NPIMap

Organization Active NPI

DHHS, PHS, Naihs, Shiprock Hospital

Doing business as Dzilth Na O Dith Hle Health Center

  • Durable Medical Equipment & Medical Supplies
  • Bloomfield, NM
National Provider Identifier
1114141876
Registry record updated Dec 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
DHHS, PHS, NAIHS, SHIPROCK HOSPITAL
Doing business as
Dzilth Na O Dith Hle Health Center
Practice address
6 Road 7586
Bloomfield, NM 87413-4934
Phone
(505) 368-6001
Fax
(505) 368-6431
NPI assigned
Apr 12, 2007
Last updated
Dec 5, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Fannessa Comer
Title
Ceo
Phone
(505) 368-6006

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

6 Road 7586
Bloomfield, NM 87413-4934

Mailing address

6 Road 7586
Bloomfield, NM 87413-4934
Phone (505) 368-6401

Other identifiers 5

IdentifierTypeStateIssuer
95017950MedicaidCO
7000000092MedicaidUT
7000000084MedicaidUT
89805MedicaidNM
418188MedicaidAZ

Other names 1

  • Dzilth Na O Dith Hle Health Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Northern Navajo Medical15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

Organizations that report the same tax identification number in the National Provider Directory.

View all 14

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228435200000",
    "number": "1114141876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 ROAD 7586",
            "city": "BLOOMFIELD",
            "state": "NM",
            "postal_code": "874134934",
            "telephone_number": "505-368-6401",
            "fax_number": "505-368-6431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 ROAD 7586",
            "city": "BLOOMFIELD",
            "state": "NM",
            "postal_code": "874134934",
            "telephone_number": "505-368-6001",
            "fax_number": "505-368-6431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DHHS, PHS, NAIHS, SHIPROCK HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2008-12-05",
        "status": "A",
        "authorized_official_last_name": "COMER",
        "authorized_official_first_name": "FANNESSA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "505-368-6006"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "95017950",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7000000092",
            "state": "UT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7000000084",
            "state": "UT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89805",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "418188",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dzilth Na O Dith Hle Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bloomfield, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2008; 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.