DHHS IHS Phoenix Area
Organization Active NPI Critical Access Hospital · Polacca, AZ
NPI 1891062451 · NPPES record last updated Feb 7, 2012
Key facts
- NPI
- 1891062451
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Critical Access Hospital 282NC0060X
- Legal business name
- DHHS IHS PHOENIX AREA
- Practice address
- Highway 264 Milepost 388
Polacca, AZ 86042-4000 - Phone
- (928) 737-6000
- Fax
- (928) 737-6080
- NPI assigned
- Nov 28, 2011
- Organization subpart
- No
Authorized official
- Name
- Dealva Honahnie
- Title
- Ceo
- Phone
- (928) 737-6000
Corporate family (same tax ID) 3
National Provider Directory
- Tax ID family
- DHHS IHS Phoenix Area
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Access Hospital | 282NC0060X | Yes |
Addresses
Primary practice location
Highway 264 Milepost 388
Polacca, AZ 86042-4000
Mailing address
PO Box 4000
Polacca, AZ 86042-4000
Phone (928) 737-6000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 092429 | Medicaid | AZ |
Other names
- HOPI HEALTH CARE CENTER
Other providers in Polacca, AZ
- Tracy Denet
- Rocky Ray Deswood
- DHHS IHS Phoenix Area
- DHHS IHS Phoenix Area
- DHHS IHS Phoenix Area
- Alison Dion
- Barbara Dobbs
- Correena Lorraine Duckworth
- Frances A. Duggan
- Lisa Lee Duncan
All providers in Polacca, AZ · Critical Access 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 Feb 7, 2012. 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.