| Northern Navajo Medical Center | |
|
Us Highway 491 North Shiprock NM 87420 | |
| (505) 368-6401 | |
| (505) 368-6431 |
| Full Name | Northern Navajo Medical Center |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | Us Highway 491 North, Shiprock, New Mexico |
| Authorized Official Name and Position | Fannessa Comer (CEO) |
| Authorized Official Contact | 5053686006 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northern Navajo Medical Center Po Box 160 Shiprock NM 87420-0160 Ph: (505) 368-6401 | Northern Navajo Medical Center Us Highway 491 North Shiprock NM 87420 Ph: (505) 368-6401 |
| NPI Number | 1235312315 |
|---|---|
| Provider Enumeration Date | 12/11/2007 |
| Last Update Date | 12/05/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235312315 | NPI | - | NPPES |
| 07088752 | Medicaid | CO | |
| 080721 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Nizhoni Smiles, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: N Hwy 491, Shiprock, NM 87420 Phone: 505-368-5626 |