DILKON MEDICAL CENTER
NPI 1306016126
Clinic/Center - Public Health, Federal in Dilkon, AZ

Active since March 07, 2008CLIA 03D2275988 · Accreditation
1 MEDICAL CENTER DRIVE, DILKON, AZ 86047(928) 289-4646(928) 289-6290 Get Directions Write a Review

NPPES record last updated: December 1, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 1, 2025, Oct 10, 2025, Apr 6, 2023 (3 updates tracked since 2023).

About Dilkon Medical Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DILKON MEDICAL CENTER (NPI 1306016126) is a healthcare organization registered as a public health, federal in Dilkon, Arizona and active in the NPI registry since March 2008. The organization holds an CLIA Accreditation certificate valid through June 10, 2028 and lists Virgil Davis, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1306016126
Entity TypeOrganization
Primary Taxonomy261QP0904X
Legal Business NameDILKON MEDICAL CENTER
Location Address1 MEDICAL CENTER DRIVEDilkon, AZ 86047
Mailing Address500 Indiana AveWinslow, AZ 86047-2169 · (928) 289-4646 · Fax (928) 289-6290
Fax(928) 289-6290
Organization SubpartYesParent: Winslow Indian Health Care Center, Inc
Authorized OfficialVirgil DavisChief Executive Officer · (928) 289-4646
Enumeration DateMarch 7, 2008
Last NPPES UpdateDecember 1, 20253 updates tracked since enumeration
NPPES CertifiedDecember 1, 2025
✔ NPI 1306016126 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Public Health, FederalAmbulatory Health Care Facilities
Taxonomy Code261QP0904X
1 MEDICAL CENTER DRIVE, Dilkon, AZ 86047

Other Names 1

Doing Business AsDilkon Medical Center

Other Identifiers 1

Medicaid728719AZ

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dilkon Medical Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

217

Medicare enrollment records show 217 clinicians reassign Medicare billing to Dilkon Medical Center, which bills Medicare for the services they deliver. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 22

Nurse Practitioner68
Family Practice40
Emergency Medicine32
Physical Therapist in Private Practice21
Optometry11
General Surgery8
Internal Medicine6
Infectious Disease5
14 other specialties26

Nearest to this location (20)

See all 217
Nurse Practitioner
NPI 1255600615
1214 JONNIE LN
Winslow, AZ 86047
(304) 377-3085
✔ PECOS30 mi
Nurse Practitioner
NPI 1104258003
189 HWY 264
Polacca, AZ 86042
(928) 737-6000
✔ PECOS✔ Accepts Medicare31 mi
Family Practice
NPI 1235148784
1501 N WILLIAMSON AVE EMERGENCY DEPARTMENT
Winslow, AZ 86047
(928) 289-4691
✔ PECOS✔ Accepts Medicare32 mi
Emergency Medicine
NPI 1417419771
1501 N WILLIAMSON AVE
Winslow, AZ 86047
(928) 289-4691
✔ PECOS✔ Accepts Medicare32 mi
Emergency Medicine
NPI 1558718619
1501 N WILLIAMSON AVE
Winslow, AZ 86047
(928) 289-4691
✔ PECOS✔ Accepts Medicare32 mi
Physical Therapist in Private Practice
NPI 1285404384
221 W SECOND ST
Winslow, AZ 86047
(928) 289-4378
✔ Accepts Medicare33 mi
Psychiatry
NPI 1598401580
500 INDIANA AVE
Winslow, AZ 86047
(928) 289-4646
✔ PECOS✔ Accepts Medicare33 mi
Podiatry
NPI 1801451208
500 INDIANA AVE
Winslow, AZ 86047
(928) 289-4646
✔ PECOS✔ Accepts Medicare33 mi
Family Practice
NPI 1619998200
500 INDIANA AVE
Winslow, AZ 86047
(928) 289-4646
✔ PECOS✔ Accepts Medicare33 mi
General Surgery
NPI 1083807184
500 INDIANA AVE
Winslow, AZ 86047
(928) 289-4646
✔ PECOS33 mi
Optometry
NPI 1417087644
500 INDIANA AVE
Winslow, AZ 86047
(928) 289-4646
✔ PECOS✔ Accepts Medicare33 mi
Registered Dietitian or Nutrition Professional
NPI 1598522716
500 INDIANA AVE
Winslow, AZ 86047
(928) 289-9069
✔ Accepts Medicare33 mi
Internal Medicine
NPI 1346259496
500 INDIANA AVE
Winslow, AZ 86047
(928) 289-4646
✔ PECOS✔ Accepts Medicare33 mi
Neurology
NPI 1588825152
500 NORTH INDIANA AVE
Winslow, AZ 86047
(928) 289-4646
✔ PECOS✔ Accepts Medicare33 mi
Cardiovascular Disease (Cardiology)
NPI 1114991007
500 N. INDIANA AVE
Winslow, AZ 86047
(928) 289-4646
✔ PECOS✔ Accepts Medicare33 mi
Pediatric Medicine
NPI 1174716526
2920 N 4TH ST
Flagstaff, AZ 86004
(928) 213-6100
✔ PECOS74 mi
Orthopedic Surgery
NPI 1700860996
525 N SWITZER CANYON DR
Flagstaff, AZ 86001
(928) 773-2280
✔ PECOS✔ Accepts Medicare75 mi
Infectious Disease
NPI 1891008884
1200 N BEAVER ST
Flagstaff, AZ 86001
(928) 214-3832
✔ PECOS✔ Accepts Medicare76 mi
Otolaryngology
NPI 1689673972
1340 N RIM DR
Flagstaff, AZ 86001
(928) 774-1873
✔ PECOS✔ Accepts Medicare76 mi
General Practice
NPI 1912395807
300 W. WHITE MOUNTAIN BLVD, SUITE D
Lakeside, AZ 85929
(928) 368-4547
✔ PECOS✔ Accepts Medicare86 mi
See all 217 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 03D2275988

Dilkon Medical Center · Dilkon, AZ
Active · expires Jun 10, 2028
CLIA Number03D2275988
Laboratory TypeAncillary Testing Site In Health Care Center
Certificate Effective DateJune 11, 2026
Certificate Expiration DateJune 10, 2028
Laboratory DirectorDr. Elaina A. Pirruccello
Laboratory Phone(928) 289-6143
Laboratory LocationDilkon Medical Center1 Medical Center Dr, Hc63 Box 9000, Dilkon, AZ 86047
CLIA data matches this NPI record on: Address Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dilkon Medical Center's NPI number?

The NPI number for Dilkon Medical Center is 1306016126. It was assigned to this organization in the NPPES registry on March 7, 2008.

Where is Dilkon Medical Center located?

Dilkon Medical Center is located at 1 Medical Center Drive, Dilkon, AZ 86047. The listed phone number is (928) 289-4646.

What is Dilkon Medical Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Public Health, Federal, with taxonomy code 261QP0904X.

Is Dilkon Medical Center enrolled in Medicare?

Yes. Dilkon Medical Center is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Dilkon Medical Center?

According to the CMS Revalidation Reassignment List (October 2026 release), 217 clinicians in 22 Medicare specialties reassign their Medicare billing to Dilkon Medical Center. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (68), Family Practice (40) and Emergency Medicine (32). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Dilkon Medical Center hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 03D2275988) is associated with this NPI, valid through June 10, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Dilkon Medical Center was last updated on December 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.