Dilkon Medical Center
Organization Active NPI Federal Public Health Clinic/Center · Dilkon, AZ
NPI 1306016126 · NPPES record last updated Dec 1, 2025
Key facts
- NPI
- 1306016126
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Federal Public Health Clinic/Center 261QP0904X
- Legal business name
- 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
- Organization subpart
- Yes
- Parent organization (as reported)
- WINSLOW INDIAN HEALTH CARE CENTER, INC
Authorized official
- Name
- Mr. Virgil Davis, CEO
- Title
- Chief Executive Officer
- Phone
- (928) 289-4646
Parent organization (reported in NPPES) 1
Other NPIs on the same Medicare enrollment 3
Corporate family (same tax ID) 10
Member organizations 1
Practitioners 181
-
Katie Marie Andrusaitis, DNP, APRN, FNP-BC
-
Francis B Armao, MD
-
Dominic Barrette, PT, DPT
-
Brenna Canterbury, DPT
-
Bryce Carter, FNP
-
Ang Chen, M.D.
-
Charlene Yvonne Clements, M.D.
-
Sarah E Coleman, M.D.
-
Kathleen Adele Collins, DO, MBA
-
John S Condojani, D.O.
-
Stephanie M Crihfield, RN, MSN, FNP-C
-
Syna Daudfar, DO
-
Bethany Davis, M.D.
-
Sherri Ann Davis, PMHNP
-
Ruth Ann Deboard, FNPC
-
John Nicholas Dement, M.D
-
Rishi Tejas Dholakia, DO, MPH
-
Alexander Dupuis, FNP-C
-
Julia Beth Eskuchen, M.D.
-
Monica L Faley, O.D.
-
Ramsey Finch, NP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Tax ID family
- Dhhsphsnaihsgallup Indian Medical Center
- Part of
- Dilkon Medical Center
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federal Public Health Clinic/Center | 261QP0904X | Yes |
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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 728719 | Medicaid | AZ |
Other names
- Dilkon Medical Center
Other providers in Dilkon, AZ
- Tracie Baretela
- Frank Crowder
- Janell K Dickson
- Dilkon Medical Center Pharmacy
- Hozho Wellness PLLC
- Raymond B. Long
- Winslow Indian Health Care Center, Inc
- Winslow Indian Health Care Center, Inc
All providers in Dilkon, AZ · Federal Public Health Clinic/Center in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 1, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.