DHHS PHS IHS PHOENIX AREA (NPI# 1457486177) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457486177 |
| Entity Type | Organization |
| Organization Name | DHHS PHS IHS PHOENIX AREA |
| Practice Address |
One Indian Hill Road Winterhaven CA 92283 |
| Mailing Address |
Phs Ft Yuma Po Box 31001-0701 Pasadena CA 91110-0701 |
| Practice Telephone | 7605724120 |
| Practice Fax Number | 7605722133 |
| Mailing Telephone | 7605724120 |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2018-05-03 |
| 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 |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 332800000X | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 020511 | 05 | |
| PK | 1991275 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265719918 | Dhhs Phs Ihs Phoenix Area | Clinic/Center | 401 Picacho Road, Winterhaven, CA 92283 | 2011-11-09 |
| 1649432121 | Dhhs Phs Ihs Phoenix Area | Dental Hygienist | 401 Picacho Road, Winterhaven, CA 92283 | 2008-06-26 |
| 1750558201 | Dhhs Phs Ihs Phoenix Area | Social Worker | 401 Picacho Road, Winterhaven, CA 92283 | 2008-05-14 |
| Street Address |
ONE INDIAN HILL ROAD |
| City | WINTERHAVEN |
| State | CA |
| Zip Code | 92283 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225197908 | Richard Gilbert Schrage | Dentist | One Indian Hill Road, Winterhaven, CA 92283 | 2006-12-08 |
| 1447665609 | Carolyn Gehrer | Registered Nurse | One Indian Hill Road, Winterhaven, CA 92283 | 2014-06-26 |
| 1982027348 | Walter Palkovitch | Registered Nurse | One Indian Hill Road, Winterhaven, CA 92283 | 2014-01-21 |
| 1447499058 | Tashina Jolene Miller | Nurse's Aide | One Indian Hill Road, Winterhaven, CA 92283 | 2009-02-05 |
| 1003061342 | Alana Salinas | Pharmacy Technician | One Indian Hill Road, Winterhaven, CA 92283 | 2008-12-01 |
| 1013162437 | Laurie Joaquin | Nurse's Aide | One Indian Hill Road, Winterhaven, CA 92283 | 2008-11-26 |
| 1922253343 | Bianca Salinas | Nurse's Aide | One Indian Hill Road, Winterhaven, CA 92283 | 2008-11-26 |
| 1194970517 | Cheryl Eswonia | Nurse's Aide | One Indian Hill Road, Winterhaven, CA 92283 | 2008-11-26 |
| 1346404134 | Kathryn Shaffer | Registered Nurse | One Indian Hill Road, Winterhaven, CA 92283 | 2008-07-11 |
| 1619191996 | Danny Thompson | Registered Nurse | One Indian Hill Road, Winterhaven, CA 92283 | 2007-04-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467018614 | Jessica Rose Langton | Pharmacist | 401 East Picacho Rd, Winterhaven, CA 92283 | 2019-05-14 |
| 1598248551 | Jennifer Andrea Ochoa | Pharmacy Technician | 401 E Picacho Rd, Winterhaven, CA 92283 | 2018-09-14 |
| 1043793185 | Roberta Jean Sam | Pharmacy Technician | 401 E. Picacho Road, Winterhaven, CA 92283 | 2018-09-14 |
| 1871905000 | Kelli Rogers | Registered Nurse | One Indian Hill Rd., Winterhaven, CA 92283 | 2014-05-22 |
| 1366557605 | Louise Susan Del Negro | Family Medicine | 401 Picacho Road, Winterhaven, CA 92283 | 2006-08-19 |
| 1447290127 | Trivean Garcia | Social Worker | One Indian Rd, Winterhaven, CA 92283 | 2006-06-08 |
| 1588604284 | Deborah Ann Drumel | Dietitian, Registered | One Indian Hill Rd, Winterhaven, CA 92283 | 2006-06-08 |
| 1295785186 | Antonio Rivera | Family Medicine | 1 Indian Hill Road, Winterhaven, CA 92283 | 2006-05-11 |
| 1609351469 | Deana Cachora | Technician | 401 Picacho Rd, Winterhaven, CA 92283 | 2018-09-27 |
| 1750866513 | Sarena San Diego | Technician | 401 Picacho Rd, Winterhaven, CA 92283 | 2018-09-27 |
| Find all providers in zip 92283 | ||||
| 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 |
|---|---|---|---|---|
| 1598108847 | Hometown Ltc Pharmacy Inc | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 1450 W Mccoy Ln Ste B, Santa Maria, CA 93455-1059 | 2013-04-16 |
| 1144873811 | Hometown Ltc Pharmacy Inc | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 1009 E Grand Ave, Arroyo Grande, CA 93420-2504 | 2019-07-22 |
| 1407252588 | Ihc Santa Ysabel Pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 110 1/2 School House Canyon Road, Santa Ysabel, CA 92070 | 2014-11-17 |
| 1053484998 | Susanville Indian Rancheria | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 795 Joaquin St, Susanville, CA 96130-3628 | 2006-11-16 |
| 1982782256 | United Indian Health Services Inc | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 1600 Weeot Way, Arcata, CA 95521-4734 | 2006-11-02 |
| 1699881540 | Tuolumne Me-wuk Indian Health Center Incorporated | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 18880 Cherry Valley Blvd, Tuolumne, CA 95379-9506 | 2006-08-22 |
| City | WINTERHAVEN |
| Zip Code | 92283 |
Please comment or provide details below to improve the information on DHHS PHS IHS PHOENIX AREA.
| 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.