Organization · Type 2 NPI
DHHS Ihs Phoenix
Clinic/Center · Supai, AZ
NPI number
1184901829
Active
Practice location
1 Main St
Supai, AZ 86435-0129
Mailing address
PO Box 129
Supai, AZ 86435-0129
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center Primary | 261Q00000X | None listed |
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).
About NPI 1184901829
DHHS Ihs Phoenix's National Provider Identifier is 1184901829, issued on Nov 9, 2011. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Supai, AZ. The record was last updated on Dec 12, 2022.