DHHS, PHS, NAIHS, SHIPROCK HOSPITAL (NPI# 1780639971) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1780639971 |
Entity Type | Organization |
Organization Name | DHHS, PHS, NAIHS, SHIPROCK HOSPITAL |
Other Organization Name | NORTHERN NAVAJO MEDICAL CENTER |
Practice Address |
Us Highway 491 North Shiprock NM 87420-0160 |
Mailing Address |
Po Box 160 Us Highway 491 North Shiprock NM 87420-0160 |
Practice Telephone | 5053686401 |
Practice Fax Number | 5053686431 |
Mailing Telephone | 5053686401 |
Mailing Fax Number | 5053686431 |
Enumeration Date | 2006-05-24 |
Last Update Date | 2008-12-23 |
Authorized Official Name | FANNESSA COMER (CEO) |
Authorized Official Telephone | 5053686006 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities | ||
N | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities | ||
Y | 282N00000X | General Acute Care Hospital | Hospitals |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CO | PENDING | 05 | |
NM | H6785 | 05 | |
NM | 80796 | 05 | |
UT | 7000000084 | 05 | |
CO | 95017950 | 05 | |
AZ | 020503 | 05 | |
UT | 7000000092 | 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 |
1407039589 | Dhhs, Phs, Naihs, Shiprock Hospital | Clinic/Center | Us Hwy 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 |
Street Address |
US HIGHWAY 491 NORTH |
City | SHIPROCK |
State | NM |
Zip Code | 87420-0160 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790786028 | Camille Marie Ristroph | Family Medicine | Us Highway 491 North, Physician Offices, Shiprock, NM 87420-0160 | 2005-08-09 |
1497368567 | Melvina Lake | Pharmacist | Us Highway 491 North, Shiprock, NM 87420 | 2020-08-28 |
1982032355 | William Nicholas | Physician Assistant | Us Highway 491 North, Shiprock, NM 87420 | 2013-10-23 |
1184903411 | Leslie Meyer | Optometrist | Us Highway 491 North, Shiprock, NM 87420 | 2011-08-04 |
1063708774 | Patrick William Murphy | Internal Medicine | Us Highway 491 North, Northern Navajo Medical Center, Shiprock, NM 87420 | 2011-06-21 |
1831327204 | Rebecca Sara Adler | Internal Medicine | Us Highway 491 North, Northern Navajo Medical Center, Shiprock, NM 87420-0160 | 2009-06-24 |
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 |
1356424006 | Michelle A Williams | Counselor | Us Highway 491 North, Shiprock, NM 87420 | 2006-10-23 |
1972615912 | Heather C Kovich | Family Medicine | Us Highway 491 North, Shiprock, NM 87420 | 2006-08-31 |
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 | 282N00000X |
Grouping | Hospitals |
Classification | General Acute Care Hospital |
An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154504231 | Dhhs, Phs, Naihs, Shiprock Hospital | General Acute Care Hospital | Us Highway 491 North, Shiprock, NM 87420-0160 | 2007-12-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760020044 | Three Crosses Regional Hospital LLC | General Acute Care Hospital | 2560 Samaritan Drive, Las Cruces, NM 88001 | 2019-12-17 |
1558838607 | Albuquerque Er LLC | General Acute Care Hospital | 9310 Coors Blvd Nw, Albuquerque, NM 87114-4006 | 2018-10-26 |
1730684853 | Presbyterian Healthcare Services | General Acute Care Hospital | 4801 Beckner Road, Santa Fe, NM 87507 | 2018-03-29 |
1770952939 | Aia,pc | General Acute Care Hospital | 113 Adkins Ct, Clovis, NM 88101-9373 | 2015-09-17 |
1396124616 | Presbyterian Medical Service | General Acute Care Hospital | 8109 Tangerine Pl Nw, Albuquerque, NM 87120-5587 | 2015-05-19 |
1770841728 | Unm Hospital | General Acute Care Hospital | Unm Hospital Pediatric Neurology, 2211 Lomas Blvd., 3rd Floor, Albuquerque, NM 87131-0001 | 2012-04-27 |
1598056749 | University of New Mexico School of Medicine | General Acute Care Hospital | 13305 Wilderness Pl Ne, Albuquerque, NM 87111-9221 | 2011-04-22 |
1649561986 | University of New Mexico | General Acute Care Hospital | 9800 Bajada Dr Nw, Albuquerque, NM 87114-4365 | 2011-04-20 |
1669614947 | University of New Mexico | General Acute Care Hospital | Dept of Radiology Msc10 5530, 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2009-04-01 |
1235376609 | Traci Gae Blair | General Acute Care Hospital | 5232 Saratoga Ct Nw, Albuquerque, NM 87120-2296 | 2009-01-07 |
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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.