DHHS PHS NAIHS CHINLE COMPREHENSIVE HEALTH CARE FACILITY NPI 1548763253

NPI Information

NPI: 1548763253
Provider Name: DHHS PHS NAIHS CHINLE COMPREHENSIVE HEALTH CARE FACILITY

Doing Business As: TSAILE HEALTH CENTER BEHAVIORAL HEALTH

Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
NAVAJO ROUTE 64 & 12
TSAILE, AZ
ZIP 86556
Phone: (928) 724-3600
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DHHS PHS NAIHS CHINLE COMPREHENSIVE HEALTH CARE FACILITY is a mental health (including community mental health center) clinic center in Tsaile, AZ. DHHS PHS NAIHS CHINLE COMPREHENSIVE HEALTH CARE FACILITY NPI is 1548763253. The provider is registered as an organization entity type.
The provider Is Doing Business As Tsaile Health Center Behavioral Health.

The provider's business location address is:

NAVAJO ROUTE 64 & 12
TSAILE, AZ
ZIP 86556
Phone: (928) 724-3600
Fax: (928) 724-3605

The provider's authorized official is Patrick J Yazzie .
The authorized official title is Business Office Manager and has the following contact phone number (928) 674-7030.

The enumeration date for this NPI number is 3/9/2018 and was last updated on 3/9/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	061119	MEDICAID	ARIZONA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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