NPI 1710273040

Fort Defiance Indian Hospital Board, INC.

Organisation Chronic Disease Hospital Fort Defiance, AZ

Practice location

Address: Corner of Route 12 & N7, Fort Defiance, AZ 86504
Phone: (928) 729-8000
Mailing address: PO Box 649, Fort Defiance, AZ 86504-0649

Authorised official

Name: Jennie Gould
Title: Licensed Practical Nurse
Phone: (928) 729-8030

Registered specialties

Chronic Disease Hospital Primary

Hospitals Taxonomy 281P00000X Licence LPO42607 (AZ)

Other Chronic Disease Hospital providers in Arizona →

Registry record

NPI: 1710273040
Entity type: Organization
NPI issued: 24 Jun 2011
Record last updated: 24 Jun 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.