DHHS PHS NAIHS SHIPROCK HOSPITAL (NPI# 1386857993) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386857993 |
| Entity Type | Organization |
| Organization Name | DHHS PHS NAIHS SHIPROCK HOSPITAL |
| Other Organization Name | FOUR CORNERS REGIONAL HEALTH CENTER - PHARMACY |
| Practice Address |
Us Hwy 160 & Navajo Route 35 - Red Mesa Teec Nos Pos AZ 86514 |
| Mailing Address |
Po Box 160 Shiprock NM 87420-0160 |
| Practice Telephone | 9286565270 |
| Practice Fax Number | 9286565272 |
| Mailing Telephone | 9286565270 |
| Mailing Fax Number | 9286565272 |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2017-12-19 |
| Authorized Official Name | CARENDA ROBINSON (HEALTH SYSTEM ADMINISTRATOR) |
| Authorized Official Telephone | 5053686007 |
| 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 | 0354706 | 01 |
| Other Name | Type Code |
|---|---|
| Four Corners Regional Health Center | Doing Business As Name - Organization |
| Four Corners Regional 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 |
| 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 |
| 1336278597 | Dhhs Phs Naihs Shiprock Hospital | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 6 Road 7586, Bloomfield, NM 87413-4934 | 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 |
US HWY 160 & NAVAJO ROUTE 35 - RED MESA |
| City | TEEC NOS POS |
| State | AZ |
| Zip Code | 86514 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598102022 | Marie Frances Bastin | Registered Nurse | Us Hwy 160 & Navajo Route 35 - Red Mesa, Four Corners Regional Health Center, Teec Nos Pos, AZ 86514 | 2013-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275025702 | April Rose De Guzman Hernandez | Registered Nurse | Jct Us Hwy 160 and Navajo Route 35, Red Mesa, AZ 86514 | 2018-05-31 |
| 1891184552 | James Robert Lillard II | Registered Nurse | Jct. U.S. Hwy. 160 & Navajo Route 35, Red Mesa, AZ 86514 | 2015-01-20 |
| 1588060842 | Susan Wolffe | Registered Nurse | Jct Us Hwy 160 & Navajo Route 35, Teec Nos Pos, AZ 86514 | 2014-11-14 |
| 1609276641 | Donald Reede | Registered Nurse | Jct U.S. Hwy 150 & Navajo Route 35 - Red Mesa, Teec Nos Pos, AZ 86514 | 2014-08-27 |
| 1306281134 | Anderson Transport LLC | Non-emergency Medical Transport (VAN) | Nha Mh#39, Teec Nos Pos, AZ 86514 | 2013-05-07 |
| 1811241896 | Surrina Whitehorse | Non-emergency Medical Transport (VAN) | Hwy 160 Mm 284: 8 Miles, Teecnospos, AZ 86514 | 2012-10-30 |
| 1992081608 | Ronald Edward Dancy Jr. | Registered Nurse | Jct. U.S. Hwy 160 & Navajo Route 35 - Red Mesa, Teec Nos Pos, AZ 86514 | 2011-10-26 |
| 1407137557 | Eun Mi Ahn | Pharmacist | Jct U.S. Hwy 160 & Navajo Route 35, Teec Nos Pos, AZ 86514 | 2011-09-02 |
| 1033406426 | Christine Yvonne Potter | Registered Nurse | Jct. Hwy 160 & Navajo Route 25 - Red Mesa, Teec Nos Pos, AZ 86514 | 2011-07-06 |
| 1629364039 | Rebecca Gail Shroyer | Registered Nurse | Junction Highway 160 & Navajo Route 35, Teec Nos Pos, AZ 86514 | 2011-06-23 |
| Find all providers in zip 86514 | ||||
| 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 | TEEC NOS POS |
| Zip Code | 86514 |
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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.