DHHS PHS Naihs Chinle Comprehensive
Organization Active NPI Ambulatory Surgical Clinic/Center · Chinle, AZ
NPI 1922253129 · NPPES record last updated Dec 2, 2008
Key facts
- NPI
- 1922253129
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Ambulatory Surgical Clinic/Center 261QA1903X
- Legal business name
- DHHS PHS NAIHS CHINLE COMPREHENSIVE
- Practice address
- Hospital Road Off Highway 191
Chinle, AZ 86503 - Phone
- (928) 674-7030
- Fax
- (928) 674-7705
- NPI assigned
- Dec 2, 2008
- Organization subpart
- No
Authorized official
- Name
- Mr. Patrick J Yazzie
- Title
- Business Office Manager
- Phone
- (928) 674-7030
Other NPIs with the same Medicare PAC ID 1
Corporate family (same tax ID) 19
Practitioners 364
-
Duane Ellsworth, D.O.
-
Monica L Faley, O.D.
-
Elizabeth Harding, M.D.
-
Vladimir Ioffe, M.D.
-
Lisa R Sahai, M.D.
-
Joseph S. Salay, M.D.
-
Jacqueline Selig, ANP
-
Valerie L Sharpe, O.D.
-
Hei Shun Yu, M.D.
-
Mana Z Agbonghae, FNP-C
-
Frank J Anderson, MD,MPH
-
Brenda Arthur, MD
-
Sammy Mohamed Ashouri, M.D.
-
Robert C. Bass, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20071203000345 | TX | Part B Supplier - Ambulatory Surgical Center | 9436062585 | Practice locations: Chinle, AZ |
National Provider Directory
- Tax ID family
- DHHS PHS Naihs Chinle Comprehensive
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Yes |
Addresses
Primary practice location
Hospital Road Off Highway 191
Chinle, AZ 86503
Mailing address
PO Box PH
Chinle, AZ 86503-8000
Phone (928) 674-7030
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AC0001 | Other | AZ | MEDICARE ASC PROVIDER NUMBER |
Other names
- Chinle Comprehenive Health Care Facility
Other providers in Chinle, AZ
- Thomas Merrick Davis
- Sayumi De Silva
- Cecelia A Delavallee
- Ruth B. Dell
- Christine Delmas
- DHHS PHS Naihs Chinle Comprehensive Health Care Facility
- DHHS PHS Naihs Chinle Comprehensive Health Care Facility
- DHHS PHS Naihs Chinle Comprehensive Health Care Facility
- DHHS PHS Naihs Chinle Comprehensive Health Care Facility
- DHHS PHS Naihs Chinle Comprehensive Health Care Facility
All providers in Chinle, AZ · Ambulatory Surgical Clinic/Center in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 2, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.