Dhhs Ihs Phoenix Area is a dental clinic (Clinic/center - Dental) in Whiteriver, Arizona. The current practice location for Dhhs Ihs Phoenix Area is 200 West Hospital Way, Whiteriver, Arizona. For appointments, you can reach them via phone at
(928) 338-4911. The mailing address for Dhhs Ihs Phoenix Area is Po Box 860, 200 West Hospital Drive, Whiteriver, Arizona and phone number is (928) 338-4911.
Dhhs Ihs Phoenix Area is licensed to practice in * (Not Available) (license number ) and its
NPI number is 1144347501. This medical practice
does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at
(928) 338-4911.
Dental Care Clinic Profile
| Full Name | Dhhs Ihs Phoenix Area |
|---|
| Speciality | Clinic/center - Dental |
|---|
| Location | 200 West Hospital Way, Whiteriver, Arizona |
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| Authorized Official Name and Position | Michelle Martinez (CHIEF EXECUTIVE OFFICER) |
|---|
| Authorized Official Contact | 9283384911 |
|---|
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dhhs Ihs Phoenix Area
Po Box 860
200 West Hospital Drive
Whiteriver
AZ 85941-0860
Ph: (928) 338-4911 | Dhhs Ihs Phoenix Area
200 West Hospital Way
Whiteriver
AZ 85941-0860
Ph: (928) 338-4911 |
NPI Details:
| NPI Number | 1144347501 |
|---|
| Provider Enumeration Date | 03/23/2007 |
|---|
| Last Update Date | 12/27/2011 |
|---|
Medical Identifiers
Medical identifiers for Dhhs Ihs Phoenix Area such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1144347501 | NPI | - | NPPES |
| 020561 | Medicaid | AZ | |
| 092403-01 | Medicaid | AZ | |
| AZ0109760 | Other | AZ | BC DENTAL |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223D0001X | Dentist - Dental Public Health | (* (Not Available)) | Secondary |
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Secondary |
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Secondary |
| 124Q00000X | Dental Hygienist | (* (Not Available)) | Secondary |
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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