CHINLE COMPREHENSIVE HEALTH CARE FACILITY – NPI #1588115133
Clinic/Center

CHINLE COMPREHENSIVE HEALTH CARE FACILITY is an AHC clinic located in CHINLE, AZ. NPPES has assigned the NPI number 1588115133 to CHINLE COMPREHENSIVE HEALTH CARE FACILITY on October 19, 2016. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “CHINLE COMPREHENSIVE HEALTH CARE FACILITY” is a dba name, the actual legal business name for this organization is DHHS PHS NAIHS CHINLE COMPREHENSIVE HEALTH CARE FACILITY. The primary taxonomy selected by this provider is 261QM0801X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Mental Health (Including Community Mental Health Center)

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 CHINLE COMPREHENSIVE HEALTH CARE FACILITY below.

NPI Profile for
DHHS PHS NAIHS CHINLE COMPREHENSIVE HEALTH CARE FACILITY

NPI Number
1588115133
Enumeration Date

(more than 9 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
DHHS PHS NAIHS CHINLE COMPREHENSIVE HEALTH CARE FACILITY
Doing Business As (dba): CHINLE COMPREHENSIVE HEALTH CARE FACILITY
Primary location
OFF HIGHWAY 191, HOSPITAL ROAD
CHINLE, AZ 86503-8000
Phone: (928) 674-7030 Fax: (928) 674-7705
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
PATRICK YAZZIE
BUSINESS OFFICE MANAGER
Phone: (928) 674-7030
Updated
Identifiers

Identifiers for CHINLE COMPREHENSIVE HEALTH CARE FACILITY

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.

DescriptionIssuerStateIdentifier
MEDICAIDAZ021171
Taxonomy Code(s)

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
261QM0801X
- Clinic/Center / Mental Health (Including Community Mental Health Center) (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.