DHHS PHS NAIHS SHIPROCK HOSPITAL (NPI# 1336278597) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336278597 |
| Entity Type | Organization |
| Organization Name | DHHS PHS NAIHS SHIPROCK HOSPITAL |
| Other Organization Name | DZILTH NA O DITH HLE HEALTH CENTER - PHARMACY |
| Practice Address |
6 Road 7586 Bloomfield NM 87413-4934 |
| Mailing Address |
Po Box 160 Shiprock NM 87420-0160 |
| Practice Telephone | 5053688144 |
| Practice Fax Number | 5053688009 |
| Mailing Telephone | 5053688144 |
| Mailing Fax Number | 5053688009 |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2017-12-11 |
| Authorized Official Name | CARENDA ROBINSON (HEALTH SYSTEM ADMINISTRATOR) |
| Authorized Official Telephone | 5053686001 |
| 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 |
|---|---|---|---|
| NCPDP PROVIDER IDENTIFICATION NUMBER | 3210286 | 01 | |
| NM | B3315 | 05 |
| Other Name | Type Code |
|---|---|
| Dzilth Na O Dith Hle Health Center - Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962632646 | Dhhs Phs Naihs Shiprock Hospital | Clinic/Center | 6 Road 7586, Bloomfield, NM 87413-4934 | 2009-07-16 |
| 1487884169 | Dhhs Phs Naihs Shiprock Hospital | Clinical Medical Laboratory | Us Hwy 491 North, Shiprock, NM 87420-0160 | 2009-07-16 |
| 1689804387 | Dhhs Phs Naihs Shiprock Hospital | Clinical Medical Laboratory | Us Hwy 160 & Navajo Route 25 - Red Mesa, Teennospos, AZ 86514 | 2009-07-16 |
| 1497985196 | Dhhs Phs Naihs Shiprock Hospital | Clinic/Center | Us Hwy 160 & Navajo Route 25 - Red Mesa, Teecnospos, AZ 86514 | 2009-07-16 |
| 1831329515 | Dhhs Phs Naihs Shiprock Hospital | Clinic/Center | Us Hwy 491 North, Shiprock, NM 87420-0160 | 2009-07-16 |
| 1083843841 | Dhhs Phs Naihs Shiprock Hospital | Clinical Medical Laboratory | 6 Road 7586, Bloomfield, NM 87413-4934 | 2009-07-14 |
| 1518159268 | Dhhs Phs Naihs Shiprock Hospital | Clinic/Center | Us Hwy 160 & Navajo Route 35 - Red Mesa, Teecnospos, AZ 86514 | 2007-08-16 |
| 1386857993 | Dhhs Phs Naihs Shiprock Hospital | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | Us Hwy 160 & Navajo Route 35 - Red Mesa, Teec Nos Pos, AZ 86514 | 2007-05-08 |
| 1235268996 | Dhhs Phs Naihs Shiprock Hospital | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | Us Hwy 491 North, Shiprock, NM 87420 | 2007-03-05 |
| 1215083951 | Dhhs Phs Naihs Shiprock Hospital | Durable Medical Equipment & Medical Supplies | Us Hwy 160 & Navajo Route 35 - Red Mesa, Teecnospos, AZ 86514 | 2007-01-26 |
| Street Address |
6 ROAD 7586 |
| City | BLOOMFIELD |
| State | NM |
| Zip Code | 87413-4934 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598751778 | David Lynn Doss | Optometrist | 6 Road 7586, Bloomfield, NM 87413-4934 | 2005-09-23 |
| 1285257634 | Shane Allen Spacek | Pharmacist | 6 Road 7586, Bloomfield, NM 87413-4934 | 2020-05-20 |
| 1619472230 | Sandra Jane Pelto | Dental Hygienist | 6 Road 7586, Bloomfield, NM 87413-4934 | 2018-03-26 |
| 1649793175 | Cara Lee Caldwell | Registered Nurse | 6 Road 7586, Bloomfield, NM 87413-4934 | 2017-07-17 |
| 1750720884 | Justin C. Markley | Pharmacist | 6 Road 7586, Bloomfield, NM 87413-4934 | 2013-06-21 |
| 1962632646 | Dhhs Phs Naihs Shiprock Hospital | Clinic/Center | 6 Road 7586, Bloomfield, NM 87413-4934 | 2009-07-16 |
| 1083843841 | Dhhs Phs Naihs Shiprock Hospital | Clinical Medical Laboratory | 6 Road 7586, Bloomfield, NM 87413-4934 | 2009-07-14 |
| 1336387620 | Joan M. Monck Mason | Registered Nurse | 6 Road 7586, Bloomfield, NM 87413-4934 | 2009-01-26 |
| 1104064591 | Susan A Pudwill | Registered Nurse | 6 Road 7586, Bloomfield, NM 87413-4934 | 2009-01-23 |
| 1124266515 | Christina Marie Brickey | Registered Nurse | 6 Road 7586, Bloomfield, NM 87413-4934 | 2009-01-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891396057 | Heather Smith | Behavior Technician | 25a Cr 5060, Bloomfield, NM 87413 | 2020-11-04 |
| 1104292325 | Michelle Childers-beck | Social Worker | 235 N Bergin Lane, Bloomfield, NM 87413 | 2015-08-12 |
| 1427364090 | Marichu Lazo | Occupational Therapy Assistant | 803 Hacienda Lane, Bloomfield, NM 87413 | 2010-08-20 |
| 1023344181 | Sundance Dental Care of Bloomfield, LLC. | Dentist | 100 South First Street, Bloomfield, NM 87413 | 2009-10-26 |
| 1972838266 | Chris Dwight Richardson | Physical Therapy Assistant | #6 Cty Rd 5149, Bloomfield, NM 87413 | 2009-10-05 |
| 1710025028 | Roy Hernandez | Speech-Language Pathologist | 325 North Bergin Lane, Bloomfield, NM 87413 | 2007-02-01 |
| 1568500833 | Connie Hernandez | Speech-Language Pathologist | 325 North Bergin Lane, Bloomfield, NM 87413-2430 | 2007-02-01 |
| 1841453636 | James Bellah | Family Medicine | 6 County Road 7586, Bloomfield, NM 87413-4934 | 2008-07-02 |
| 1205127206 | Dawna Renee Mckinley | Psychologist | 35 Road 7585, Bloomfield, NM 87413-4936 | 2011-04-25 |
| 1457306730 | Silverstone Healthcare of Bloomfield, LLC | Skilled Nursing Facility | 803 Hacienda Ln, Bloomfield, NM 87413-5109 | 2006-05-24 |
| Find all providers in zip 87413 | ||||
| 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 |
|---|---|---|---|---|
| 1629525605 | Canoncito Band of Navajos Health Center, Inc | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 129 Medicine Horse Road, Canoncito, NM 87026 | 2016-09-07 |
| 1326165994 | Santa Domingo Ihs Pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 340 San Ildefonso St, Santa Domingo, NM 87052 | 2007-03-26 |
| 1225155666 | Zia Indian Health Clinic Pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 155b Capitol Square Dr, San Ysidro, NM 87053-6013 | 2007-03-22 |
| 1154453413 | Santa Ana Health Clinic Pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 02 C Dove Rd, Bernalillo, NM 87004 | 2007-03-12 |
| 1023148608 | Crownpoint Health Care Pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | Hwy Jct 57 Rt 9, Crownpoint, NM 87313-0358 | 2007-03-06 |
| 1750425484 | Mescalero Ihs Pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 318 Abalonie Loop, Mescalero, NM 88340 | 2007-02-16 |
| 1073671194 | Pine Hill Health Center | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | Bia Rt 125, Pine Hill, NM 87357 | 2006-12-04 |
| 1609116573 | Pueblo of Sandia | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 203 Sandia Day School Road, Bernalillo, NM 87004-7076 | 2013-02-28 |
| 1194002345 | Kewa Pueblo Health Corporation | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 85 W Highway 22, Santo Domingo, NM 87052-0340 | 2011-11-15 |
| 1124220900 | Jicarilla Ihs Pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 12000 Stone Lake Rd, Dulce, NM 87528 | 2007-06-04 |
| Find all providers with the same taxonomy | ||||
| City | BLOOMFIELD |
| Zip Code | 87413 |
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.