Shiprock Clinic

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

SHIPROCK CLINIC

Practice address

1 Mi E San Juan River Bridge US Hwy 64
Shiprock, NM 87420

Phone

(505) 368-2560

Fax

(505) 368-2561

NPI assigned

Nov 17, 2014

Last updated

Nov 17, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Brandi R McAlexander

Title

Office Manager

Phone

(505) 368-2560

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1416182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416182400000",
    "number": "1386040525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2662",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874992662",
            "telephone_number": "505-368-2560",
            "fax_number": "505-368-2561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MI E SAN JUAN RIVER BRIDGE US HWY 64",
            "city": "SHIPROCK",
            "state": "NM",
            "postal_code": "87420",
            "telephone_number": "505-368-2560",
            "fax_number": "505-368-2561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIPROCK CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-17",
        "last_updated": "2014-11-17",
        "status": "A",
        "authorized_official_last_name": "MCALEXANDER",
        "authorized_official_first_name": "BRANDI",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "505-368-2560"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jayme Scurlock, SLP
• Michelle Rene Seering, RN
• Stephen W Shanks, DO
• Fridonna Leigh Shepard-Steele, CADC
• Alicia A Sherman-Howe
• Shiprock Clinic LTD
• Vanessa T. Shorthair, RN
• Carol Jean Shoulders, RD CDE LD
• Ellen Leslie Sibelius, CNM
• Justin B Sikes, DMD

• Primary Care Clinic/Center in Shiprock, NM
• Providers in Shiprock, NM by specialty
• Primary Care Clinic/Center in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2014; 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.