Whalio Doctors

NPI 1619251709

Fort Defiance Indian Hospital

Organisation Chronic Disease Hospital Fort Defiance, AZ

Practice location

Address
Corner of Route 7 and Route 12 Corner of Route 7 and Route 12, Fort Defiance, AZ 86504
Phone
(928) 729-8000
Mailing address
PO Box 649, Fort Defiance, AZ 86504-0649

Authorised official

Name
Wellementta Baker
Title
Registered Nurse
Phone
(928) 729-8464

Registered specialties

Chronic Disease Hospital Primary
Hospitals Taxonomy 281P00000X Licence RN139390 (AZ)

Registry record

NPI
1619251709
Entity type
Organization
NPI issued
6 Oct 2011
Record last updated
6 Oct 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.