National Provider Identifier Database

DHHS IHS PHOENIX AREA
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy

An Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy means a pharmacy operated by the Indian Health Service, an Indian tribe or tribal organization, or an urban Indian organization, all of which are defined in Section 4 of the Indian Health Care Improvement Act, 25 U.S.C. 1603.


Contact Information

DHHS IHS PHOENIX AREA
HWY 264 MILE MARKER 388
POLACCA, AZ86042
Phone: 928-737-6195
Fax: 928-737-6332
Website:
Specialty Taxonomy Code
* Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 332800000X

* Indicates primary specialty

NPI Profile & details for DHHS IHS PHOENIX AREA

NPI Number 1376678946
Legal business name
LBN
DHHS IHS PHOENIX AREA
Authorized official JAMES CUMMINGS - (PHARMACY PROGRAM SPECIALIST)
Entity Organization
Organization subpart No
Enumeration date 02/22/2007
Last updated 10/12/2016 - About 10 years ago
Sole proprietor1 Not specified
Identifiers
  • AZ Medicaid: 02052901
  • Other: 1990665 PK

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for DHHS IHS PHOENIX AREA

There are currently no reviews for DHHS IHS PHOENIX AREA


NPIdb - Home
v2.201