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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 Specialty Code Provider Type

Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy

332800000X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for DHHS IHS PHOENIX AREA

NPI # 1376678946
LBN Legal business name DHHS IHS PHOENIX AREA
Authorized official JAMES CUMMINGS - (PHARMACY PROGRAM SPECIALIST)
Entity Organization
Organization subpart 1 No
Enumeration date 02/22/2007
Last updated 10/12/2016 - About 10 years ago
Identifiers
AZ Medicaid 02052901
Other 1990665 PK
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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