Navajo Health Foundation

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

License

RGH3899 Issued in AZ

Legal business name

NAVAJO HEALTH FOUNDATION

Practice address

Arizona Highway 191
Ganado, AZ 86505-0457

Phone

(928) 755-4500

Fax

(928) 755-4659

NPI assigned

Apr 20, 2007

Organization subpart

Yes

Parent organization

NAVAJO HEALTH FOUNDATIONAs reported in NPPES

Name

Mr. Todd Mitchell McGee, CFO

Title

Cfo

Phone

(928) 755-4500

Part of

Navajo Health Foundation

• Wide Ruins Clinic Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 10, 2015.

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441843200000",
    "number": "1104043926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 457",
            "city": "GANADO",
            "state": "AZ",
            "postal_code": "865050457",
            "telephone_number": "928-755-4500",
            "fax_number": "928-755-4659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ARIZONA HIGHWAY 191",
            "city": "GANADO",
            "state": "AZ",
            "postal_code": "865050457",
            "telephone_number": "928-755-4500",
            "fax_number": "928-755-4659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAVAJO HEALTH FOUNDATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NAVAJO HEALTH FOUNDATION",
        "enumeration_date": "2007-04-20",
        "last_updated": "2015-09-10",
        "status": "A",
        "authorized_official_last_name": "MCGEE",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "MITCHELL",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "928-755-4500",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CFO"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "AZ",
            "license": "RGH3899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wide Ruins Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Louis Mallette, LPC
• Robert McGrevey, PHARMD
• Ernasha K. McIntosh, FNP-C
• Erlinda Marie Miller, CRT
• Navajo Health Foundation
• Navajo Health Foundation
• Navajo Health Foundation
• Navajo Health Foundation-Sage Memorial Hospital Inc
• Navajo Health Foundation-Sage Memorial Hospital, Inc.
• Navajo Health Foundation-Sage Memorial Hospital, Inc.

• All providers in Ganado, AZ
• Rural Health Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.