Indian Health Service

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

Legal business name

INDIAN HEALTH SERVICE

Practice address

312 Main Street
Supai, AZ 86435-0129

Phone

(928) 448-2641

Fax

(928) 448-2312

NPI assigned

May 24, 2007

Last updated

Jul 7, 2008By 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

Mr. Terry McDowell Ross McDowell, BS, CDS II

Title

Substance Abuse Specialist

Phone

(928) 448-2641

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215388800000",
    "number": "1467663583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 129",
            "city": "SUPAI",
            "state": "AZ",
            "postal_code": "864350129",
            "telephone_number": "928-448-2641",
            "fax_number": "928-448-2312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 MAIN STREET",
            "city": "SUPAI",
            "state": "AZ",
            "postal_code": "864350129",
            "telephone_number": "928-448-2641",
            "fax_number": "928-448-2312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIAN HEALTH SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2008-07-07",
        "status": "A",
        "authorized_official_last_name": "MCDOWELL",
        "authorized_official_first_name": "TERRY MCDOWELL",
        "authorized_official_middle_name": "ROSS",
        "authorized_official_title_or_position": "SUBSTANCE ABUSE SPECIALIST",
        "authorized_official_telephone_number": "928-448-2641",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BS, CDS II"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sylvia Armstrong
• Ashley Pullon Daye, R.N.
• DHHS IHS Phoenix (Supai Health Center)
• Havasupai Tribe Head Start
• Orlinda Williams, LADAC

• Public Health or Welfare Agency in Supai, AZ
• Providers in Supai, AZ by specialty
• Public Health or Welfare Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 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.