DHHS PHS NAIHS SHIPROCK HOSPITAL (NPI# 1831329515) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831329515 |
| Entity Type | Organization |
| Organization Name | DHHS PHS NAIHS SHIPROCK HOSPITAL |
| Other Organization Name | NORTHERN NAVAJO MEDICAL CENTER |
| Practice Address |
Us Hwy 491 North Shiprock NM 87420-0160 |
| Mailing Address |
Po Box 160 Shiprock NM 87420-0160 |
| Practice Telephone | 5053686401 |
| Practice Fax Number | 5053686431 |
| Mailing Telephone | 5053686401 |
| Mailing Fax Number | 5053686431 |
| 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 |
N/A | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | PENDING | 05 |
| Other Name | Type Code |
|---|---|
| Northern Navajo Medical 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 |
| 1497985196 | Dhhs Phs Naihs Shiprock Hospital | Clinic/Center | Us Hwy 160 & Navajo Route 25 - Red Mesa, Teecnospos, AZ 86514 | 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 491 NORTH |
| City | SHIPROCK |
| State | NM |
| Zip Code | 87420-0160 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285636191 | Jason Boyd Girouard | Nurse Anesthetist, Certified Registered | Us Hwy 491 North, Shiprock, NM 87420 | 2005-08-10 |
| 1215550843 | Kaitlin A Philipsen | Optometrist | Us Hwy 491 North, Shiprock, NM 87420 | 2020-05-18 |
| 1417517533 | Ethan Fahrney | Occupational Therapist | Us Hwy 491 North, Shiprock, NM 87420 | 2019-06-20 |
| 1124687884 | Kia Yang | Optometrist | Us Hwy 491 North, Shiprock, NM 87420 | 2019-06-06 |
| 1700346095 | Laura Bodnar | Pharmacist | Us Hwy 491 North, Shiprock, NM 87420 | 2019-03-22 |
| 1275006116 | Billie Don Evans IIi | Pharmacist | Us Hwy 491 North, Shiprock, NM 87420 | 2019-01-03 |
| 1093287609 | Ivan Teodoro Chia | Registered Nurse | Us Hwy 491 North, Shiprock, NM 87420-0160 | 2018-12-20 |
| 1467944041 | Elysia Ison | Optometrist | Us Hwy 491 North, Shiprock, NM 87420 | 2018-05-31 |
| 1407343809 | Pamela Bryan | Social Worker | Us Hwy 491 North, Shiprock, NM 87420 | 2018-04-20 |
| 1164919304 | Jerren Michael Alcalde | Dentist | Us Hwy 491 North, Shiprock, NM 87420 | 2018-04-13 |
| 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 | 261QR0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology |
| Definition to come... |
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| 1043594179 | Lubbock Ct, Inc. | Clinic/Center | 3305 N Grimes St, Hobbs, NM 88240-1219 | 2011-10-07 |
| 1649467747 | Dean Shippey | Clinic/Center | 1600 N Main, Lovington, NM 88260 | 2007-10-02 |
| 1275759391 | New Mexico Imaging and Wellness | Clinic/Center | 401 Edith Blvd, Suite B-1, Albuquerque, NM 87102-2509 | 2007-04-17 |
| 1215016415 | Indian Wells Ultrasound Imaging Inc | Clinic/Center | 205 W Boutz Rd. Bldg #1, Las Cruces, NM 88005 | 2006-11-06 |
| 1538466099 | Grant County Imaging Center LLC | Clinic/Center | 1600 E 32nd St, Silver City, NM 88061-7287 | 2011-02-18 |
| 1760795330 | Mercy Regional Medical Center of Durango | Clinic/Center | 604 S Rio Grande Ave, Aztec, NM 87410-2260 | 2010-07-23 |
| 1316268030 | Insight Health Corp | Clinic/Center | 2525 S Telshor Blvd, Las Cruces, NM 88011-5071 | 2010-06-16 |
| 1962632646 | Dhhs Phs Naihs Shiprock Hospital | Clinic/Center | 6 Road 7586, Bloomfield, NM 87413-4934 | 2009-07-16 |
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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.