WINSLOW INDIAN HEALTH CARE CTR DENTAL (NPI# 1447420591) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1447420591 |
Entity Type | Organization |
Organization Name | WINSLOW INDIAN HEALTH CARE CTR DENTAL |
Practice Address |
500 N Indiana Ave Winslow AZ 86047-2169 |
Mailing Address |
Po Box 400 Winslow AZ 86047-0400 |
Practice Telephone | 9282894646 |
Practice Fax Number | 9282896291 |
Mailing Telephone | 9282894646 |
Mailing Fax Number | 9282896291 |
Enumeration Date | 2008-03-05 |
Last Update Date | 2010-05-12 |
Authorized Official Name | DR. THOMAS BARNES (CHIEF OF DENTAL) |
Authorized Official Telephone | 9282894646 |
Authorized Official Credential | DDS |
Is Organization Subpart | Y |
Parent Organization Name | WINSLOW INDIAN HEALTH CARE CENTER, INC |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AZ | 758518 | 05 |
Street Address |
500 N INDIANA AVE |
City | WINSLOW |
State | AZ |
Zip Code | 86047-2169 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184729493 | Winslow Indian Health Care Center, Inc | Clinic/Center | 500 N Indiana Ave, Winslow, AZ 86047-2169 | 2006-09-13 |
1033769302 | Brian Ma | Pharmacist | 500 N Indiana Ave, Winslow, AZ 86047-8604 | 2019-09-18 |
1932671377 | Ruth Choi | Pharmacist | 500 N Indiana Ave, Winslow, AZ 86047 | 2018-12-26 |
1790154151 | Keone Tyau | Dentist | 500 N Indiana Ave, Winslow, AZ 86004 | 2015-09-16 |
1457799488 | Benjamin J Gardner | Dentist | 500 N Indiana Ave, Winslow, AZ 86047 | 2013-06-12 |
1457539157 | Akdhc, LLC | Internal Medicine | 500 N Indiana Ave, Winslow I.h.s., Winslow, AZ 86047-0000 | 2008-02-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568097350 | Kalp Juthani | Student in an Organized Health Care Education/Training Program | 500 N Indiana Avenue, Winslow, AZ 86047 | 2020-03-11 |
1104461268 | Dental Innovations-winslow | Clinic/Center | 722 Mike's Pike Street, #101, Winslow, AZ 86047 | 2019-11-13 |
1417505611 | Association of Indigenous Pioneers, Incorporated (aipi) | Non-emergency Medical Transport (VAN) | Nec Navajo Route 15 & 60, Suite #2, Winslow, AZ 86047 | 2019-08-30 |
1790347573 | Wilfred Shirley | Counselor | 1/2 Mile Northeast Dilkon Bashas Store, Winslow, AZ 86047 | 2019-07-02 |
1871055624 | Mark Ashcraft | Student in an Organized Health Care Education/Training Program | Winslow Indian Health Care Center, 500 North Indiana Ave, Winslow, AZ 86047 | 2019-04-02 |
1568928521 | Winslow Indian Health Care Center, Inc | Pharmacy | 1.5 Mile N. Leupp Chapter House, Leupp, AZ 86047 | 2019-02-14 |
1659837615 | Winslow Indian Health Care Center, Inc | Pharmacy | 3 Mls S. of Dilkon Chapter Hse., Dilkon, AZ 86047 | 2019-02-14 |
1750809836 | Grassroots Medical Supply | Durable Medical Equipment & Medical Supplies | Nec Navajo Route 15 and 60, Suite #2, Winlsow, AZ 86047 | 2017-09-08 |
1538697396 | Janell K Dickson | Counselor | 1/4 Mile Ne of Bashas, Dilkon, AZ 86047 | 2017-05-24 |
1235599143 | Dennis Peters | Veterinarian | 4301 W Highway 66, Winslow, AZ 86047 | 2016-03-04 |
Find all providers in zip 86047 |
Taxonomy Code | 261Q00000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255501565 | Winslow Indian Health Care Group | Clinic/Center | 1501 N Williamson Ave, Winslow, AZ 86047-2735 | 2008-03-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972102572 | Inspire Wellness and Pelvic Health | Clinic/Center | 5940 W Union Hills Dr Ste D280, Glendale, AZ 85308 | 2020-10-23 |
1962013474 | Stable Foundations Therapy Pllc | Clinic/Center | 12115 N Peaks Pkwy, Flagstaff, AZ 86004-5589 | 2020-08-10 |
1285242560 | Growing Space LLC | Clinic/Center | 3940 S 79th Dr, Phoenix, AZ 85043-1694 | 2020-07-22 |
1487272795 | Orthopedic Specialists of North America, Pllc | Clinic/Center | 8405 N Pima Center Parkway, Scottsdale, AZ 85258 | 2020-07-13 |
1952928053 | Brio Inc | Clinic/Center | 11000 N Scottsdale Rd Ste 115, Scottsdale, AZ 85254-6168 | 2020-07-06 |
1568087187 | Arizona Imaging Specialists, LLC | Clinic/Center | 727 E Bethany Home Rd Ste A106, Phoenix, AZ 85014-2192 | 2020-06-09 |
1003436197 | Omo Ije's'a Pllc | Clinic/Center | 7309 E 28th St, Tucson, AZ 85710-5505 | 2020-04-20 |
1134752835 | Terry Wright | Clinic/Center | 1435 E University Dr, Tempe, AZ 85281-8473 | 2020-02-20 |
1265064265 | Hinds Mobile Md | Clinic/Center | 8485 E Mcdonald Dr # 214, Scottsdale, AZ 85250-6335 | 2020-02-07 |
1932731130 | Arcadia Neuropsychology, Pllc | Clinic/Center | 2929 N 44th St Ste 330, Phoenix, AZ 85018-7241 | 2020-02-06 |
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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.