DHHS IHS PHOENIX AREA (NPI# 1679195069) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679195069 |
| Entity Type | Organization |
| Organization Name | DHHS IHS PHOENIX AREA |
| Practice Address |
200 W Hospital Dr Whiteriver AZ 85941-0860 |
| Mailing Address |
Po Box 860 Whiteriver AZ 85941-0860 |
| Practice Telephone | 9283384911 |
| Practice Fax Number | 9283385508 |
| Mailing Telephone | 9283384911 |
| Mailing Fax Number | 9283385508 |
| Enumeration Date | 2020-05-08 |
| Last Update Date | 2020-05-08 |
| Authorized Official Name | MICHELLE MARTINEZ, (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 9283384911 |
| Authorized Official Credential | FNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Other Name | Type Code |
|---|---|
| Whiteriver Indian Hospital | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124398961 | Dhhs Ihs Phoenix Area | Clinic/Center | 223 Cibecue Circle Road, San Carlos, AZ 85550-0208 | 2012-01-11 |
| 1538446166 | Dhhs Ihs Phoenix Area | General Acute Care Hospital | 103 Medicine Way Rd, Peridot, AZ 85542-0787 | 2011-11-10 |
| 1689951220 | Dhhs Ihs Phoenix Area | Clinic/Center | Highway 70, Mp 295.6, Bylas, AZ 85530 | 2011-11-10 |
| 1396022026 | Dhhs Ihs Phoenix Area | Clinic/Center | 1900 Palo Verde, Havasu Lake, CA 92363 | 2011-11-09 |
| 1548546609 | Dhhs Ihs Phoenix Area | Clinic/Center | 37 Mountain View Dr, Battle Mountain, NV 89820-1862 | 2011-11-02 |
| 1184874034 | Dhhs Ihs Phoenix Area | Clinic/Center | North Cromwell Road, Cibecue, AZ 85911 | 2008-09-29 |
| 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 |
| 1104204239 | Dhhs Ihs Phoenix Area | General Acute Care Hospital | 12033 Agency Rd, Parker, AZ 85344-7718 | 2015-05-08 |
| Street Address |
200 W HOSPITAL DR |
| City | WHITERIVER |
| State | AZ |
| Zip Code | 85941-0860 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104895242 | James George Ard | Family Medicine | 200 W Hospital Dr, Whiteriver, AZ 85941-0860 | 2006-03-14 |
| 1194339747 | Marcus Caide Harding | Pharmacist | 200 W Hospital Dr, Whiteriver, AZ 85941 | 2020-09-01 |
| 1679186134 | Joseph Mariano Jagers | Dentist | 200 W Hospital Dr, Whiteriver, AZ 85941 | 2020-08-25 |
| 1619523032 | Amy Nham | Pharmacist | 200 W Hospital Dr, Whiteriver, AZ 85941 | 2019-08-12 |
| 1871147223 | Tina Marrie Smith | Nurse Practitioner | 200 W Hospital Dr, Whiteriver, AZ 85941 | 2019-07-24 |
| 1760951123 | Andrew James Hickman | Pharmacist | 200 W Hospital Dr, Whiteriver, AZ 85941 | 2018-11-15 |
| 1043787591 | Endrit Toska | Pharmacist | 200 W Hospital Dr, Whiteriver, AZ 85941 | 2018-11-01 |
| 1700360617 | Frederick Wright Jaeger | Pharmacist | 200 W Hospital Dr, Whiteriver, AZ 85941 | 2018-09-18 |
| 1841771151 | Allison Rydberg | Physical Medicine & Rehabilitation | 200 W Hospital Dr, Whiteriver, AZ 85941 | 2018-08-24 |
| 1396261590 | Agafe Saguros | Pharmacist | 200 W Hospital Dr, Whiteriver, AZ 85941 | 2017-08-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649816778 | Benjamin Robert Bishop | Pharmacist | 200 W Hospital Road, Whiteriver, AZ 85941 | 2019-11-25 |
| 1750922308 | Christal A Brewer | Specialist/Technologist | 1 N 1st Ave, Whiteriver, AZ 85941 | 2019-10-04 |
| 1154880862 | Ivan Atole IIi | Counselor | 302 W Ponderosa St, Whiteriver, AZ 85941 | 2019-03-13 |
| 1912456732 | Jamie Baha | Counselor | 302 West Ponderosa Street, White River, AZ 85941 | 2016-09-22 |
| 1891243382 | Donna Mauree Stevens | Counselor | 302 W. Ponderosa St., Whiteriver, AZ 85941 | 2016-09-14 |
| 1811445307 | Aura Josefina Ortiz | Counselor | 302 W Ponderosa Street, Whiteriver, AZ 85941 | 2016-09-14 |
| 1891152567 | White Mountain Apache Tribe Fire and Rescue | Ambulance | 612 S. Chief Ave, Whiteriver, AZ 85941 | 2016-01-26 |
| 1528450855 | Carla Francis Turrentine | Social Worker | 249 West Ponderosa Street, Whiteriver, AZ 85941 | 2015-02-24 |
| 1477890390 | Muhammad Kanakri | Pharmacist | 200 West Whiteriver, Usphs Indian Hospital, Whitriver, AZ 85941 | 2013-01-11 |
| 1871870980 | Kathleen Wynn | Registered Nurse | 400 Apache Drive, Whiteriver, AZ 85941 | 2011-11-03 |
| Find all providers in zip 85941 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649870411 | United Respiratory Services LLC | Durable Medical Equipment & Medical Supplies | 1275 E Florence Blvd Ste 104, Casa Grande, AZ 85122-4268 | 2020-10-29 |
| 1760080238 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 3807 N 7th St Ste P, Phoenix, AZ 85014-5005 | 2020-10-15 |
| 1891302790 | Vhs Outpatient Clinics, Inc. | Durable Medical Equipment & Medical Supplies | 8630 E Via Venture, Ste 201, Scottsdale, AZ 85258 | 2020-09-25 |
| 1528675469 | Antelope Works, LLC | Durable Medical Equipment & Medical Supplies | 2601 N 3rd St Ste 200, Phoenix, AZ 85004-1145 | 2020-09-24 |
| 1679189765 | Vhs Outpatient Clinics, Inc. | Durable Medical Equipment & Medical Supplies | 3130 E Baseline Rd Ste 101, Mesa, AZ 85204-7290 | 2020-09-23 |
| 1336753540 | Smith's Food & Drug Centers Inc | Durable Medical Equipment & Medical Supplies | 4075 E Williams Field Rd, Gilbert, AZ 85295-1142 | 2020-09-04 |
| 1639782592 | Safe Hands LLC | Durable Medical Equipment & Medical Supplies | 920 W Chandler Blvd Ste 3, Chandler, AZ 85225-2526 | 2020-08-28 |
| 1366055642 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 463 S Lake Powell Blvd Ste P, Page, AZ 86040-0856 | 2020-08-26 |
| 1528678901 | Maurice Valeriano | Durable Medical Equipment & Medical Supplies | 505 W 8th Ave Ste 12a, Mesa, AZ 85210-3541 | 2020-07-31 |
| 1821607060 | Am Apnea and Tmj LLC | Durable Medical Equipment & Medical Supplies | 2303 N. 44thst., Suite 14-1008, Phoenix, AZ 85008 | 2020-07-23 |
| Find all providers with the same taxonomy | ||||
| City | WHITERIVER |
| Zip Code | 85941 |
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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.