| Winslow Indian Health Care Center, Inc | |
|
500 Indiana Ave Winslow AZ 86047-2169 | |
| (928) 289-4646 | |
| (928) 289-6290 |
| Full Name | Winslow Indian Health Care Center, Inc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 500 Indiana Ave, Winslow, Arizona |
| Authorized Official Name and Position | Virgil Davis (CHIEF EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9282894646 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Winslow Indian Health Care Center, Inc 500 Indiana Ave Winslow AZ 86047-2169 Ph: (928) 289-4646 | Winslow Indian Health Care Center, Inc 500 Indiana Ave Winslow AZ 86047-2169 Ph: (928) 289-4646 |
| NPI Number | 1649511569 |
|---|---|
| Provider Enumeration Date | 03/04/2013 |
| Last Update Date | 09/26/2025 |
| Certification Date | 09/26/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649511569 | NPI | - | NPPES |
| 800823 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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