WINSLOW INDIAN HEALTH CARE CENTER, INC; NPI #1568928521

Contact Information

WINSLOW INDIAN HEALTH CARE CENTER, INC

1.5 MILE N. LEUPP CHAPTER HOUSE
LEUPP, AZ 86047

Phone: 928-289-6565
Fax:
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 WINSLOW INDIAN HEALTH CARE CENTER, INC

NPI # 1568928521

LBN Legal business name WINSLOW INDIAN HEALTH CARE CENTER, INC

Authorized official VIRGIL DAVIS - (CHIEF EXECUTIVE OFFICER)

Entity Organization

Organization subpart ¹ Yes

Enumeration date 02/14/2019

Last updated 09/26/2025 - About 8 months ago

Identifiers

Medicaid

728727

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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