NPIMap

Organization Active NPI

DHHS PHS Naihs Chinle Comprehensive Health Care Facility

Doing business as Pinon Health Center

  • Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
  • Pinon, AZ
National Provider Identifier
1912030768
Registry record updated Mar 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Indian Health Service/Tribal/Urban Indian Health (I/T/U) PharmacyTaxonomy code 332800000X
Legal business name
DHHS PHS NAIHS CHINLE COMPREHENSIVE HEALTH CARE FACILITY
Doing business as
Pinon Health Center
Practice address
NR 4 2 Mi East of Pinon
Pinon, AZ 86510
Phone
(928) 725-9514
Fax
(928) 725-9542
NPI assigned
Mar 13, 2007
Last updated
Mar 7, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2013

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

Authorized official

Name
Tilda Smith, PHRMD
Title
Admin Officer
Phone
(928) 725-9538

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 332800000X Primary

Addresses

Primary practice location

NR 4 2 Mi East of Pinon
Pinon, AZ 86510

Mailing address

Chinle Health Care
PO Box 31001-0651
Pasadena, CA 91110-0651
Phone (928) 725-9500

Other identifiers 1

IdentifierTypeStateIssuer
0354782OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • PINON HEALTH CENTER Doing business as

National Provider Directory

National Provider Directory
Tax ID family
DHHS PHS Naihs Inscription House Health Center20 organizations share this tax ID, including this one

Other organizations with this tax ID 19

Organizations that report the same tax identification number in the National Provider Directory.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362614400000",
    "number": "1912030768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CHINLE HEALTH CARE",
            "address_2": "PO BOX 31001-0651",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911100651",
            "telephone_number": "928-725-9500",
            "fax_number": "928-725-9805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "NR 4 2 MI EAST OF PINON",
            "city": "PINON",
            "state": "AZ",
            "postal_code": "86510",
            "telephone_number": "928-725-9514",
            "fax_number": "928-725-9542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DHHS PHS NAIHS CHINLE COMPREHENSIVE HEALTH CARE FACILITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2013-03-07",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "TILDA",
        "authorized_official_title_or_position": "ADMIN OFFICER",
        "authorized_official_telephone_number": "928-725-9538",
        "authorized_official_credential": "PHRMD"
    },
    "taxonomies": [
        {
            "code": "332800000X",
            "taxonomy_group": "",
            "desc": "Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "0354782",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PINON HEALTH CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pinon, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.