DHHS, PHS, NAIHS, SHIPROCK HOSPITAL (NPI# 1407039589) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407039589 |
| Entity Type | Organization |
| Organization Name | DHHS, PHS, NAIHS, SHIPROCK HOSPITAL |
| Other Organization Name | NORTHERN NAVAJO MEDICAL CENTER |
| Practice Address |
Us Hwy 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 | 5053686401 |
| 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 | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 375702 | 05 | |
| NM | 69323348 | 05 | |
| UT | 7000000084 | 05 | |
| UT | 7000000092 | 05 | |
| CO | 81885342 | 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 |
| 1235312315 | Dhhs, Phs, Naihs, Shiprock Hospital | Clinic/Center | Us Highway 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 HWY 491 NORTH |
| City | SHIPROCK |
| State | NM |
| Zip Code | 87420 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285636191 | Jason Boyd Girouard | Nurse Anesthetist, Certified Registered | Us Hwy 491 North, Shiprock, NM 87420 | 2005-08-10 |
| 1215550843 | Kaitlin A Philipsen | Optometrist | Us Hwy 491 North, Shiprock, NM 87420 | 2020-05-18 |
| 1417517533 | Ethan Fahrney | Occupational Therapist | Us Hwy 491 North, Shiprock, NM 87420 | 2019-06-20 |
| 1124687884 | Kia Yang | Optometrist | Us Hwy 491 North, Shiprock, NM 87420 | 2019-06-06 |
| 1700346095 | Laura Bodnar | Pharmacist | Us Hwy 491 North, Shiprock, NM 87420 | 2019-03-22 |
| 1275006116 | Billie Don Evans IIi | Pharmacist | Us Hwy 491 North, Shiprock, NM 87420 | 2019-01-03 |
| 1093287609 | Ivan Teodoro Chia | Registered Nurse | Us Hwy 491 North, Shiprock, NM 87420-0160 | 2018-12-20 |
| 1467944041 | Elysia Ison | Optometrist | Us Hwy 491 North, Shiprock, NM 87420 | 2018-05-31 |
| 1407343809 | Pamela Bryan | Social Worker | Us Hwy 491 North, Shiprock, NM 87420 | 2018-04-20 |
| 1164919304 | Jerren Michael Alcalde | Dentist | Us Hwy 491 North, Shiprock, NM 87420 | 2018-04-13 |
| 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 | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
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|---|---|---|---|---|
| 1104468602 | Presbyterian Hospital Asc | Clinic/Center | 201 Cedar St Se Ste 7650, Albuquerque, NM 87106-4911 | 2019-10-16 |
| 1093368151 | Desert Peaks Surgery Center LLC | Clinic/Center | 1131 Mall Dr Ste A, Las Cruces, NM 88011-8191 | 2019-07-18 |
| 1871922807 | Bear Canyon Oral & Facial Surgery | Clinic/Center | 10151 Montgomery Ne Ste 2-d, Albuquerque, NM 87111 | 2013-11-12 |
| 1598042343 | Lohman Endoscopy Center, LLC | Clinic/Center | 4381 E Lohman Ave, Las Cruces, NM 88011-8255 | 2011-11-08 |
| 1568667202 | Southwestern Ear, Nose & Throat Associates, Pa | Clinic/Center | 1620 Hospital Drive, Santa Fe, NM 87505 | 2007-06-20 |
| 1639121759 | Surgery Center of Eastern New Mexico LLC | Clinic/Center | 2421 W 21st St, Clovis, NM 88101-2006 | 2006-05-17 |
| 1306810692 | Los Alamos Nm Endoscopy Asc LLC | Clinic/Center | 1911 Central Ave, Suite 100, Los Alamos, NM 87544-3023 | 2006-02-14 |
| 1548249675 | Endoscopy Center of Santa Fe Lp | Clinic/Center | 1630 Hospital Dr, Santa Fe, NM 87505-4772 | 2006-01-17 |
| 1073594446 | Southeastern New Mexico Surgical Center, LLC | Clinic/Center | 113 E 19th St, Roswell, NM 88201-5151 | 2005-11-10 |
| 1629615851 | Southwest Oral and Maxillofacial Surgeons LLC | Clinic/Center | 5900 Cubero Dr Ne Ste A, Albuquerque, NM 87109-3879 | 2019-12-06 |
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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.