Active NPI
DHHS IHS Phoenix Area
Doing business as Whiteriver Indian Hospital
- General Acute Care Hospital
- Whiteriver, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Acute Care Hospital
- Legal business name
- DHHS IHS PHOENIX AREA
- Doing business as
- Whiteriver Indian Hospital
- Practice address
- 200 West Hospital Drive
Whiteriver, AZ 85941-0860 - Phone
- (928) 338-4911
- Fax
- (928) 338-5508
- NPI assigned
- Nov 9, 2011
- Last updated
- Jun 18, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michelle Classay
- Title
- Chief Executive Officer
- Phone
- (928) 338-4911
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | |||
| Emergency Care Clinic/Center | 261QE0002X | |||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | |||
| Physical Therapy Clinic/Center | 261QP2000X | |||
| Primary Care Clinic/Center | 261QP2300X | |||
| Urgent Care Clinic/Center | 261QU0200X | |||
| General Acute Care Hospital | 282N00000X | Primary |
Addresses
Primary practice location
200 West Hospital Drive
Whiteriver, AZ 85941-0860
Mailing address
PO Box 860
Whiteriver, AZ 85941-0860
Phone (928) 338-4911
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 020561 | Medicaid | AZ | |
| 092403 | Other | AZ | MEDICAID DENTAL |
Other names 1
- Whiteriver Indian Hospital
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120117000781 | TX | Part B Supplier - Clinic/Group Practice | 2668649567 |
Receives reassigned benefits from 216 practitioners 1 other NPI on this enrollment Practice locations: Cebecue, AZ; Whiteriver, AZ |
| O20140207001499 | TX | Part A Provider - Hospital | 2668649567 |
1 other NPI on this enrollment Practice locations: Cibecue, AZ; Whiteriver, AZ |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1427335140. Details of each certification follow.
Hospital certification: CCN 030113
- Legal name
- DHHS IHS PHOENIX AREA
- Doing business as
- WHITERIVER INDIAN HOSPITAL
- Certification status
- Active
- Provider type (POS)
- Hospital – Short-term
- Participating since
- Oct 1, 2004
- Last certification
- Oct 5, 2022
- Beds
- 40
- Ownership / control type
- Federal
- Organization structure
- Government
- Incorporated
- Jan 1, 1987 in AZ
- Enrollment address
- 200 West Hospital Drive
Whiteriver Indian Hospital
Whiteriver, AZ 85941-0860 - Hospital subgroups
- General, Acute care
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba Cibecue Health Center
- Clinic/Center
- Cibecue, AZ
- NPI 1427335181
O20120117000781, O20140207001499
Care Compare: Hospital
Medicare Care Compare- Listed as
- Whiteriver PHS Indian Hospital
- Type
- Acute Care Hospitals
- Ownership
- Government - Federal
- Medicare certification status
- Active
- Emergency services
- No
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 4
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| James McAuley | Corporate Director | Jan 1, 2018 | |
| W-2 Managing Employee | Oct 14, 2022 | 33% | |
| DHHS IHS Phoenix Area | 5% Or Greater Indirect Ownership Interest | Oct 14, 2022 | 100% |
| Michelle Martinez | Corporate Director | Dec 1, 2010 | 33% |
| Mitzi Classay | Operational/Managerial Control | Oct 14, 2022 | 34% |
Owners & managing parties with NPI records 2
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Pediatric Infectious Diseases Physician
- Whiteriver, AZ
- NPI 1669407037
Corporate Director, W-2 Managing Employee
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
dba Cibecue Health Center
- Clinic/Center
- Cibecue, AZ
- NPI 1427335181
5% Or Greater Indirect Ownership Interest
Practitioners & affiliated clinicians
Practitioners 225
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.
-
- Preventive Medicine/Occupational Environmental Medicine Physician
- Whiteriver, AZ
- NPI 1003250440
TX
Affiliated clinicians 84
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Preventive Medicine/Occupational Environmental Medicine Physician
- Whiteriver, AZ
- NPI 1003250440
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1320796800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1781740800000",
"number": "1427335140",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 860",
"city": "WHITERIVER",
"state": "AZ",
"postal_code": "859410860",
"telephone_number": "928-338-4911",
"fax_number": "928-338-5508"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 WEST HOSPITAL DRIVE",
"city": "WHITERIVER",
"state": "AZ",
"postal_code": "859410860",
"telephone_number": "928-338-4911",
"fax_number": "928-338-5508"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DHHS IHS PHOENIX AREA",
"organizational_subpart": "NO",
"enumeration_date": "2011-11-09",
"last_updated": "2026-06-18",
"certification_date": "2026-06-18",
"status": "A",
"authorized_official_last_name": "CLASSAY",
"authorized_official_first_name": "MICHELLE",
"authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
"authorized_official_telephone_number": "928-338-4911"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QE0002X",
"taxonomy_group": "",
"desc": "Clinic/Center, Emergency Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "020561",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID DENTAL",
"identifier": "092403",
"state": "AZ"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Whiteriver Indian Hospital",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Whiteriver, AZ
- Todd Craft Jr.
- Lisa Christine Dailey, PA-C
- Mary Angela Dalmolin, RN
- DHHS IHS Phoenix Area (Whiteriver Indian Hospital)
- DHHS IHS Phoenix Area (Whiteriver Service Unit Dental Clinic)
- DHHS IHS Phoenix Area (Whiteriver Indian Hospital)
- DHHS IHS Phoenix Area (Whiteriver Indian Hospital)
- Kerri Dowgiallo, R.N.
- Paul A Drake, ARDMS,ARRT,CNMT
- CJ Duncan, PT, DPT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.