DHHS IHS PHOENIX AREA (NPI# 1184874034) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1184874034 |
Entity Type | Organization |
Organization Name | DHHS IHS PHOENIX AREA |
Other Organization Name | CIBECUE |
Practice Address |
North Cromwell Road Cibecue AZ 85911 |
Mailing Address |
P.o. Box 860 200 Hospital Drive Whiteriver AZ 85941-0860 |
Practice Telephone | 9283322560 |
Practice Fax Number | 9283385508 |
Mailing Telephone | 9283384911 |
Mailing Fax Number | 9283385508 |
Enumeration Date | 2008-09-29 |
Last Update Date | 2012-03-27 |
Authorized Official Name | MICHELLE MARTINEZ (CHIEF EXECUTIVE OFFICER) |
Authorized Official Telephone | 9283384911 |
Authorized Official Credential | FNP |
Is Organization Subpart | Y |
Parent Organization Name | DHHS IHS PHOENIX AREA |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AZ | 092461 | 05 |
Other Name | Type Code |
---|---|
Cibecue | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124398961 | Dhhs Ihs Phoenix Area | Clinic/Center | 223 Cibecue Circle Road, San Carlos, AZ 85550-0208 | 2012-01-11 |
1538446166 | Dhhs Ihs Phoenix Area | General Acute Care Hospital | 103 Medicine Way Rd, Peridot, AZ 85542-0787 | 2011-11-10 |
1689951220 | Dhhs Ihs Phoenix Area | Clinic/Center | Highway 70, Mp 295.6, Bylas, AZ 85530 | 2011-11-10 |
1396022026 | Dhhs Ihs Phoenix Area | Clinic/Center | 1900 Palo Verde, Havasu Lake, CA 92363 | 2011-11-09 |
1548546609 | Dhhs Ihs Phoenix Area | Clinic/Center | 37 Mountain View Dr, Battle Mountain, NV 89820-1862 | 2011-11-02 |
1467587030 | Dhhs Ihs Phoenix Area | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 2 West 3rd St, Cibecue, AZ 85911 | 2007-02-22 |
1023143609 | Dhhs Ihs Phoenix Area | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 238 Cibecue Circle, San Carlos, AZ 85550 | 2007-02-22 |
1376678946 | Dhhs Ihs Phoenix Area | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | Hwy 264 Mile Marker 388, Polacca, AZ 86042 | 2007-02-22 |
1679195069 | Dhhs Ihs Phoenix Area | Durable Medical Equipment & Medical Supplies | 200 W Hospital Dr, Whiteriver, AZ 85941-0860 | 2020-05-08 |
1104204239 | Dhhs Ihs Phoenix Area | General Acute Care Hospital | 12033 Agency Rd, Parker, AZ 85344-7718 | 2015-05-08 |
Street Address |
NORTH CROMWELL ROAD |
City | CIBECUE |
State | AZ |
Zip Code | 85911 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427335181 | Dhhs Ihs Phoenix Area | Clinic/Center | North Cromwell Road, Cibecue, AZ 85911 | 2011-11-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972775401 | Virginia Ilaine Hale | Registered Nurse | 2 W. 3rd St, Cibecue, AZ 85911 | 2008-03-25 |
1598897290 | Cibecue Health Center | Durable Medical Equipment & Medical Supplies | North Cromwell Rd, Cibecue, AZ 85911 | 2007-03-09 |
1467587030 | Dhhs Ihs Phoenix Area | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 2 West 3rd St, Cibecue, AZ 85911 | 2007-02-22 |
1962418517 | Bettina T Begay | Social Worker | 2 W 3rd St, Cibecue, AZ 85911 | 2006-08-01 |
Taxonomy Code | 261QD0000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Dental |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568063329 | Trombetta Dental Solutions | Clinic/Center | 13808 N Sandario Rd Ste 100, Marana, AZ 85653-8940 | 2020-11-06 |
1629676903 | Dental and Braces Dysart LLC | Clinic/Center | 1450 N Dysart Rd Ste A7, Avondale, AZ 85323-1534 | 2020-10-09 |
1255946257 | Tatum Point Dentistry LLC | Clinic/Center | 4747 E Bell Rd Ste 15, Phoenix, AZ 85032-2301 | 2020-09-15 |
1003421009 | Solterra Dentistry LLC | Clinic/Center | 15255 N 40th St Ste 111, Phoenix, AZ 85032-4636 | 2020-09-15 |
1699389510 | Ocotillo Dental Associates LLC | Clinic/Center | 11259 S Frontage Rd Ste 103, Yuma, AZ 85367-7883 | 2020-09-08 |
1144832940 | Kingman Dental Professionals, LLC | Clinic/Center | 3775 N Stockton Hill Rd, Kingman, AZ 86409-3219 | 2020-08-21 |
1336751536 | Smile Nuvo | Clinic/Center | 2142 W Red Fox Rd, Phoenix, AZ 85085-5458 | 2020-08-19 |
1396354205 | Freedom Dental, Pllc | Clinic/Center | 6328 E Brown Rd Ste 105, Mesa, AZ 85205-4841 | 2020-07-27 |
1649888629 | Whitney A Sebree, Dmd Pllc | Clinic/Center | 15331 W Bell Rd Ste 204, Surprise, AZ 85374-4104 | 2020-07-16 |
1912520347 | Dr. Reese Turner, Dds, PC | Clinic/Center | 9059 W Lake Pleasant Pkwy Ste A100, Peoria, AZ 85382-8393 | 2020-05-20 |
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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.