NPIMap

Organization Active NPI

DHHS PHS Naihs Chinle Comprehensive Health Care Facility

Doing business as Chinle Comprehensive Health Care Facility

  • General Acute Care Hospital
  • Chinle, AZ
National Provider Identifier
1508800129
Registry record updated Jun 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
DHHS PHS NAIHS CHINLE COMPREHENSIVE HEALTH CARE FACILITY
Doing business as
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
Last updated
Jun 2, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2010

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

Authorized official

Name
Patrick J. Yazzie
Title
Business Office Manager
Phone
(928) 674-7030

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X Primary

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 names 1

  • Chinle Comprehensive Health Care Facility Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, AZ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 478

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.

View all 478

NPI Registry JSON

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275436800000",
    "number": "1508800129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO DRAWER PH",
            "city": "CHINLE",
            "state": "AZ",
            "postal_code": "86503",
            "telephone_number": "928-674-7001",
            "fax_number": "928-674-7008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "OFF HWY 191 HOSPITAL ROAD",
            "city": "CHINLE",
            "state": "AZ",
            "postal_code": "86503",
            "telephone_number": "928-674-7001",
            "fax_number": "928-674-7008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DHHS PHS NAIHS CHINLE COMPREHENSIVE HEALTH CARE FACILITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-15",
        "last_updated": "2010-06-02",
        "status": "A",
        "authorized_official_last_name": "YAZZIE",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "BUSINESS OFFICE MANAGER",
        "authorized_official_telephone_number": "928-674-7030"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chinle Comprehensive Health Care Facility",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chinle, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.