Sage Memorial Hospital

LBN: Navajo Health Foundation-Sage Memorial Hospital Inc
Sage Memorial Hospital is an health care organization with primary practice located at Us 191 & Az 264 , Ganado AZ 86505. The organization recently has only one registered license in Ambulatory Health Care Facilities / Critical Access Hospital, which is considered as the primary health care specialty. Navajo Health Foundation-Sage Memorial Hospital Inc can be contacted via phone (928) 755-4500, or through Lopez, Coronel Einna-Ernest via phone (269) 861-4630.

Contact Information

Primary practice address
Us 191 & Az 264 Ganado AZ 86505
Fax:
Website:
Authorized official contact:
Name: Lopez, Coronel Einna-Ernest PT, DPT

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Critical Access Hospital 261QC0050X RGH3899 Arizona

Profile Details

NPI number 1518957398
LBN Legal business name Navajo Health Foundation-Sage Memorial Hospital Inc
DBA Doing business as Sage Memorial Hospital
Authorized official Lopez, Coronel Einna-Ernest PT, DPT
Entity Organization
Organization subpart 1 No
Enumeration date Oct 24th, 2005
Last updated Dec 3rd, 2021 - about 4 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 1518957398 NPPES
New Mexico MEDICAID 68634277
New Mexico MEDICAID 021353
New Mexico Other 1447315494

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