Active NPI
DHHS PHS Naihs Shiprock Hospital
Doing business as Northern Navajo Medical Center - Pharmacy
- Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
- Shiprock, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
- Legal business name
- DHHS PHS NAIHS SHIPROCK HOSPITAL
- Doing business as
- Northern Navajo Medical Center - Pharmacy
- Practice address
- US Hwy 491 North
Shiprock, NM 87420 - Phone
- (505) 368-7252
- NPI assigned
- Mar 5, 2007
- Last updated
- Oct 31, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Robina Harvey
- Title
- Health System Administrator
- Phone
- (505) 368-6001
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 332800000X | Primary |
Addresses
Primary practice location
US Hwy 491 North
Shiprock, NM 87420
Mailing address
PO Box 160
Shiprock, NM 87420-0160
Phone (505) 368-7250
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2058197 | Other | PK | |
| 3209093 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER | |
| 67935 | Medicaid | NM |
Other names 1
- NORTHERN NAVAJO MEDICAL CENTER - PHARMACY
National Provider Directory
National Provider Directory- Tax ID family
- DHHS PHS Naihs Shiprock H
Other organizations with this tax ID 14
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Dzilth Na O Dith Hle Health Center
- Clinical Medical Laboratory
- Bloomfield, NM
- NPI 1083843841
-
dba Dzilth Na O Dith Hle Health Center - Pharmacy
- Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
- Bloomfield, NM
- NPI 1336278597
-
dba Northern Navajo Medical Center
- Clinical Medical Laboratory
- Shiprock, NM
- NPI 1487884169
-
dba Northern Navajo Medical Center
- Radiology Clinic/Center
- Shiprock, NM
- NPI 1831329515
-
dba Dzilth Na O Dith Hle Health Center
- Durable Medical Equipment & Medical Supplies
- Bloomfield, NM
- NPI 1114141876
-
dba Northern Navajo Medical Center
- General Acute Care Hospital
- Shiprock, NM
- NPI 1154504231
-
dba Northern Navajo Medical Center
- Dental Clinic/Center
- Shiprock, NM
- NPI 1235312315
-
dba Northern Navajo Medical Center
- Ambulatory Surgical Clinic/Center
- Shiprock, NM
- NPI 1407039589
-
dba Northern Navajo Medical Center
- Durable Medical Equipment & Medical Supplies
- Shiprock, NM
- NPI 1740387570
-
dba Four Corners Regional Health Center
- Durable Medical Equipment & Medical Supplies
- Teec Nos Pos, AZ
- NPI 1215083951
-
dba Four Corners Regional Health Center
- Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
- Teec Nos Pos, AZ
- NPI 1386857993
-
dba Four Corners Regional Health Center
- Radiology Clinic/Center
- Teec Nos Pos, AZ
- NPI 1497985196
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173052800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1667174400000",
"number": "1235268996",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 160",
"city": "SHIPROCK",
"state": "NM",
"postal_code": "874200160",
"telephone_number": "505-368-7250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "US HWY 491 NORTH",
"city": "SHIPROCK",
"state": "NM",
"postal_code": "87420",
"telephone_number": "505-368-7252"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DHHS PHS NAIHS SHIPROCK HOSPITAL",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-05",
"last_updated": "2022-10-31",
"certification_date": "2022-10-31",
"status": "A",
"authorized_official_last_name": "HARVEY",
"authorized_official_first_name": "ROBINA",
"authorized_official_title_or_position": "HEALTH SYSTEM ADMINISTRATOR",
"authorized_official_telephone_number": "505-368-6001"
},
"taxonomies": [
{
"code": "332800000X",
"taxonomy_group": "",
"desc": "Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2058197",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
"identifier": "3209093",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "67935",
"state": "NM"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "NORTHERN NAVAJO MEDICAL CENTER - PHARMACY",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "NORTHERN NAVAJO MEDICAL CENTER - PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Shiprock, NM
- Jarom Michael Decker, DDS
- Chandima Bandara Deegala, PHARMD
- Brian David Demby, MD
- Mamie Denetclaw, RN, CDE
- Verdaleen Denetdale, LD/RD
- DHHS PHS Naihs Shiprock Hospital (Northern Navajo Medical Center)
- DHHS PHS Naihs Shiprock Hospital (Northern Navajo Medical Center)
- DHHS, PHS, Naihs, Shiprock Hospital (Northern Navajo Medical Center)
- DHHS, PHS, Naihs, Shiprock Hospital (Northern Navajo Medical Center)
- DHHS, PHS, Naihs, Shiprock Hospital (Northern Navajo Medical Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.