DHHS PHS NAIHS SHIPROCK HOSPITAL; NPI #1336278597

Contact Information

DHHS PHS NAIHS SHIPROCK HOSPITAL

6 ROAD 7586
BLOOMFIELD, NM 87413-4934

Phone: 505-368-8144
Fax: 505-368-8009
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy	332800000X	87	All Other Suppliers

Indicates primary specialty

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NPI Profile & details for DHHS PHS NAIHS SHIPROCK HOSPITAL

NPI Number 1336278597

LBN Legal business name DHHS PHS NAIHS SHIPROCK HOSPITAL

Authorized official ROBINA HARVEY - (HEALTH SYSTEM ADMINISTRATOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 03/05/2007

Last updated 10/31/2022 - About 4 years ago

Identifiers

NM	Medicaid	B3315
	Other	3210286	NCPDP PROVIDER IDENTIFICATION NUMBER

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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