WINSLOW INDIAN HEALTH CARE CENTER, INC (NPI# 1386832087) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386832087 |
| Entity Type | Organization |
| Organization Name | WINSLOW INDIAN HEALTH CARE CENTER, INC |
| Other Organization Name | WINSLOW INDIAN CARE CENTER PHARMACY |
| Practice Address |
500 Indiana Ave Winslow AZ 86047-2169 |
| Practice Telephone | 9282894646 |
| Practice Fax Number | 9282896290 |
| Mailing Telephone | 9282894646 |
| Mailing Fax Number | 9282896290 |
| Enumeration Date | 2007-10-09 |
| Last Update Date | 2019-02-13 |
| Authorized Official Name | SALLY PETE (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 9282896101 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336I0012X |
Pharmacy Specialization: Institutional Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | NCPDP | 03-24513 | 01 |
| AZ | 060020-01 | 05 |
| Other Name | Type Code |
|---|---|
| Winslow Indian Care Center Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568928521 | Winslow Indian Health Care Center, Inc | Pharmacy | 1.5 Mile N. Leupp Chapter House, Leupp, AZ 86047 | 2019-02-14 |
| 1659837615 | Winslow Indian Health Care Center, Inc | Pharmacy | 3 Mls S. of Dilkon Chapter Hse., Dilkon, AZ 86047 | 2019-02-14 |
| 1760723753 | Winslow Indian Health Care Center, Inc | Clinic/Center | 1.5 N of Leupp Chapter House, Leupp, AZ 86035-9998 | 2013-03-15 |
| 1699079269 | Winslow Indian Health Care Center, Inc | Clinic/Center | 1527 N Park Dr, Winslow, AZ 86047-2517 | 2010-12-22 |
| 1497925218 | Winslow Indian Health Care Center, Inc | Clinic/Center | 1.5 Mile N of Leupp Chapter House, Leupp, AZ 86032 | 2008-03-07 |
| 1184729493 | Winslow Indian Health Care Center, Inc | Clinic/Center | 500 N Indiana Ave, Winslow, AZ 86047-2169 | 2006-09-13 |
| 1649511569 | Winslow Indian Health Care Center, Inc | Clinic/Center | 500 Indiana Ave, Winslow, AZ 86047-2169 | 2013-03-04 |
| 1477827368 | Winslow Indian Health Care Center, Inc | Ambulance | 500 Indiana Ave, Winslow, AZ 86047-2169 | 2012-02-24 |
| 1760652580 | Winslow Indian Health Care Center, Inc | Clinic/Center | 1.5 Mile N of Leupp Chapter House, Leupp, AZ 86035-0000 | 2008-03-07 |
| Street Address |
500 INDIANA AVE |
| City | WINSLOW |
| State | AZ |
| Zip Code | 86047-2169 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013912534 | Christian Jay Thompson | Optometrist | 500 Indiana Ave, Winslow, AZ 86047-2169 | 2005-06-21 |
| 1548886955 | Lily Chen | Student in an Organized Health Care Education/Training Program | 500 Indiana Ave, Winslow, AZ 86047-2169 | 2020-06-22 |
| 1528682929 | Jaeseong Park | Student in an Organized Health Care Education/Training Program | 500 Indiana Ave, Winslow, AZ 86047-2169 | 2020-06-01 |
| 1548881469 | Chadd Joseph Hiatt | Nurse Practitioner | 500 Indiana Ave, Winslow, AZ 86047-2169 | 2020-05-01 |
| 1205465390 | Lindsay Dara Hughes | Student in an Organized Health Care Education/Training Program | 500 Indiana Ave, Winslow, AZ 86047-2169 | 2020-04-02 |
| 1588290514 | Matthew Lee | Student in an Organized Health Care Education/Training Program | 500 Indiana Ave, Winslow, AZ 86047-2169 | 2020-03-21 |
| 1669008082 | Deepa Patel | Student in an Organized Health Care Education/Training Program | 500 Indiana Ave, Winslow, AZ 86047-2169 | 2020-03-17 |
| 1104487222 | Alex Stanco | Dentist | 500 Indiana Ave, Winslow, AZ 86047-2169 | 2019-06-28 |
| 1881254423 | Kerry Lynn Cordier | Registered Nurse | 500 Indiana Ave, Winslow, AZ 86047-2169 | 2019-06-17 |
| 1174182760 | Jorge Phillip Kinds | Registered Nurse | 500 Indiana Ave, Winslow, AZ 86047-2169 | 2019-06-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568097350 | Kalp Juthani | Student in an Organized Health Care Education/Training Program | 500 N Indiana Avenue, Winslow, AZ 86047 | 2020-03-11 |
| 1104461268 | Dental Innovations-winslow | Clinic/Center | 722 Mike's Pike Street, #101, Winslow, AZ 86047 | 2019-11-13 |
| 1417505611 | Association of Indigenous Pioneers, Incorporated (aipi) | Non-emergency Medical Transport (VAN) | Nec Navajo Route 15 & 60, Suite #2, Winslow, AZ 86047 | 2019-08-30 |
| 1790347573 | Wilfred Shirley | Counselor | 1/2 Mile Northeast Dilkon Bashas Store, Winslow, AZ 86047 | 2019-07-02 |
| 1871055624 | Mark Ashcraft | Student in an Organized Health Care Education/Training Program | Winslow Indian Health Care Center, 500 North Indiana Ave, Winslow, AZ 86047 | 2019-04-02 |
| 1568928521 | Winslow Indian Health Care Center, Inc | Pharmacy | 1.5 Mile N. Leupp Chapter House, Leupp, AZ 86047 | 2019-02-14 |
| 1659837615 | Winslow Indian Health Care Center, Inc | Pharmacy | 3 Mls S. of Dilkon Chapter Hse., Dilkon, AZ 86047 | 2019-02-14 |
| 1750809836 | Grassroots Medical Supply | Durable Medical Equipment & Medical Supplies | Nec Navajo Route 15 and 60, Suite #2, Winlsow, AZ 86047 | 2017-09-08 |
| 1538697396 | Janell K Dickson | Counselor | 1/4 Mile Ne of Bashas, Dilkon, AZ 86047 | 2017-05-24 |
| 1235599143 | Dennis Peters | Veterinarian | 4301 W Highway 66, Winslow, AZ 86047 | 2016-03-04 |
| Find all providers in zip 86047 | ||||
| Taxonomy Code | 3336I0012X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Institutional Pharmacy |
| A pharmacy in a hospital (inpatient) or institution used by pharmacists for the compounding and delivery of medicinal preparations to be administered to the patient by nursing or other authorized personnel. Institutional Pharmacies also counsel patients and caregivers; administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568928521 | Winslow Indian Health Care Center, Inc | Pharmacy | 1.5 Mile N. Leupp Chapter House, Leupp, AZ 86047 | 2019-02-14 |
| 1659837615 | Winslow Indian Health Care Center, Inc | Pharmacy | 3 Mls S. of Dilkon Chapter Hse., Dilkon, AZ 86047 | 2019-02-14 |
| 1578752762 | State of Arizona | Pharmacy | 24601 N 29th Ave, Phoenix, AZ 85083-1165 | 2007-10-24 |
| 1710091780 | Los Ninos Hospital Inc | Pharmacy | 2303 E Thomas Rd, Phoenix, AZ 85016-7827 | 2006-08-18 |
| 1992084941 | Institutional Pharmacy Solutions | Pharmacy | 6350 S Maple Ave, Tempe, AZ 85283-2857 | 2011-08-09 |
| 1306988209 | Page Hospital Pharmacy | Pharmacy | 501 N Navajo, Page, AZ 86040-1447 | 2007-02-14 |
| 1407904105 | Cottonwood De Tucson Inc | Pharmacy | 4110 W Sweetwater Dr, Tucson, AZ 85745-9348 | 2007-01-08 |
| 1306908355 | Banner -- University Medical Center Tucson Campus LLC | Pharmacy | 1501 N. Campbell Avenue, Tucson, AZ 85724 | 2006-12-15 |
| 1609802396 | Yuma Regional Med Ctr Phcy | Pharmacy | 2400 S Avenue A, Yuma, AZ 85364-7127 | 2006-06-24 |
| 1750322210 | Tucson Medical Center | Pharmacy | 5301 E Grant Rd, Tucson, AZ 85712-2805 | 2006-06-08 |
| Find all providers with the same taxonomy | ||||
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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.