NPIMap

Organization Active NPI

Dilkon Medical Center

  • Federal Public Health Clinic/Center
  • Dilkon, AZ
National Provider Identifier
1306016126
Registry record updated Dec 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federal Public Health Clinic/CenterTaxonomy code 261QP0904X
Legal business name
DILKON MEDICAL CENTER
Doing business as
Dilkon Medical Center
Practice address
1 Medical Center Drive
Dilkon, AZ 86047
Phone
(928) 289-4646
Fax
(928) 289-6290
NPI assigned
Mar 7, 2008
Last updated
Dec 1, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
WINSLOW INDIAN HEALTH CARE CENTER, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 1, 2025

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federal Public Health Clinic/Center 261QP0904X Primary

Addresses

Primary practice location

1 Medical Center Drive
Dilkon, AZ 86047

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
728719MedicaidAZ

Other names 1

  • Dilkon Medical Center Doing business as

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

Other NPIs on the same Medicare enrollment 3

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

National Provider Directory

National Provider Directory
Tax ID family
Dhhsphsnaihs Gallup Indian11 organizations share this tax ID, including this one
Part of
Winslow Indian Health Care Center Inc

Other organizations with this tax ID 10

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

Ownership & related parties

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.

Practitioners & affiliated clinicians

Practitioners 200

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 200

NPI Registry JSON

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

{
    "created_epoch": "1204848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764547200000",
    "number": "1306016126",
    "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": "1 MEDICAL CENTER DRIVE",
            "city": "DILKON",
            "state": "AZ",
            "postal_code": "86047",
            "telephone_number": "928-289-4646",
            "fax_number": "928-289-6290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DILKON MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WINSLOW INDIAN HEALTH CARE CENTER, INC",
        "enumeration_date": "2008-03-07",
        "last_updated": "2025-12-01",
        "certification_date": "2025-12-01",
        "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": "261QP0904X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, Federal",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "728719",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dilkon Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dilkon, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2025; 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.