Edreira-green | Emergency Medicine | 943 Hualapai Way, Peach Springs, AZ 86434 | 2006-06-23 |
1104389451 | Kelly Jo Lewis | Registered Nurse | 943 Hualapai Way, Peach Springs, AZ 86434 | 2019-04-12 |
1669833794 | Rebecca Anne Fox | Registered Nurse | 943 Hualapai Way, Peach Springs Health Center, Peach Springs, AZ 86434 | 2016-03-17 |
1720454226 | Rebecca Ann Rice | Health Educator | 943 Hualapai Way, Peach Springs, AZ 86434-0190 | 2015-08-19 |
1427446137 | Katrina Green | Pharmacist | 943 Hualapai Way, Peach Springs, AZ 86434-0190 | 2015-01-05 |
1700121480 | Claudia J Shultz | Registered Nurse | 943 Hualapai Way, Peach Springs, AZ 86434-0190 | 2012-12-06 |
1083967715 | Leslie Mcguire | Registered Nurse | 943 Hualapai Way, Peach Springs, AZ 86434 | 2012-10-18 |
1649531377 | Peach Springs Health Center | Clinical Medical Laboratory | 943 Hualapai Way, Peach Springs, AZ 86434-0190 | 2012-05-29 |
1265719934 | Dhhs Ihs Phoenix Area | Clinic/Center | 943 Hualapai Way, Peach Springs, AZ 86434-0190 | 2011-11-09 |
1811274574 | Glenn S Foster | Pharmacist | 943 Hualapai Way, Peach Springs, AZ 86434 | 2011-11-09 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871983742 | Jenifer Bowles | Registered Nurse | 938 Hualapai Way, Peach Springs, AZ 86434 | 2015-01-30 |
1427398353 | All One People Chiropractic, Inc. | Chiropractor | 900 Route 66, Suite 201 Hualapai Lodge, Peach Springs, AZ 86434 | 2013-03-01 |
1982957619 | Sean P Kennedy | Technician | 943 Indian Way, Peach Springs, AZ 86434 | 2012-10-18 |
1124211016 | Peach Springs Unified School District #8 | Case Management | 16500 E. Highway 66, Peach Springs Jr./sr. High, Peach Springs, AZ 86434 | 2007-08-23 |
1366640724 | Robyn Lee Ann Purdum | Chiropractor | 900 W. Route 66, Suite 201, Peach Springs, AZ 86434 | 2007-07-06 |
1740497874 | Hualapai Tribe | Ambulance | 921 Hualapai Way, Peach Springs, AZ 86434 | 2007-05-17 |
1407061971 | Katie John | Technician, Other | 943 Haulapai Way, Peach Springs, AZ 86434 | 2007-05-10 |
1356554315 | Lisa Christine Gaudet | Psychologist | 960 Rodeo Way, Peach Springs, AZ 86434 | 2007-05-07 |
1558489120 | Ernestine Alva Crozier | Technician, Pathology | 940 Hualapai Way, Peach Springs, AZ 86434 | 2007-03-26 |
1295976660 | Roger Orazio Cangialosi | Counselor | 960 Rodeo Way, Hualapai Health Department, Peach Springs, AZ 86434 | 2009-03-16 |
Find all providers in zip 86434 |
Taxonomy Code | 261QP0904X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Public Health, Federal |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699079269 | Winslow Indian Health Care Center, Inc | Clinic/Center | 1527 N Park Dr, Winslow, AZ 86047-2517 | 2010-12-22 |
1306016126 | Winslow Indian Health Care Center, Inc | Clinic/Center | 3 Mls S of Dilkon Chapter House, Dilkon, AZ 86047-0000 | 2008-03-07 |
1184729493 | Winslow Indian Health Care Center, Inc | Clinic/Center | 500 N Indiana Ave, Winslow, AZ 86047-2169 | 2006-09-13 |
1336199199 | Dhhs-phs, Ihs Tucson Area, Ihs Tucson | Clinic/Center | Federal Route 21, Pisinemo Village, AZ 89563 | 2006-05-11 |
1437157302 | Ton San Xavier Health Center | Clinic/Center | 7900 S J Stock Rd, Tucson, AZ 85746-7012 | 2005-07-13 |
1326491846 | Physiotherapy Associates | Clinic/Center | 9917 N 95th St, Scottsdale, AZ 85258-4586 | 2016-07-20 |
1841634201 | Ice Health Service Corps | Clinic/Center | 3250 N Pinal Pkwy, Florence, AZ 85132-9459 | 2013-04-28 |
1205193893 | Federal Correctional Institution | Clinic/Center | 37900 N 45th Ave Dept 1680, Phoenix, AZ 85086-7008 | 2012-04-19 |
1760652580 | Winslow Indian Health Care Center, Inc | Clinic/Center | 1.5 Mile N of Leupp Chapter House, Leupp, AZ 86035-0000 | 2008-03-07 |
City | PEACH SPRINGS |
Zip Code | 86434 |
Please comment or provide details below to improve the information on PEACH SPRINGS INDIAN HEALTH CENTER.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.