NPIMap

Organization Active NPI

Kayenta Alternative Rural Hospital

Doing business as Dennehotso Health Center

  • General Acute Care Hospital
  • Dennehotso, AZ
National Provider Identifier
1821167297
Registry record updated Feb 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
KAYENTA ALTERNATIVE RURAL HOSPITAL
Doing business as
Dennehotso Health Center
Practice address
US Highway 160 Blding 2000
Dennehotso, AZ 86535-2000
Phone
(928) 697-4000
Fax
(928) 697-4030
NPI assigned
Nov 7, 2006
Last updated
Feb 10, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
KAYENTA ALTERNATIVE RURAL HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 10, 2023

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

Authorized official

Name
Terri Mae Kelewood
Title
Business Office Manager
Phone
(928) 697-5059

Specialties & licenses 1

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

Addresses

Primary practice location

US Highway 160 Blding 2000
Dennehotso, AZ 86535-2000

Mailing address

PO Box 368
US Highway 160, S MP 394
Kayenta, AZ 86033-0368
Phone (928) 697-4000

Other identifiers 1

IdentifierTypeStateIssuer
061143MedicaidAZ

Other names 1

  • DENNEHOTSO HEALTH CENTER 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
O20040621000422 TX Part B Supplier - Clinic/Group Practice 3678558129 Receives reassigned benefits from 213 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Dennehotso, AZ; Kayenta, AZ; Tonalea, AZ
O20230323000828 AZ Part A Provider - Indian Health Services Facility 3678558129 2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Dennehotso, AZ; Kayenta, AZ; Tonalea, AZ

Other NPIs on the same Medicare enrollment 2

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

National Provider Directory

National Provider Directory
Part of
DHHS Naihs PHS Inscription House Health Center

Practitioners & affiliated clinicians

Practitioners 62

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 62

NPI Registry JSON

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675987200000",
    "number": "1821167297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 368",
            "address_2": "US HIGHWAY 160, S MP 394",
            "city": "KAYENTA",
            "state": "AZ",
            "postal_code": "860330368",
            "telephone_number": "928-697-4000",
            "fax_number": "928-697-4030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "US HIGHWAY 160 BLDING 2000",
            "city": "DENNEHOTSO",
            "state": "AZ",
            "postal_code": "865352000",
            "telephone_number": "928-697-4000",
            "fax_number": "928-697-4030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAYENTA ALTERNATIVE RURAL HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KAYENTA ALTERNATIVE RURAL HOSPITAL",
        "enumeration_date": "2006-11-07",
        "last_updated": "2023-02-10",
        "certification_date": "2023-02-10",
        "status": "A",
        "authorized_official_last_name": "KELEWOOD",
        "authorized_official_first_name": "TERRI",
        "authorized_official_middle_name": "MAE",
        "authorized_official_title_or_position": "BUSINESS OFFICE MANAGER",
        "authorized_official_telephone_number": "928-697-5059"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "061143",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DENNEHOTSO HEALTH CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2023; 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.