NPIMap

Organization Active NPI

DHHS PHS Naihs Shiprock Hospital

Doing business as Four Corners Regional Health Center

  • Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
  • Teec Nos Pos, AZ
National Provider Identifier
1386857993
Registry record updated Oct 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Indian Health Service/Tribal/Urban Indian Health (I/T/U) PharmacyTaxonomy code 332800000X
Legal business name
DHHS PHS NAIHS SHIPROCK HOSPITAL
Doing business as
Four Corners Regional Health Center
Four Corners Regional Health Center - Pharmacy
Practice address
US Hwy 160 & Navajo Route 35 - Red Mesa
Teec Nos Pos, AZ 86514
Phone
(928) 656-5270
Fax
(928) 656-5272
NPI assigned
May 8, 2007
Last updated
Oct 31, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2022

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

Authorized official

Name
Robina Harvey
Title
Health System Administrator
Phone
(505) 368-6001

Specialties & licenses 1

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

Addresses

Primary practice location

US Hwy 160 & Navajo Route 35 - Red Mesa
Teec Nos Pos, AZ 86514

Mailing address

PO Box 160
Shiprock, NM 87420-0160
Phone (928) 656-5270

Other identifiers 1

IdentifierTypeStateIssuer
0354706OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 2

  • Four Corners Regional Health Center Doing business as
  • Four Corners Regional Health Center - Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
DHHS PHS Naihs Shiprock15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667174400000",
    "number": "1386857993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 160",
            "city": "SHIPROCK",
            "state": "NM",
            "postal_code": "874200160",
            "telephone_number": "928-656-5270",
            "fax_number": "928-656-5272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "US HWY 160 & NAVAJO ROUTE 35 - RED MESA",
            "city": "TEEC NOS POS",
            "state": "AZ",
            "postal_code": "86514",
            "telephone_number": "928-656-5270",
            "fax_number": "928-656-5272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DHHS PHS NAIHS SHIPROCK HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-08",
        "last_updated": "2022-10-31",
        "certification_date": "2022-10-31",
        "status": "A",
        "authorized_official_last_name": "HARVEY",
        "authorized_official_first_name": "ROBINA",
        "authorized_official_title_or_position": "HEALTH SYSTEM ADMINISTRATOR",
        "authorized_official_telephone_number": "505-368-6001"
    },
    "taxonomies": [
        {
            "code": "332800000X",
            "taxonomy_group": "",
            "desc": "Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "0354706",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Four Corners Regional Health Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Four Corners Regional Health Center - Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Teec Nos Pos, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2022; 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.