Dhew Ind HLTH SV HLTH SVS & MNTL HLTH Adm
Organization Active NPI Internal Medicine Physician · Camp Verde, AZ
NPI 1831244169 · NPPES record last updated Jun 18, 2019
Key facts
- NPI
- 1831244169
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Internal Medicine Physician 207R00000X
- Legal business name
- DHEW IND HLTH SV HLTH SVS & MNTL HLTH ADM
- Practice address
- 2121 West Reservation Loop Road
Camp Verde, AZ 86322 - Phone
- (602) 263-1200
- Fax
- (602) 263-1618
- NPI assigned
- Jan 25, 2007
- Organization subpart
- Yes
- Parent organization (as reported)
- DHEW IND HLTH SV HLTH SVS &M MNTL HLTH ADM
Authorized official
- Name
- Miss Deanna J. Dick, MSW., MHA.
- Title
- (Ceo) Chief Executive Officer
- Phone
- (602) 263-1567
Corporate family (same tax ID) 17
National Provider Directory
- Tax ID family
- Phoenix Indian Med Cent
- Part of
- Phoenix Indian Med Cent
Locations
2121 W Reservation Loop Rd
Camp Verde, AZ 86322
Phone (929) 567-2168
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist |
103T00000X | |||
| Registered Dietitian |
133V00000X | |||
| Optometrist |
152W00000X | |||
| Family Medicine Physician |
207Q00000X | |||
| Internal Medicine Physician |
207R00000X | Yes | ||
| Psychiatry Physician |
2084P0800X | |||
| Audiologist |
231H00000X |
Addresses
Primary practice location
2121 West Reservation Loop Road
Camp Verde, AZ 86322
Mailing address
PO Box 31001-0698
Pasadena, CA 91110-0698
Phone (602) 263-1200
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 812869 | Medicaid | AZ |
Other names
- YAHC Professional Services
Other providers in Camp Verde, AZ
- Denny Clinical Services LLC
- David Ben Denny
- Desert Family Health Care LLC
- Dhew Ind HLTH SV HLTH SVS & MNTL HLTH Adm
- Dhew Ind HLTH SV HLTH SVS & MNTL HLTH Adm
- Diamond D Rehab Fitness & Wellness
- Jennifer Dorn
- Dr. Thomas C Scherich
- Leanna Drake
- Bryan J Ebeling
All providers in Camp Verde, AZ · Internal Medicine Physician 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 18, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.