NPIMap

Organization Active NPI

Fort Defiance Indian Hospital Board, Inc

  • Rural Acute Care Hospital
  • Fort Defiance, AZ
National Provider Identifier
1366993636
Registry record updated Oct 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Acute Care HospitalTaxonomy code 282NR1301X
License
MD2012-0766 Issued in NM
Legal business name
FORT DEFIANCE INDIAN HOSPITAL BOARD, INC
Practice address
Corner of Route N12 and N7
Fort Defiance Indian Hospital Board, Inc
Fort Defiance, AZ 86504-0589
Phone
(928) 279-8000
NPI assigned
Oct 20, 2016
Last updated
Oct 20, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2016

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

Authorized official

Name
Sandi Arintino
Title
Ceo
Phone
(928) 729-8902

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Acute Care Hospital 282NR1301X MD2012-0766 NM Primary

Addresses

Primary practice location

Corner of Route N12 and N7
Fort Defiance Indian Hospital Board, Inc
Fort Defiance, AZ 86504-0589

Mailing address

P.O. Box 589
Fort Defiance Indian Hospital Board, Inc.
Fort Defiance, AZ 86504
Phone (928) 279-8000

Other names 1

  • Tsehootsooi Medical Center Other name

National Provider Directory

National Provider Directory
Tax ID family
Fort Defiance Indian Hosp6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1476921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476921600000",
    "number": "1366993636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 589",
            "address_2": "FORT DEFIANCE INDIAN HOSPITAL BOARD, INC.",
            "city": "FORT DEFIANCE",
            "state": "AZ",
            "postal_code": "86504",
            "telephone_number": "928-279-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CORNER OF ROUTE N12 AND N7",
            "address_2": "FORT DEFIANCE INDIAN HOSPITAL BOARD, INC",
            "city": "FORT DEFIANCE",
            "state": "AZ",
            "postal_code": "865040589",
            "telephone_number": "928-279-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORT DEFIANCE INDIAN HOSPITAL BOARD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-20",
        "last_updated": "2016-10-20",
        "status": "A",
        "authorized_official_last_name": "ARINTINO",
        "authorized_official_first_name": "SANDI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "928-729-8902"
    },
    "taxonomies": [
        {
            "code": "282NR1301X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Rural",
            "state": "NM",
            "license": "MD2012-0766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tsehootsooi Medical Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fort Defiance, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2016; 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.