SAGE MEMORIAL HOSPITAL
NPI 1447315494
Pharmacy - Clinic Pharmacy in Ganado, AZ

Q: What is Sage Memorial Hospital's NPI number?

The NPI number for Sage Memorial Hospital is 1447315494. It was assigned to this organization in the NPPES registry on December 27, 2006.

Q: What is Sage Memorial Hospital's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Clinic Pharmacy, with taxonomy code 3336C0002X.

Active since December 27, 2006CLIA 03D0057991 · Accreditation

HWY 264 AND 191, GANADO, AZ 86505(928) 755-4500(928) 755-4659 Get Directions Write a Review

NPPES record last updated: June 9, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Sage Memorial Hospital NPPES

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

SAGE MEMORIAL HOSPITAL (NPI 1447315494) is a healthcare organization registered as a clinic pharmacy in Ganado, Arizona and active in the NPI registry since December 2006. The organization holds an CLIA Accreditation certificate valid through November 30, 2027 and lists Farid Kiyarash, Dir Of Phcy, as its authorized official.

NPPES Registry Identity

NPI1447315494

Entity TypeOrganization

Primary Taxonomy3336C0002X

Legal Business NameSAGE MEMORIAL HOSPITAL

Location AddressHWY 264 AND 191Ganado, AZ 86505

Mailing AddressPo Box 457Ganado, AZ 86505-0457

Phone(928) 755-4500

Fax(928) 755-4659

Organization SubpartNo

Authorized OfficialFarid KiyarashDir Of Phcy · (928) 755-4500

Enumeration DateDecember 27, 2006

Last NPPES UpdateJune 9, 2009

✔ NPI 1447315494 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Clinic PharmacySuppliers

Taxonomy Code3336C0002X

License✔ Licensed in AZ · Y000758

Definition

A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.

Also ListedPharmacy · Managed Care Organization PharmacyTaxonomy 3336M0003X

HWY 264 AND 191, Ganado, AZ 86505

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Other Names 1

Doing Business AsSage Memorial Hospital

Other Identifiers 2

Medicaid021353AZ

Other0308949Ncpdp Provider Identification Number

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Kansas City and more.Insurance ›

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 03D0057991

Sage Memorial Hospital / Navajo Nation Foundation · Ganado, AZ

Active · expires Nov 30, 2027

CLIA Number03D0057991

Laboratory TypeHospital

Certificate Effective DateDecember 1, 2025

Certificate Expiration DateNovember 30, 2027

Laboratory DirectorAlex Cudkowicz

Laboratory Phone(928) 755-4719

Laboratory LocationSage Memorial Hospital / Navajo Nation FoundationHighway 264 & 191, Ganado, AZ 86505

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.

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 Sage Memorial Hospital's NPI number?

The NPI number for Sage Memorial Hospital is 1447315494. It was assigned to this organization in the NPPES registry on December 27, 2006.

Where is Sage Memorial Hospital located?

Sage Memorial Hospital is located at Hwy 264 And 191, Ganado, AZ 86505. The listed phone number is (928) 755-4500.

What is Sage Memorial Hospital's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Clinic Pharmacy, with taxonomy code 3336C0002X.

Does Sage Memorial Hospital hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 03D0057991) is associated with this NPI, valid through November 30, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Sage Memorial Hospital accept?

Health plans from Anthem Blue Cross and Blue Shield, Baylor Scott and White Health Plan, Blue Cross Blue Shield of Arizona, Blue Cross Blue Shield of North Dakota and Blue Cross Blue Shield of Wyoming and 20 other insurers list Sage Memorial Hospital as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Sage Memorial Hospital was last updated on June 9, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years 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.