NPIMap

Organization Active NPI

DHHS PHS Naihs Shiprock Hospital

Doing business as Northern Navajo Medical Center

  • Clinical Medical Laboratory
  • Shiprock, NM
National Provider Identifier
1487884169
Registry record updated Jul 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
32D0886661
Legal business name
DHHS PHS NAIHS SHIPROCK HOSPITAL
Doing business as
Northern Navajo Medical Center
Practice address
US Hwy 491 North
Shiprock, NM 87420-0160
Phone
(505) 368-6401
Fax
(505) 368-6431
NPI assigned
Jul 16, 2009
Last updated
Jul 16, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2009

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

Authorized official

Name
Fannessa Comer
Title
Ceo
Phone
(505) 368-6001

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 32D0886661 Primary

Addresses

Primary practice location

US Hwy 491 North
Shiprock, NM 87420-0160

Mailing address

PO Box 160
Shiprock, NM 87420-0160
Phone (505) 368-6401

Other identifiers 1

IdentifierTypeStateIssuer
PENDINGMedicaidUT

Other names 1

  • Northern Navajo Medical Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
DHHS PHS Naihs Shiprock H15 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

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1247702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247702400000",
    "number": "1487884169",
    "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": "505-368-6401",
            "fax_number": "505-368-6431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "US HWY 491 NORTH",
            "city": "SHIPROCK",
            "state": "NM",
            "postal_code": "874200160",
            "telephone_number": "505-368-6401",
            "fax_number": "505-368-6431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DHHS PHS NAIHS SHIPROCK HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-16",
        "last_updated": "2009-07-16",
        "status": "A",
        "authorized_official_last_name": "COMER",
        "authorized_official_first_name": "FANNESSA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "505-368-6001"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": "32D0886661",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northern Navajo Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Shiprock, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2009; 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.