NPIMap

Winslow Indian Health Care Center, Inc

Organization Active NPI Land Ambulance · Dilkon, AZ

NPI 1922783000 · NPPES record last updated Feb 4, 2026

Key facts

NPI
1922783000
Entity type
Organization (NPI type 2)
Primary specialty
Land Ambulance 3416L0300X
Legal business name
WINSLOW INDIAN HEALTH CARE CENTER, INC
Practice address
1 Medical Center Drive
Dilkon, AZ 86047
Phone
(928) 289-4646
Fax
(928) 289-6290
NPI assigned
Jun 16, 2023
Organization subpart
Yes
Parent organization (as reported)
WINSLOW INDIAN HEALTH CARE CENTER, INC

Authorized official

Name
Mr. Virgil Davis, CEO
Title
Chief Executive Officer
Phone
(928) 289-4646

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Other NPIs on the same Medicare enrollment 2

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

Corporate family (same tax ID) 11

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

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in TX

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20181119002369 TX Part B Supplier - Ambulance Service Supplier 4284548991 2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Dilkon, AZ; Winslow, AZ

National Provider Directory

Tax ID family
Dilkon Medical Center (12 organizations share this tax ID)
Part of
Dilkon Medical Center

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Federal Public Health Clinic/Center 261QP0904X
Land Ambulance 3416L0300X Yes

Addresses

Primary practice location

1 Medical Center Drive
Dilkon, AZ 86047

Mailing address

500 Indiana Ave
Winslow, AZ 86047-2169
Phone (928) 289-4646

Other identifiers

IdentifierTypeStateIssuer
129607MedicaidAZ

Other names

  • DILKON MEDICAL CENTER AMBULANCE Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 4, 2026.

{
    "created_epoch": "1686873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770163200000",
    "number": "1922783000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 INDIANA AVE",
            "city": "WINSLOW",
            "state": "AZ",
            "postal_code": "860472169",
            "telephone_number": "928-289-4646",
            "fax_number": "928-289-6290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MEDICAL CENTER DRIVE",
            "city": "DILKON",
            "state": "AZ",
            "postal_code": "86047",
            "telephone_number": "928-289-4646",
            "fax_number": "928-289-6290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINSLOW INDIAN HEALTH CARE CENTER, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WINSLOW INDIAN HEALTH CARE CENTER, INC",
        "enumeration_date": "2023-06-16",
        "last_updated": "2026-02-04",
        "certification_date": "2026-02-04",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "VIRGIL",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "928-289-4646",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "261QP0904X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, Federal",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "129607",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DILKON MEDICAL CENTER AMBULANCE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "DILKON MEDICAL CENTER AMBULANCE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dilkon, AZ

All providers in Dilkon, AZ · Land Ambulance in Arizona

Sources for this page

Verify at the official NPI Registry.