NPIMap

Organization Active NPI

Kayenta Alternative Rural Hospital

Doing business as Kayenta Pharmacy

  • Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
  • Kayenta, AZ
National Provider Identifier
1285750125
Registry record updated Jun 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Indian Health Service/Tribal/Urban Indian Health (I/T/U) PharmacyTaxonomy code 332800000X
Legal business name
KAYENTA ALTERNATIVE RURAL HOSPITAL
Doing business as
Kayenta Pharmacy
Practice address
US Highway 160, S MP 394
Kayenta, AZ 86033-0368
Phone
(928) 697-4000
Fax
(928) 697-4052
NPI assigned
Mar 22, 2007
Last updated
Jun 8, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
KAYENTA ALTERNATIVE RURAL HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 8, 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
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 332800000X Primary

Addresses

Primary practice location

US Highway 160, S MP 394
Kayenta, AZ 86033-0368

Mailing address

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

Other names 1

  • Kayenta Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Kayenta Alternative Rural Hospital5 organizations share this tax ID, including this one
Part of
Kayenta Alternative Rural Hospital

Other organizations with this tax ID 4

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

Practitioners & affiliated clinicians

Practitioners 47

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.

View all 47

NPI Registry JSON

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686182400000",
    "number": "1285750125",
    "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 394",
            "city": "KAYENTA",
            "state": "AZ",
            "postal_code": "860330368",
            "telephone_number": "928-697-4000",
            "fax_number": "928-697-4052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAYENTA ALTERNATIVE RURAL HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KAYENTA ALTERNATIVE RURAL HOSPITAL",
        "enumeration_date": "2007-03-22",
        "last_updated": "2023-06-08",
        "certification_date": "2023-05-31",
        "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": "332800000X",
            "taxonomy_group": "",
            "desc": "Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kayenta Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Kayenta Pharmacy",
            "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 Jun 8, 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.