NPIMap

Organization Active NPI

Winslow Indian Health Care Group

  • Clinic/Center
  • Winslow, AZ
National Provider Identifier
1255501565
Registry record updated Feb 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
WINSLOW INDIAN HEALTH CARE GROUP
Practice address
1501 N Williamson Ave
Winslow, AZ 86047-2735
Phone
(928) 289-4691
Fax
(928) 289-6289
NPI assigned
Mar 4, 2008
Organization subpart
Yes
Parent organization
WINSLOW INDIAN HEALTH CARE CENTER, INCAs reported in NPPES

Authorized official

NPPES NPI Registry
Name
Mr. Virgil Davis, CEO
Title
Chief Executive Officer
Phone
(928) 289-4646

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Practitioners 47

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 47

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031117000864 TX Part B Supplier - Clinic/Group Practice 4284548991 Receives reassigned benefits from 241 practitioners
4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Winslow, AZ; Leupp, AZ; Dilkon, AZ

National Provider Directory

National Provider Directory
Part of
Dilkon Medical Center

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X AZ Primary
Federal Public Health Clinic/Center 261QP0904X

Addresses

NPPES NPI Registry

Primary practice location

1501 N Williamson Ave
Winslow, AZ 86047-2735

Mailing address

500 Indiana Ave
Winslow, AZ 86047-2169
Phone (928) 289-4646

Other identifiers 7

NPPES NPI Registry
IdentifierTypeStateIssuer
728701MedicaidAZ
758542MedicaidAZ
728727MedicaidAZ
758526MedicaidAZ
728719MedicaidAZ
739089MedicaidAZ
758518MedicaidAZ

Other names 2

NPPES NPI Registry
  • Winslow Indian Health Care Group - LCMC Doing business as
  • Winslow Memorial Hospital Other name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 4, 2026.

{
    "created_epoch": "1204588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770163200000",
    "number": "1255501565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 INDIANA AVE",
            "city": "WINSLOW",
            "state": "AZ",
            "postal_code": "860472169",
            "telephone_number": "928-289-4646",
            "fax_number": "928-289-6290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 N WILLIAMSON AVE",
            "city": "WINSLOW",
            "state": "AZ",
            "postal_code": "860472735",
            "telephone_number": "928-289-4691",
            "fax_number": "928-289-6289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINSLOW INDIAN HEALTH CARE GROUP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WINSLOW INDIAN HEALTH CARE CENTER, INC",
        "enumeration_date": "2008-03-04",
        "last_updated": "2026-02-04",
        "certification_date": "2026-02-04",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "VIRGIL",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "928-289-4646",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "AZ",
            "license": null,
            "primary": true
        },
        {
            "code": "261QP0904X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, Federal",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "728701",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "758542",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "728727",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "758526",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "728719",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "739089",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "758518",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Winslow Indian Health Care Group - LCMC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Winslow Memorial Hospital",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Winslow, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.