DHHS Naihs PHS Kayenta Health Center
Organization Active NPI Dental Clinic/Center · Kayenta, AZ
NPI 1073786604 · NPPES record last updated Apr 3, 2008
Key facts
- NPI
- 1073786604
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dental Clinic/Center 261QD0000X
- Legal business name
- DHHS NAIHS PHS KAYENTA HEALTH CENTER
- Practice address
- Hwy 160 163 Building Ka 2010
Kayenta, AZ 86033-0368 - Phone
- (928) 697-4000
- Fax
- (928) 697-4145
- NPI assigned
- Apr 3, 2008
- Organization subpart
- No
Authorized official
- Name
- Linda White
- Title
- Ceo
- Phone
- (928) 697-4234
Corporate family (same tax ID) 4
Practitioners 3
-
Connie Jo Larkin, APRN
-
Franklin J Roth, M.D.
National Provider Directory
- Tax ID family
- US Public Health Servic
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Yes |
Addresses
Primary practice location
Hwy 160 163 Building Ka 2010
Kayenta, AZ 86033-0368
Mailing address
PO Box 368
Hwy 160 163 Building Ka 2010
Kayenta, AZ 86033-0368
Phone (928) 697-4000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 080804 | Medicaid | AZ |
Other providers in Kayenta, AZ
- Amanda Kay Crowder
- Myra Pearl Dalton
- Gereron Jerald Daw
- Lorena Florence Dejolie
- Nancy Desantis
- DHHS PHS Naihs Kayenta Health Center
- Ursula Diaz
- Natalie Ada Dominguez
- Richard John Donlick Jr.
- Susan Donlick
All providers in Kayenta, AZ · Dental Clinic/Center in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 3, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.