FOUR CORNERS REGIONAL HEALTH CENTER – NPI #1386857993
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy

An Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy means a pharmacy operated by the Indian Health Service, an Indian tribe or tribal organization, or an urban Indian organization, all of which are defined in Section 4 of the Indian Health Care Improvement Act, 25 U.S.C. 1603.

FOUR CORNERS REGIONAL HEALTH CENTER is a pharmacy supplier located in TEEC NOS POS, AZ. NPPES has assigned the NPI number 1386857993 to FOUR CORNERS REGIONAL HEALTH CENTER on May 08, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “FOUR CORNERS REGIONAL HEALTH CENTER” is a dba name, the actual legal business name for this organization is DHHS PHS NAIHS SHIPROCK HOSPITAL. This provider is also associated with 2 additional names listed below. The primary taxonomy selected by this provider is 332800000X from the Health Care Provider Taxonomy code set, which is classified as Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy.

The NPI profile was previously updated about 4 years ago on Oct 31, 2022. 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 FOUR CORNERS REGIONAL HEALTH CENTER below.

NPI Profile for
DHHS PHS NAIHS SHIPROCK HOSPITAL

NPI Number
1386857993
Enumeration Date

(more than 19 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 SHIPROCK HOSPITAL
Doing Business As (dba): FOUR CORNERS REGIONAL HEALTH CENTER
Other name(s)
All associated names:
Doing Business As (dba)
FOUR CORNERS REGIONAL HEALTH CENTER
Doing Business As (dba)
Four Corners Regional Health Center - Pharmacy
Primary location
US HWY 160 & NAVAJO ROUTE 35 - RED MESA
TEEC NOS POS, AZ 86514
Phone: (928) 656-5270 Fax: (928) 656-5272
Mailing address
PO BOX 160
SHIPROCK, NM 87420-0160
Phone: (928) 656-5270 Fax: (928) 656-5272
Organization Subpart
No
Authorized Official
ROBINA HARVEY
HEALTH SYSTEM ADMINISTRATOR
Phone: (505) 368-6001
Updated
Certification Date
Oct 31, 2022

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

Identifiers for FOUR CORNERS REGIONAL HEALTH CENTER

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
otherNCPDP PROVIDER IDENTIFICATION NUMBER0354706
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
332800000X
- Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy (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.