DHHS PHS Naihs Chinle Comprehensive Health Care Facility
Organization Active NPI General Acute Care Hospital · Chinle, AZ
NPI 1508800129 · NPPES record last updated Jun 2, 2010
Key facts
- NPI
- 1508800129
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Acute Care Hospital 282N00000X
- Legal business name
- DHHS PHS NAIHS CHINLE COMPREHENSIVE HEALTH CARE FACILITY
- Practice address
- Off Hwy 191 Hospital Road
Chinle, AZ 86503 - Phone
- (928) 674-7001
- Fax
- (928) 674-7008
- NPI assigned
- Jun 15, 2006
- Organization subpart
- No
Authorized official
- Name
- Patrick J. Yazzie
- Title
- Business Office Manager
- Phone
- (928) 674-7030
Other NPIs on the same Medicare enrollment 3
Other NPIs with the same Medicare PAC ID 1
Practitioners 479
-
Gia Teresa Accuardi, PMHNP
-
Nasser Victor Bazoun, D.O.
-
Ethan Reuvan Bornstein, M.D.
-
Cecelia A Delavallee, M.D.
-
Tanya Corina Dempsey, DNP APRN FNP-C
-
Claudia Carolina Diaz, M.D.
-
Paul J Drinen, M.D.
-
Duane Ellsworth, D.O.
-
Monica L Faley, O.D.
-
Amanda Gelman, MD
-
Elizabeth Harding, M.D.
-
Alice F. Hatch, M.D.
-
Vladimir Ioffe, M.D.
-
Michael J McNett, MD
-
George Justin Merrell, APRN-RNP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in TX, AZ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031106000210 | TX | Part B Supplier - Clinic/Group Practice | 9436062585 |
Receives reassigned benefits from 475 practitioners 3 other NPIs on this enrollment Practice locations: Pinon, AZ; Tsaile, AZ; Rock Point, AZ; Chinle, AZ |
| O20100525000737 | AZ | Part a Provider - Indian Health Services Facility | 9436062585 |
3 other NPIs on this enrollment Practice locations: Pinon, AZ; Rock Point, AZ; Tsaile, AZ; Chinle, AZ |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | Yes |
Addresses
Primary practice location
Off Hwy 191 Hospital Road
Chinle, AZ 86503
Mailing address
PO Drawer PH
Chinle, AZ 86503
Phone (928) 674-7001
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 021171 | Medicaid | AZ |
Other names
- Chinle Comprehensive Health Care Facility
Other providers in Chinle, AZ
- Ruth B. Dell
- Christine Delmas
- DHHS PHS Naihs Chinle Comprehensive
- DHHS PHS Naihs Chinle Comprehensive Health Care Facility
- DHHS PHS Naihs Chinle Comprehensive Health Care Facility
- DHHS PHS Naihs Chinle Comprehensive Health Care Facility
- DHHS PHS Naihs Chinle Comprehensive Health Care Facility
- DHHS PHS Naihs Chinle Comprehensive Health Care Facility
- DHHS PHS Naihs Chinle Comprehensive Health Care Facility
- DHHS PHS Naihs Chinle Comprehensive Health Care Facility
All providers in Chinle, AZ · General Acute Care Hospital in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 2, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.