DHHS PHS NAIHS SHIPROCK HOSPITAL (NPI# 1689804387) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689804387 |
| 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 Teennospos 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 | 291U00000X | Clinical Medical Laboratory | 03D1068558 | Laboratories |
| 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 |
| 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 |
| 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 | TEENNOSPOS |
| State | AZ |
| Zip Code | 86514 |
| 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 | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
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| Find all providers with the same taxonomy | ||||
| City | TEENNOSPOS |
| 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.