San Carlos Indian Hospital

LBN: Dhhs Ihs Phoenix Area
San Carlos Indian Hospital is an health care organization with primary practice located at 238 Cibecue Circle , San Carlos AZ 85550. The organization recently has only one registered license in Suppliers / Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy, which is considered as the primary health care specialty. Dhhs Ihs Phoenix Area can be contacted via phone (928) 475-7270, or through Cummings, James via phone (405) 951-6086.

Contact Information

Primary practice address
238 Cibecue Circle San Carlos AZ 85550
Phone: (928) 475-7270
Fax: (928) 475-7376
Website:
Map and Directions
Authorized official contact:
Name: Cummings, James PHARMD
Phone: (405) 951-6086

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 332800000X

Profile Details

NPI number 1023143609
LBN Legal business name Dhhs Ihs Phoenix Area
DBA Doing business as San Carlos Indian Hospital
Authorized official Cummings, James PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date Feb 22nd, 2007
Last updated Mar 5th, 2013 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023143609 NPPES
Other 0325743 NCPDP PROVIDER IDENTIFICATION NUMBER
MEDICAID 020553 NCPDP PROVIDER IDENTIFICATION NUMBER

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