NPIMap

Organization Active NPI

DHHS, PHS, Naihs, Shiprock Hospital

Doing business as Northern Navajo Medical Center

  • General Acute Care Hospital
  • Shiprock, NM
National Provider Identifier
1780639971
Registry record updated Jun 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
DHHS, PHS, NAIHS, SHIPROCK HOSPITAL
Doing business as
Northern Navajo Medical Center
Practice address
US Highway 491 North
Shiprock, NM 87420-0160
Phone
(505) 368-6401
Fax
(505) 368-6431
NPI assigned
May 24, 2006
Last updated
Jun 1, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2026

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

Authorized official

Name
Katrina J Leslie-Puhuyaoma, DDSNPI 1508970997
Title
Ceo
Phone
(505) 368-6001

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X
Dental Clinic/Center 261QD0000X
General Acute Care Hospital 282N00000X Primary

Addresses

Primary practice location

US Highway 491 North
Shiprock, NM 87420-0160

Mailing address

PO Box 160
US Highway 491 North
Shiprock, NM 87420-0160
Phone (505) 368-6401

Other identifiers 7

IdentifierTypeStateIssuer
020503MedicaidAZ
H6785MedicaidNM
7000000092MedicaidUT
7000000084MedicaidUT
PENDINGMedicaidCO
95017950MedicaidCO
80796MedicaidNM

Other names 1

  • NORTHERN NAVAJO MEDICAL CENTER Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NM2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20031105000809 TX Part B Supplier - Clinic/Group Practice 0749193837 Receives reassigned benefits from 616 practitioners
4 other NPIs on this enrollment
Practice locations: Bloomfield, NM; Toadlena, NM; Teecnospos, AZ; Sanostee, NM; Shiprock, NM
O20100830000949 NM Part A Provider - Hospital 0749193837 4 other NPIs on this enrollment
Practice locations: Bloomfield, NM; Sanostee, NM; Shiprock, NM; Teecnospos, AZ; Toadlena, NM

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1780639971. Details of each certification follow.

Hospital certification: CCN 320059

Legal name
DHHS PHS NAIHS SHIPROCK HOSPITAL
Doing business as
NORTHERN NAVAJO MEDICAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Mar 18, 1977
Last certification
Aug 17, 1987
Beds
69
Ownership / control type
Federal
Organization structure
OtherNon-profit
Enrollment address
Hwy 491 North
Shiprock, NM 87420-9998
Other Hospital Practice Location
Hospital subgroups
Acute care, Other

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 4

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Northern Navajo Medical CenterCCN 320059 · All quality measures
Overall star rating
3 of 5
Type
Acute Care Hospitals
Ownership
Government - Federal
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 5

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
DHHS PHS Naihs Shiprock Hospital Organization, Shiprock, NM Operational/Managerial Control Jul 1, 2010
DHHS PHS Navajo Area Indian Health Service Organization, St. Michael, AZ Operational/Managerial Control Jul 1, 2010
Katrina Leslie-Puhuyaoma Individual Corporate OfficerChief Executive Officer Aug 5, 2024
Robina Harvey Individual Corporate OfficerHealth System Administrator Aug 5, 2024
Tanya Deale Individual W-2 Managing EmployeeActing Business Office Manager Nov 9, 2021

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 635

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 635

Affiliated clinicians 139

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 139

NPI Registry JSON

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780272000000",
    "number": "1780639971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 160",
            "address_2": "US HIGHWAY 491 NORTH",
            "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 HIGHWAY 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": "2006-05-24",
        "last_updated": "2026-06-01",
        "certification_date": "2026-06-01",
        "status": "A",
        "authorized_official_last_name": "LESLIE-PUHUYAOMA",
        "authorized_official_first_name": "KATRINA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "505-368-6001",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "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": "020503",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "H6785",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7000000092",
            "state": "UT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7000000084",
            "state": "UT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "95017950",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "80796",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NORTHERN NAVAJO MEDICAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Shiprock, NM

Sources for this page

Verify at the official NPI Registry.