DHHS PHS NAIHS SHIPROCK HOSPITAL (NPI# 1497985196) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497985196 |
| Entity Type | Organization |
| Organization Name | DHHS PHS NAIHS SHIPROCK HOSPITAL |
| Other Organization Name | FOUR CORNERS REGIONAL HEALTH CENTER |
| Practice Address |
Us Hwy 160 & Navajo Route 25 - Red Mesa Teecnospos AZ 86514 |
| Mailing Address |
Hcr 6100, Box 30 Teecnospos AZ 86514 |
| Practice Telephone | 9286565000 |
| Practice Fax Number | 9286565164 |
| Mailing Telephone | 9286565000 |
| Mailing Fax Number | 9286565164 |
| Enumeration Date | 2009-07-16 |
| Last Update Date | 2009-07-16 |
| Authorized Official Name | FANNESSA COMER (CEO) |
| Authorized Official Telephone | 5053686001 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0200X |
Clinic/Center Specialization: Radiology |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Four Corners Regional Health Center | 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 |
| 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 |
| 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 25 - RED MESA |
| City | TEECNOSPOS |
| State | AZ |
| Zip Code | 86514 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811981558 | Charles Austin Norris | Optometrist | Us Hwy 160 & Navajo Route 25 - Red Mesa, Teecnospos, AZ 86514 | 2005-09-08 |
| 1467788489 | Christanya Phillips | Massage Therapist | Us Hwy 160 & Navajo Route 25 - Red Mesa, Teecnospos, AZ 86514 | 2009-10-27 |
| 1154509594 | Fannie Lookingglass | Social Worker | Us Hwy 160 & Navajo Route 25 - Red Mesa, Teecnospos, AZ 86514 | 2008-02-07 |
| 1003001611 | Michelle Eaglehawk | Social Worker | Us Hwy 160 & Navajo Route 25 - Red Mesa, Teecnospos, AZ 86514 | 2007-09-07 |
| 1881884781 | Cynthia J. Anderson | Social Worker | Us Hwy 160 & Navajo Route 25 - Red Mesa, Teecnospos, AZ 86514 | 2007-07-26 |
| 1982629226 | Frank Gerhardt Bieberly Jr. | Internal Medicine | Us Hwy 160 & Navajo Route 25 - Red Mesa, Teecnospos, AZ 86514 | 2006-07-13 |
| 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 | 261QR0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology |
| Definition to come... |
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| 1124552120 | Smi Imaging, LLC | Clinic/Center | 2502 E Camelback Rd, 160, Phoenix, AZ 85016-4254 | 2017-04-17 |
| 1184165938 | Az Med LLC | Clinic/Center | 706 N Mcqueen Rd, Gilbert, AZ 85233-3500 | 2017-03-13 |
| 1285188763 | Vein Clinic of Lake Havasu | Clinic/Center | 2156 Rudolph Dr, Lake Havasu City, AZ 86406-8106 | 2016-08-12 |
| 1841537842 | Az-tech Radiology & Open Mri, LLC | Clinic/Center | 600 S. Dobson Rd Suite, Suite E42, Chandler, AZ 85224-0000 | 2013-01-10 |
| 1881939874 | Extremity Imaging Centers LLC | Clinic/Center | 8962 E Desert Cove Dr # 125, Scottsdale, AZ 85260-6984 | 2012-12-03 |
| 1295061422 | Pueblo Radiology LLC | Clinic/Center | 1313 W Saint Marys Rd, Tucson, AZ 85745-3112 | 2009-10-22 |
| 1669621892 | Focused Imaging of Arizona Inc | Clinic/Center | 5680 S. Power Rd, Gilbert, AZ 85295 | 2008-09-11 |
| 1285809004 | University Imaging LLC | Clinic/Center | 6120 N 16th St, Phoenix, AZ 85016-1705 | 2008-04-23 |
| 1649449265 | Carondelet Health Network | Clinic/Center | 8290 S Houghton Road, Tucson, AZ 85747-9702 | 2008-02-28 |
| Find all providers with the same taxonomy | ||||
| City | TEECNOSPOS |
| Zip Code | 86514 |
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.