TSEHOOTSOOI MEDICAL CENTER
NPI 1366993636
General Acute Care Hospital - Rural in Fort Defiance, AZ

Q: What is Fort Defiance Indian Hospital Board, Inc's specialty?

The primary specialty registered for this NPI is General Acute Care Hospital, specializing in Rural, with taxonomy code 282NR1301X.

Active since October 20, 2016CLIA Certified · 2 labs

CORNER OF ROUTE N12 AND N7, FORT DEFIANCE INDIAN HOSPITAL BOARD, INC, FORT DEFIANCE, AZ 86504(928) 279-8000 Get Directions Write a Review

NPPES record last updated: October 20, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Tsehootsooi Medical Center NPPES

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

TSEHOOTSOOI MEDICAL CENTER (NPI 1366993636) is a healthcare organization registered as a rural in Fort Defiance, Arizona and active in the NPI registry since October 2016. The organization holds 2 active CLIA laboratory certificates and lists Sandi Arintino, Ceo, as its authorized official.

NPPES Registry Identity

NPI1366993636

Entity TypeOrganization

Primary Taxonomy282NR1301X

Legal Business NameFORT DEFIANCE INDIAN HOSPITAL BOARD, INC

Location AddressCORNER OF ROUTE N12 AND N7, FORT DEFIANCE INDIAN HOSPITAL BOARD, INCFort Defiance, AZ 86504-0589

Mailing AddressP.o. Box 589, Fort Defiance Indian Hospital Board, Inc.Fort Defiance, AZ 86504 · (928) 279-8000

Phone(928) 279-8000

Organization SubpartNo

Authorized OfficialSandi ArintinoCeo · (928) 729-8902

Enumeration DateOctober 20, 2016

✔ NPI 1366993636 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral Acute Care Hospital · RuralHospitals

Taxonomy Code282NR1301X

License✔ Licensed in NM · MD2012-0766

CORNER OF ROUTE N12 AND N7, Fort Defiance, AZ 86504

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Other Names 1

Other NameTsehootsooi Medical Center

Other Identifiers 1

Medicaid1982915443NM

CLIA Laboratory Certificates CMS CLIA 2

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 03D0534475

Tsehootsooi Medical Center Main Laboratory Fort Defiance Indian Hospital Board, Inc · Fort Defiance, AZ

Active · expires Jan 2, 2027

CLIA Number03D0534475

Laboratory TypeHospital

Certificate Effective DateJanuary 3, 2025

Certificate Expiration DateJanuary 2, 2027

Laboratory DirectorDr. Naomi Young

Laboratory Phone(928) 729-8841

Laboratory LocationTsehootsooi Medical Center Main Laboratory Fort Defiance Indian Hospital Board, IncCorner Of Routes N12 & N7, Fort Defiance, AZ 86504

CLIA data matches this NPI record on: 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.

Certificate of Waiver 03D2048267

Tsehootsooi Medical Center · Fort Defiance, AZ

Active · expires Oct 11, 2026

CLIA Number03D2048267

Laboratory TypePharmacy

Certificate Effective DateOctober 12, 2024

Certificate Expiration DateOctober 11, 2026

Laboratory DirectorDr. Ray Cope

Laboratory Phone(928) 729-8325

Laboratory LocationTsehootsooi Medical CenterPO Box 649 Hwy 12 Nr 110, Fort Defiance, AZ 86504

CLIA data matches this NPI record on: Name

This certificate is issued to a laboratory to perform only waived tests.

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ROMULO LAURETA PARUNGAO M.D.

Emergency Medicine