| Dhhs Ihs Phoenix | |
|
1 Main St Supai AZ 86435-0129 | |
| (928) 448-2641 | |
| Not Available |
| Full Name | Dhhs Ihs Phoenix |
|---|---|
| Speciality | Clinic/center |
| Location | 1 Main St, Supai, Arizona |
| Authorized Official Name and Position | Lisa R Chamberlain (PATIENT BUSINESS OFFICE) |
| Authorized Official Contact | 9287692918 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dhhs Ihs Phoenix Po Box 129 Supai AZ 86435-0129 Ph: (928) 448-2641 | Dhhs Ihs Phoenix 1 Main St Supai AZ 86435-0129 Ph: (928) 448-2641 |
| NPI Number | 1184901829 |
|---|---|
| Provider Enumeration Date | 11/09/2011 |
| Last Update Date | 12/12/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184901829 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |