FORT DEFIANCE INDIAN HOSPITAL – NPI #1487977914
Clinic/Center
FORT DEFIANCE INDIAN HOSPITAL is an AHC clinic located in FORT DEFIANCE, AZ. NPPES has assigned the NPI number 1487977914 to FORT DEFIANCE INDIAN HOSPITAL on March 11, 2010. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “FORT DEFIANCE INDIAN HOSPITAL” is a dba name, the actual legal business name for this organization is THE FORT DEFIANCE INDIAN HOSPITAL BOARD, INCORPORATION. The primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical
The NPI profile was last updated on Jan 03, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for FORT DEFIANCE INDIAN HOSPITAL below.
NPI Profile for
THE FORT DEFIANCE INDIAN HOSPITAL BOARD, INCORPORATION
(more than 16 years ago)
FORT DEFIANCE, AZ 86504-0649 Phone: (928) 729-8000 Fax: (928) 729-8169
FORT DEFIANCE, AZ 86504-0649 Phone: (928) 729-8000 Fax: (928) 729-8169
CHIEF EXECUTIVE OFFICER
Phone: (928) 729-8013
Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.
Identifiers for FORT DEFIANCE INDIAN HOSPITAL
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| medicaid | AZ | 523053 | |
| medicaid | AZ | 341607 | |
| medicaid | NM | H0010 |
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 261QA1903X - Clinic/Center / Ambulatory Surgical (Primary) |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.