| Dhhs Ihs Phoenix Area | |
| 
					North Cromwell Road Cibecue AZ 85911  | |
| (928) 332-2560 | |
| (928) 338-5508 | 
| Full Name | Dhhs Ihs Phoenix Area | 
|---|---|
| Speciality | Clinic/center | 
| Location | North Cromwell Road, Cibecue, Arizona | 
| 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. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dhhs Ihs Phoenix Area Po Box 860 Whiteriver AZ 85941-0860 Ph: (928) 338-5509  | Dhhs Ihs Phoenix Area North Cromwell Road Cibecue AZ 85911 Ph: (928) 332-2560  | 
| NPI Number | 1427335181 | 
|---|---|
| Provider Enumeration Date | 11/09/2011 | 
| Last Update Date | 03/29/2012 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1427335181 | NPI | - | NPPES | 
| 020561 | Medicaid | AZ | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |