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DHHS IHS Phoenix Area

Organization Active NPI Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy · Peach Springs, AZ

NPI 1306971940 · NPPES record last updated Oct 12, 2016

Key facts

NPI
1306971940
Entity type
Organization (NPI type 2)
Primary specialty
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 332800000X
Legal business name
DHHS IHS PHOENIX AREA
Practice address
943 Hualapai Way
Peach Springs, AZ 86434
Phone
(928) 769-2994
Fax
(928) 769-1336
NPI assigned
Feb 23, 2007
Organization subpart
No

Authorized official

Name
James Cummings, PHARMD
Title
Pharmacy Program Specialist
Phone
(405) 951-6086

Corporate family (same tax ID) 4

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

National Provider Directory

Tax ID family
Peach Springs Health Center (5 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 332800000X Yes

Addresses

Primary practice location

943 Hualapai Way
Peach Springs, AZ 86434

Mailing address

PO Box 31001-0700
Pasadena, CA 91110-0700

Other identifiers

IdentifierTypeStateIssuer
156572MedicaidAZ
1990678OtherPK

Other names

  • PEACH SPRINGS HEALTH CENTER Doing business as

Other providers in Peach Springs, AZ

All providers in Peach Springs, AZ · Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy in Arizona

Sources for this page

Verify at the official NPI Registry.