DHHS IHS PHOENIX AREA (NPI# 1306971940) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306971940 |
| Entity Type | Organization |
| Organization Name | DHHS IHS PHOENIX AREA |
| Other Organization Name | PEACH SPRINGS HEALTH CENTER |
| Practice Address |
943 Hualapai Way Peach Springs AZ 86434 |
| Mailing Address |
Po Box 31001-0700 Pasadena CA 91110-0700 |
| Practice Telephone | 9287692994 |
| Practice Fax Number | 9287691336 |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2016-10-12 |
| Authorized Official Name | JAMES CUMMINGS (PHARMACY PROGRAM SPECIALIST) |
| Authorized Official Telephone | 4059516086 |
| Authorized Official Credential | PHARMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332800000X | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 1990678 | 01 | |
| AZ | 156572 | 05 |
| Other Name | Type Code |
|---|---|
| PEACH SPRINGS HEALTH CENTER | 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 |
| 1184874034 | Dhhs Ihs Phoenix Area | Clinic/Center | North Cromwell Road, Cibecue, AZ 85911 | 2008-09-29 |
| 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 |
| Street Address |
943 HUALAPAI WAY |
| City | PEACH SPRINGS |
| State | AZ |
| Zip Code | 86434 |
| 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 |
| 1023378825 | Peach Springs Indian Health Center | Clinic/Center | 943 Hualapai Way, Peach Springs, AZ 86434-0190 | 2012-05-25 |
| 1265719934 | Dhhs Ihs Phoenix Area | Clinic/Center | 943 Hualapai Way, Peach Springs, AZ 86434-0190 | 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 | 332800000X |
| Grouping | Suppliers |
| Classification | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy |
| An Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy means a pharmacy operated by the Indian Health Service, an Indian tribe or tribal organization, or an urban Indian organization, all of which are defined in Section 4 of the Indian Health Care Improvement Act, 25 U.S.C. 1603. |
| Notes: Source: The Medicare Prescription Drug, Improvement and Modernization Act of 2003 [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396244976 | Remgbekor | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 7227 S Central Ave Ste 1080, Phoenix, AZ 85042-5457 | 2018-02-08 |
| 1831448398 | Lechee Health Facility | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 3 Miles South of Page, Az, Coppermine Road, Lechee, AZ 86040-0000 | 2012-08-30 |
| 1467690966 | Medone Healthcare LLC | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 2615 S Industrial Park Ave, Tempe, AZ 85282-1821 | 2009-01-22 |
| 1811165319 | Ton San Simon Health Center | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | West Hwy 86 Mile Marker 74, Sells, AZ 85634 | 2008-02-19 |
| 1659490225 | Tsaile Health Center Pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | Intersection Rt 64 and 12, Tsaile, AZ 86556 | 2007-03-28 |
| 1912030768 | Dhhs Phs Naihs Chinle Comprehensive Health Care Facility | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | Nr 4 2 Mi East of Pinon, Pinon, AZ 86510 | 2007-03-13 |
| 1346377926 | Inscription House Hlth Ctr Pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | Hwy 98 and Navajo Rt 16, Shonto, AZ 86054 | 2007-02-28 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | PEACH SPRINGS |
| Zip Code | 86434 |
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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.