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Us Hwy 160 & Navajo Route 35 - Red Mesa Teecnospos AZ 86514 | |
| (505) 368-6401 | |
| (505) 368-6431 |
| Full Name | |
|---|---|
| Speciality | General Acute Care Hospital |
| Location | Us Hwy 160 & Navajo Route 35 - Red Mesa, Teecnospos, Arizona |
| Authorized Official Name and Position | Fannessa Comer (CEO) |
| Authorized Official Contact | 5053686005 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 160 Shiprock NM 87420-0160 Ph: (505) 368-6401 | Us Hwy 160 & Navajo Route 35 - Red Mesa Teecnospos AZ 86514 Ph: (505) 368-6401 |
| NPI Number | 1477615789 |
|---|---|
| Provider Enumeration Date | 12/14/2006 |
| Last Update Date | 01/07/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477615789 | NPI | - | NPPES |
| 282586 | Medicaid | AZ | |
| 7000000084 | Medicaid | UT | |
| 7000000092 | Medicaid | UT | |
| 61109321 | Medicaid | NM | |
| 37256718 | Medicaid | CO |
Dhhs Phs Naihs Shiprock Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Us Hwy 160 & Navajo Route 35 - Red Mesa, Teecnospos, AZ 86514 Phone: 928-656-5163 Fax: 928-656-5162 |