WINSLOW INDIAN HEALTH CARE CENTER, INC (NPI# 1760723753) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1760723753 |
Entity Type | Organization |
Organization Name | WINSLOW INDIAN HEALTH CARE CENTER, INC |
Other Organization Name | LEUPP BEHAVIORAL HEALTH |
Practice Address |
1.5 N of Leupp Chapter House Leupp AZ 86035-9998 |
Mailing Address |
500 Indiana Ave Winslow AZ 86047-2169 |
Practice Telephone | 9282894646 |
Practice Fax Number | 9282896290 |
Mailing Telephone | 9282894646 |
Mailing Fax Number | 9282894690 |
Enumeration Date | 2013-03-15 |
Last Update Date | 2013-03-15 |
Authorized Official Name | DR. FRANCIS ARMAO (CLINICAL DIRECTOR) |
Authorized Official Telephone | 9282894646 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
LEUPP BEHAVIORAL HEALTH | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
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 |
1699079269 | Winslow Indian Health Care Center, Inc | Clinic/Center | 1527 N Park Dr, Winslow, AZ 86047-2517 | 2010-12-22 |
1497925218 | Winslow Indian Health Care Center, Inc | Clinic/Center | 1.5 Mile N of Leupp Chapter House, Leupp, AZ 86032 | 2008-03-07 |
1184729493 | Winslow Indian Health Care Center, Inc | Clinic/Center | 500 N Indiana Ave, Winslow, AZ 86047-2169 | 2006-09-13 |
1649511569 | Winslow Indian Health Care Center, Inc | Clinic/Center | 500 Indiana Ave, Winslow, AZ 86047-2169 | 2013-03-04 |
1477827368 | Winslow Indian Health Care Center, Inc | Ambulance | 500 Indiana Ave, Winslow, AZ 86047-2169 | 2012-02-24 |
1760652580 | Winslow Indian Health Care Center, Inc | Clinic/Center | 1.5 Mile N of Leupp Chapter House, Leupp, AZ 86035-0000 | 2008-03-07 |
1386832087 | Winslow Indian Health Care Center, Inc | Pharmacy | 500 Indiana Ave, Winslow, AZ 86047-2169 | 2007-10-09 |
Street Address |
1.5 N OF LEUPP CHAPTER HOUSE |
City | LEUPP |
State | AZ |
Zip Code | 86035-9998 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760652580 | Winslow Indian Health Care Center, Inc | Clinic/Center | 1.5 Mile N of Leupp Chapter House, Leupp, AZ 86035-0000 | 2008-03-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568928521 | Winslow Indian Health Care Center, Inc | Pharmacy | 1.5 Mile N. Leupp Chapter House, Leupp, AZ 86047 | 2019-02-14 |
1316198302 | Khadjenoury LLC | Community/Behavioral Health | Hc 61, Box D, Edventures Program C/o Leupp Schools Inc, Leupp, AZ 86047 | 2008-10-08 |
1497925218 | Winslow Indian Health Care Center, Inc | Clinic/Center | 1.5 Mile N of Leupp Chapter House, Leupp, AZ 86032 | 2008-03-07 |
1760652580 | Winslow Indian Health Care Center, Inc | Clinic/Center | 1.5 Mile N of Leupp Chapter House, Leupp, AZ 86035-0000 | 2008-03-07 |
Taxonomy Code | 261QM0801X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Mental Health (Including Community Mental Health Center) |
Definition to come... |
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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.