DHHS IHS Phoenix Area

Organization Active NPI Critical Access Hospital · Polacca, AZ

NPI 1184998635 · NPPES record last updated Mar 1, 2012

Key facts

NPI
1184998635
Entity type
Organization (NPI type 2)
Primary specialty
Critical Access Hospital 282NC0060X
Legal business name
DHHS IHS PHOENIX AREA
Practice address
Highway 264 Milepost 388
Polacca, AZ 86042-4000
Phone
(928) 737-6000
Fax
(928) 737-6080
NPI assigned
Mar 1, 2012
Organization subpart
No

Authorized official

Name
Dealva Honahnie
Title
Chief Executive Officer
Phone
(928) 737-6000

Corporate family (same tax ID) 3

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

National Provider Directory

Tax ID family
DHHS IHS Phoenix Area (4 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X Yes

Addresses

Primary practice location

Highway 264 Milepost 388
Polacca, AZ 86042-4000

Mailing address

Highway 264 Milepost 388 PO Box 4000
Polacca, AZ 86042-4000
Phone (928) 737-6000

Other names

  • HOPI HEALTH CARE CENTER Doing business as

Other providers in Polacca, AZ

All providers in Polacca, AZ · Critical Access Hospital in Arizona

Sources for this page

Verify at the official NPI Registry.