Fort Defiance Indian Hospital

NPI #1619251709 in Fort Defiance, Arizona

Provider Information

NPI Number
1619251709
Entity Type
Organization
Organization Name
Fort Defiance Indian Hospital
Primary Specialty
Chronic Disease Hospital
Enumeration Date
Oct 6, 2011
Last Updated
Oct 6, 2011

Practice Location

Address
CORNER OF ROUTE 7 AND ROUTE 12
Address 2
CORNER OF ROUTE 7 AND ROUTE 12
State
Arizona
ZIP Code
86504
Phone
(928) 729-8000

Authorized Official

Name
WELLEMENTTA BAKER
Title
REGISTERED NURSE
Phone
(928) 729-8464

Specialties & Taxonomy Codes

Specialty
Chronic Disease Hospital

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