NPIMap

Organization Active NPI

Kayenta Alternative Rural Hospital

Doing business as Kayenta Physicians

  • General Practice Physician
  • Kayenta, AZ
National Provider Identifier
1194991679
Registry record updated Feb 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
KAYENTA ALTERNATIVE RURAL HOSPITAL
Doing business as
Kayenta Physicians
Practice address
US Highway 160, S MP 364.3
Kayenta, AZ 86033-0368
Phone
(928) 697-4000
Fax
(928) 697-4030
NPI assigned
May 5, 2008
Last updated
Feb 10, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2023

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

Authorized official

Name
Terri Mae Kelewood
Title
Business Office Manager
Phone
(928) 697-5059

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X NU Primary

Addresses

Primary practice location

US Highway 160, S MP 364.3
Kayenta, AZ 86033-0368

Mailing address

PO Box 368
Kayenta, AZ 86033-0368
Phone (928) 697-4000

Other practice location 1

US Highway 160 Building 2000
Dennehotso, AZ 86535-2000
Phone (928) 697-4000

Other practice location 2

US Highway 98 & Navajo Route 16
Shonto, AZ 86054-7397
Phone (928) 697-4000

Other identifiers 1

IdentifierTypeStateIssuer
317191MedicaidAZ

Other names 1

  • KAYENTA PHYSICIANS Doing business as

National Provider Directory

National Provider Directory
Tax ID family
DHHS Naihs PHS Inscription House Health Center5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

NPI Registry JSON

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

{
    "created_epoch": "1209945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675987200000",
    "number": "1194991679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 368",
            "city": "KAYENTA",
            "state": "AZ",
            "postal_code": "860330368",
            "telephone_number": "928-697-4000",
            "fax_number": "928-697-4030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "US HIGHWAY 160, S MP 364.3",
            "city": "KAYENTA",
            "state": "AZ",
            "postal_code": "860330368",
            "telephone_number": "928-697-4000",
            "fax_number": "928-697-4030"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "US Highway 160 Building 2000",
            "address_purpose": "LOCATION",
            "city": "Dennehotso",
            "state": "AZ",
            "postal_code": "865352000",
            "country_code": "US",
            "telephone_number": "928-697-4000",
            "fax_number": "928-697-4030",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "US Highway 98 & Navajo Route 16",
            "address_purpose": "LOCATION",
            "city": "SHONTO",
            "state": "AZ",
            "postal_code": "860547397",
            "country_code": "US",
            "telephone_number": "928-697-4000",
            "fax_number": "928-697-4030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KAYENTA ALTERNATIVE RURAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-05",
        "last_updated": "2023-02-10",
        "certification_date": "2023-02-10",
        "status": "A",
        "authorized_official_last_name": "KELEWOOD",
        "authorized_official_first_name": "TERRI",
        "authorized_official_middle_name": "MAE",
        "authorized_official_title_or_position": "BUSINESS OFFICE MANAGER",
        "authorized_official_telephone_number": "928-697-5059"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "317191",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KAYENTA PHYSICIANS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kayenta, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2023; 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.