DHHS IHS PHOENIX AREA


Address: Hwy 264 Mile Marker 388, Polacca, AZ 86042
Phone: 9287376195

DHHS IHS PHOENIX AREA (NPI# 1376678946) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1376678946
Entity Type Organization
Organization Name DHHS IHS PHOENIX AREA
Other Organization Name HOPI HEALTH CARE CENTER
Practice Address Hwy 264 Mile Marker 388
Polacca
AZ 86042
Mailing Address Po Box 31001-0704
Pasadena
CA 91110-0704
Practice Telephone 9287376195
Practice Fax Number 9287376332
Enumeration Date 2007-02-22
Last Update Date 2016-10-12
Authorized Official Name JAMES CUMMINGS (PHARMACY PROGRAM SPECIALIST)
Authorized Official Telephone 4059516086
Authorized Official Credential PHARMD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 332800000X Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
PK 1990665 01
AZ 02052901 05

Other Provider/Organization Names

Other Name Type Code
HOPI HEALTH CARE CENTER Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1124398961 Dhhs Ihs Phoenix Area Clinic/Center 223 Cibecue Circle Road, San Carlos, AZ 85550-0208 2012-01-11
1538446166 Dhhs Ihs Phoenix Area General Acute Care Hospital 103 Medicine Way Rd, Peridot, AZ 85542-0787 2011-11-10
1689951220 Dhhs Ihs Phoenix Area Clinic/Center Highway 70, Mp 295.6, Bylas, AZ 85530 2011-11-10
1396022026 Dhhs Ihs Phoenix Area Clinic/Center 1900 Palo Verde, Havasu Lake, CA 92363 2011-11-09
1548546609 Dhhs Ihs Phoenix Area Clinic/Center 37 Mountain View Dr, Battle Mountain, NV 89820-1862 2011-11-02
1184874034 Dhhs Ihs Phoenix Area Clinic/Center North Cromwell Road, Cibecue, AZ 85911 2008-09-29
1467587030 Dhhs Ihs Phoenix Area Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 2 West 3rd St, Cibecue, AZ 85911 2007-02-22
1023143609 Dhhs Ihs Phoenix Area Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 238 Cibecue Circle, San Carlos, AZ 85550 2007-02-22
1679195069 Dhhs Ihs Phoenix Area Durable Medical Equipment & Medical Supplies 200 W Hospital Dr, Whiteriver, AZ 85941-0860 2020-05-08
1104204239 Dhhs Ihs Phoenix Area General Acute Care Hospital 12033 Agency Rd, Parker, AZ 85344-7718 2015-05-08

Office Location

Street Address HWY 264 MILE MARKER 388
City POLACCA
State AZ
Zip Code 86042

Providers in the same location

NPI Name Taxonomy Address Enumeration
1639384886 Nola Jean Naha Registered Nurse Hwy 264 Mile Marker 388, Polacca, AZ 86042-4000 2007-05-11

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1316553787 Megan Gilliam Pharmacist Mile Post 288 Hwy 264, Polacca, AZ 86042 2020-09-21
1295348787 Emma Guadalupe Cortez Nurse's Aide Hopi Health Care, Hwy 264 Mp 388, Polacca, AZ 86042 2020-08-25
1942835434 Kevin C Powers Registered Nurse Route 264 Mp 388, Polacca, AZ 86042 2020-03-05
1780217463 Kim N Le Family Medicine Mile Post 388 Highway 264, Polacca, AZ 86042 2020-02-20
1265959365 Karen Olivia Francis Registered Nurse Highway 264 Mile Post, Hopi Health Care Facility, Polacca, AZ 86042 2017-08-29
1629598339 Marina Kanoelani Mehau-sanchez Pharmacist Hwy 264 At Mile Post 388, Hopi Health Care Center, Polacca, AZ 86042 2017-06-23
1184096786 Erica Lalo Technician, Other Hwy 264 Mp388, Polacca, AZ 86042 2015-10-22
1790124618 Michael Everett Robinson Registered Nurse Highway 264 Mile Post 388, Polacca, Az 86042, Hopi Health Care Center (ihs), Polacca, AZ 86042 2013-06-25
1760728232 Rhanishia Smith Registered Nurse Highway 264 Mile Pot 388, Polacca, AZ 86042 2013-01-02
1871818492 Stacy Talahytewa II Radiologic Technologist Hwy 264 Mile Post 388, Polacca, AZ 86042 2010-04-07
Find all providers in zip 86042

Taxonomy Information

Taxonomy Code 332800000X
Grouping Suppliers
Classification Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy

Taxonomy Definition

An Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy means a pharmacy operated by the Indian Health Service, an Indian tribe or tribal organization, or an urban Indian organization, all of which are defined in Section 4 of the Indian Health Care Improvement Act, 25 U.S.C. 1603.
Notes: Source: The Medicare Prescription Drug, Improvement and Modernization Act of 2003 [1/1/2006: new]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1396244976 Remgbekor Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 7227 S Central Ave Ste 1080, Phoenix, AZ 85042-5457 2018-02-08
1831448398 Lechee Health Facility Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 3 Miles South of Page, Az, Coppermine Road, Lechee, AZ 86040-0000 2012-08-30
1467690966 Medone Healthcare LLC Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 2615 S Industrial Park Ave, Tempe, AZ 85282-1821 2009-01-22
1811165319 Ton San Simon Health Center Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy West Hwy 86 Mile Marker 74, Sells, AZ 85634 2008-02-19
1659490225 Tsaile Health Center Pharmacy Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy Intersection Rt 64 and 12, Tsaile, AZ 86556 2007-03-28
1912030768 Dhhs Phs Naihs Chinle Comprehensive Health Care Facility Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy Nr 4 2 Mi East of Pinon, Pinon, AZ 86510 2007-03-13
1346377926 Inscription House Hlth Ctr Pharmacy Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy Hwy 98 and Navajo Rt 16, Shonto, AZ 86054 2007-02-28
1467587030 Dhhs Ihs Phoenix Area Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 2 West 3rd St, Cibecue, AZ 85911 2007-02-22
1023143609 Dhhs Ihs Phoenix Area Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 238 Cibecue Circle, San Carlos, AZ 85550 2007-02-22
1841206257 Gila Crossing Clinic Phcy Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 9975 E Beltline Rd, Laveen, AZ 85339 2006-07-31
Find all providers with the same taxonomy

Competitor

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City POLACCA
Zip Code 86042

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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