NA'Nizhoozhi Center, Inc

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

NA'NIZHOOZHI CENTER, INC

Doing business as

1Winslow

Practice address

105 Cottonwood Ave
Winslow, AZ 86047

Phone

(505) 722-2177

Fax

(505) 722-9254

NPI assigned

Mar 20, 2008

Organization subpart

Yes

Parent organization

NA'NIZHOOZHI CENTER, INC.As reported in NPPES

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

Authorized official

Name

Mr. Loren Sekayumptewa, MSW

Title

Executive Director

Phone

(505) 722-2177

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• 1Winslow Doing business as

Tax ID family

NA'Nizhoozhi Center Inc2 organizations share this tax ID, including this one

Part of

NA'Nizhoozhi Center Inc

Other organizations with this tax ID 1

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

• NA'Nizhoozhi Center, Inc.

  • Substance Abuse Rehabilitation Facility
  • Gallup, NM
  • NPI 1831243732
  NPD tax ID

Locations

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

{
    "created_epoch": "1205971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205971200000",
    "number": "1417128265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2205 BOYD AVE",
            "city": "GALLUP",
            "state": "NM",
            "postal_code": "873017404",
            "telephone_number": "505-722-9066",
            "fax_number": "505-722-9254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 COTTONWOOD AVE",
            "city": "WINSLOW",
            "state": "AZ",
            "postal_code": "86047",
            "telephone_number": "505-722-2177",
            "fax_number": "505-722-9254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NA'NIZHOOZHI CENTER, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NA'NIZHOOZHI CENTER, INC.",
        "enumeration_date": "2008-03-20",
        "last_updated": "2008-03-20",
        "status": "A",
        "authorized_official_last_name": "SEKAYUMPTEWA",
        "authorized_official_first_name": "LOREN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "505-722-2177",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1831243732",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "1Winslow",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Juda Mitchell
• Nebil H Mohammed, PHARM.D
• Sinda S Montoya, R.N.
• Ruby Morales, RN
• Patricia Morikawa, MD
• Kenneth M Nabors
• Danielle Rose Natseway, R.N.
• Nazcare, Inc - Ambition Wellness Center
• Clarissa Nez, RN
• Lexine Nez, RN

• Substance Abuse Rehabilitation Facility in Winslow, AZ
• Providers in Winslow, AZ by specialty
• Substance Abuse Rehabilitation Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2008; 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.