Fort Defiance Indian Hospital Board, Inc.
NPI #1710273040 in Fort Defiance, Arizona
Provider Information
- NPI Number
- 1710273040
- Entity Type
- Organization
- Organization Name
- Fort Defiance Indian Hospital Board, Inc.
- Primary Specialty
- Chronic Disease Hospital
- Enumeration Date
- Jun 24, 2011
- Last Updated
- Jun 24, 2011
Practice Location
- Address
- CORNER OF ROUTE 12 & N7
- City
- Fort Defiance
- State
- Arizona
- ZIP Code
- 86504
- Phone
- (928) 729-8000
Authorized Official
- Name
- JENNIE GOULD
- Title
- LICENSED PRACTICAL NURSE
- Phone
- (928) 729-8030
Specialties & Taxonomy Codes
| Specialty |
|---|
| Chronic Disease Hospital |
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