DHHS PHS Naihs Shiprock Hospital
Organization Active NPI Radiology Clinic/Center · Bloomfield, NM
NPI 1962632646 · NPPES record last updated Jul 16, 2009
Key facts
- NPI
- 1962632646
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Radiology Clinic/Center 261QR0200X
- Legal business name
- DHHS PHS NAIHS SHIPROCK HOSPITAL
- Practice address
- 6 Road 7586
Bloomfield, NM 87413-4934 - Phone
- (505) 368-6401
- Fax
- (505) 368-6431
- NPI assigned
- Jul 16, 2009
- Organization subpart
- No
Authorized official
- Name
- Fannessa Comer
- Title
- Ceo
- Phone
- (505) 368-6001
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiology Clinic/Center | 261QR0200X | Yes |
Addresses
Primary practice location
6 Road 7586
Bloomfield, NM 87413-4934
Mailing address
PO Box 160
Shiprock, NM 87420-0160
Phone (505) 368-6401
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PENDING | Medicaid | UT |
Other names
- Dzilth Na O Dith Hle Health Center
Other providers in Bloomfield, NM
- Karen Dennis
- Nicole Marie Desouchet
- Deanna Devore
- DHHS PHS Naihs Shiprock Hospital
- DHHS PHS Naihs Shiprock Hospital
- DHHS, PHS, Naihs, Shiprock Hospital
- DHHS, PHS, Naihs, Shiprock Hospital
- Victoria Dominguez
- David Lynn Doss
- Gregory Todd Eckstein
All providers in Bloomfield, NM · Radiology Clinic/Center in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 16, 2009. 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.