DHHS, PHS, NAIHS, SHIPROCK HOSPITAL (NPI# 1235312315) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235312315 |
| Entity Type | Organization |
| Organization Name | DHHS, PHS, NAIHS, SHIPROCK HOSPITAL |
| Other Organization Name | NORTHERN NAVAJO MEDICAL CENTER |
| Practice Address |
Us Highway 491 North Shiprock NM 87420 |
| Mailing Address |
Po Box 160 Shiprock NM 87420-0160 |
| Practice Telephone | 5053686401 |
| Practice Fax Number | 5053686431 |
| Mailing Telephone | 5053686401 |
| Mailing Fax Number | 5053686431 |
| Enumeration Date | 2007-12-11 |
| Last Update Date | 2008-12-05 |
| Authorized Official Name | FANNESSA COMER (CEO) |
| Authorized Official Telephone | 5053686006 |
| Is Organization Subpart | N |
| 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 |
|---|---|---|---|
| CO | 07088752 | 05 | |
| AZ | 080721 | 05 |
| Other Name | Type Code |
|---|---|
| Northern Navajo Medical Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952526337 | Dhhs, Phs, Naihs, Shiprock Hospital | Clinic/Center | Navajo Route 19, Toadlena, NM 87324 | 2007-04-13 |
| 1083839476 | Dhhs, Phs, Naihs, Shiprock Hospital | Clinic/Center | Navajo Route 34, Sanostee, NM 87461 | 2007-04-13 |
| 1407039589 | Dhhs, Phs, Naihs, Shiprock Hospital | Clinic/Center | Us Hwy 491 North, Shiprock, NM 87420 | 2007-12-11 |
| 1154504231 | Dhhs, Phs, Naihs, Shiprock Hospital | General Acute Care Hospital | Us Highway 491 North, Shiprock, NM 87420-0160 | 2007-12-11 |
| 1114141876 | Dhhs, Phs, Naihs, Shiprock Hospital | Durable Medical Equipment & Medical Supplies | 6 Road 7586, Bloomfield, NM 87413-4934 | 2007-04-12 |
| 1477615789 | Dhhs, Phs, Naihs, Shiprock Hospital | Clinic/Center | Us Hwy 160 & Navajo Route 35 - Red Mesa, Teecnospos, AZ 86514 | 2006-12-14 |
| 1740387570 | Dhhs, Phs, Naihs, Shiprock Hospital | Durable Medical Equipment & Medical Supplies | Us Hwy 491 North, Shiprock, NM 87420 | 2006-09-20 |
| 1760427587 | Dhhs, Phs, Naihs, Shiprock Hospital | Clinic/Center | 6 Road 7586, Bloomfield, NM 87413 | 2006-06-17 |
| 1780639971 | Dhhs, Phs, Naihs, Shiprock Hospital | Clinic/Center | Us Highway 491 North, Shiprock, NM 87420-0160 | 2006-05-24 |
| Street Address |
US HIGHWAY 491 NORTH |
| City | SHIPROCK |
| State | NM |
| Zip Code | 87420 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790786028 | Camille Marie Ristroph | Family Medicine | Us Highway 491 North, Physician Offices, Shiprock, NM 87420-0160 | 2005-08-09 |
| 1497368567 | Melvina Lake | Pharmacist | Us Highway 491 North, Shiprock, NM 87420 | 2020-08-28 |
| 1982032355 | William Nicholas | Physician Assistant | Us Highway 491 North, Shiprock, NM 87420 | 2013-10-23 |
| 1184903411 | Leslie Meyer | Optometrist | Us Highway 491 North, Shiprock, NM 87420 | 2011-08-04 |
| 1063708774 | Patrick William Murphy | Internal Medicine | Us Highway 491 North, Northern Navajo Medical Center, Shiprock, NM 87420 | 2011-06-21 |
| 1831327204 | Rebecca Sara Adler | Internal Medicine | Us Highway 491 North, Northern Navajo Medical Center, Shiprock, NM 87420-0160 | 2009-06-24 |
| 1154504231 | Dhhs, Phs, Naihs, Shiprock Hospital | General Acute Care Hospital | Us Highway 491 North, Shiprock, NM 87420-0160 | 2007-12-11 |
| 1356424006 | Michelle A Williams | Counselor | Us Highway 491 North, Shiprock, NM 87420 | 2006-10-23 |
| 1972615912 | Heather C Kovich | Family Medicine | Us Highway 491 North, Shiprock, NM 87420 | 2006-08-31 |
| 1508973694 | Harlan Hunt Kelley | Pathology | Us Highway 491 North, Shiprock, NM 87420 | 2006-08-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003424383 | Ciara Hansen | Psychologist | Us- 491, Shiprock, NM 87420 | 2020-07-22 |
| 1013540848 | Kelsi Marie Hartwig | Dental Hygienist | Highway 491 North, Yucca Street, Shiprock, NM 87420 | 2020-02-20 |
| 1194364232 | Maria Sturtz | Pharmacist | Us Why 491 North, Shiprock, NM 87420 | 2020-01-06 |
| 1811533979 | Merissa Jo De La Garza | Pharmacist | Highway 491 S, Shiprock, NM 87420 | 2019-11-25 |
| 1619528510 | Heather Scott | Psychologist | Highway 64, Old High School Road, Shiprock, NM 87420 | 2019-09-23 |
| 1396305264 | Malaura Creager | Pharmacist | North Hwy 491, Shiprock, NM 87420 | 2019-06-13 |
| 1275011488 | Dawn Fowler | Registered Nurse | Us Highway 64, Shiprock, NM 87420 | 2018-07-31 |
| 1902384373 | Brittany Jones | Occupational Therapy Assistant | Us 64, Old High School Rd., Shiprock, NM 87420 | 2018-07-30 |
| 1528561701 | Patricia D Suarez | Registered Nurse | Central Consolidated School of New Mexico, Hwy 64, Old High School Road, Shiprock, NM 87420 | 2018-03-14 |
| 1023549284 | Ellen Liversidge | Speech-Language Pathologist | Hwy 64, Old High School Rd., Shiprock, NM 87420 | 2017-03-21 |
| Find all providers in zip 87420 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780639971 | Dhhs, Phs, Naihs, Shiprock Hospital | Clinic/Center | Us Highway 491 North, Shiprock, NM 87420-0160 | 2006-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194358762 | Raton Family Dental LLC | Clinic/Center | 1100 S 2nd St Ste C, Raton, NM 87740-2326 | 2020-02-21 |
| 1700362589 | Morningstar Family Dental, LLC | Clinic/Center | 1005 Main St Sw, Los Lunas, NM 87031-8310 | 2018-07-16 |
| 1124512488 | Stacey Montano Dds LLC | Clinic/Center | 3901 Georgia St Ne Ste G1, Albuquerque, NM 87110-1388 | 2018-06-20 |
| 1003300393 | Napa Dental Management, LLC | Clinic/Center | 10820 Comanche Rd Ne Ste D, Albuquerque, NM 87111-3983 | 2018-06-19 |
| 1396243390 | Las Brisas Enterprises, LLC | Clinic/Center | 1209 Bonita Ave Suite A, Grants, NM 87020 | 2018-01-25 |
| 1780195024 | Devin Giron, Dds | Clinic/Center | 2 Calle Medico Ste 3, Santa Fe, NM 87505-4785 | 2017-10-13 |
| 1679017453 | Embudo Dental Center LLC | Clinic/Center | 1102 State Highway 68, Embudo, NM 87531-0037 | 2016-12-13 |
| 1871042457 | Dental House Trade Winds, LLC | Clinic/Center | 5400 Central Ave Se, Suite C-101, Albuquerque, NM 87108-1502 | 2016-09-24 |
| 1336505916 | Clovis Family Dentistry, LLC | Clinic/Center | 2000 W 21st St Ste L1, Clovis, NM 88101-1400 | 2016-01-12 |
| 1528437258 | Anywhere Dental Care | Clinic/Center | 28 Canada De Los Alamos Trl Se, Albuquerque, NM 87123-9504 | 2015-09-23 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DHHS, PHS, NAIHS, SHIPROCK HOSPITAL.
| 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.