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PHS FORT DEFIANCE INDIAN HOSPITAL
NPI 1790953214
Clinic/Center - Ambulatory Surgical in Fort Defiance, AZ

Active since February 19, 2008
CORNER OF ROUTE N12 & N7, FORT DEFIANCE, AZ 86504(928) 729-8003(928) 729-8158 Get Directions Write a Review

NPPES record last updated: May 27, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Phs Fort Defiance Indian Hospital NPPES

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

PHS FORT DEFIANCE INDIAN HOSPITAL (NPI 1790953214) is a healthcare organization registered as an ambulatory surgical in Fort Defiance, Arizona and active in the NPI registry since February 2008. The organization lists Franklin R Freeland, Ceo, as its authorized official.

NPPES Registry Identity

NPI1790953214
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameDHHS PHS NAIHS FORT DEFIANCE HOSPITAL
Location AddressCORNER OF ROUTE N12 & N7Fort Defiance, AZ 86504
Mailing AddressPo Box 649, Corner Of Route N12 & N7Fort Defiance, AZ 86504-0649 · (928) 729-8014 · Fax (928) 729-8158
Phone(928) 729-8003
Fax(928) 729-8158
Organization SubpartNo
Authorized OfficialFranklin R FreelandCeo · (928) 729-8014
Enumeration DateFebruary 19, 2008
Last NPPES UpdateMay 27, 2008
✔ NPI 1790953214 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
License✔ Licensed in AZ · 282N00000X
CORNER OF ROUTE N12 & N7, Fort Defiance, AZ 86504
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Other Names 1

Doing Business AsPhs Fort Defiance Indian Hospital

Other Identifiers 3

Medicaid417982AZ
MedicaidH0010NM
Medicare PINAC0017

Other Providers at the Same Location NPPES 14

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

THE FORT DEFIANCE INDIAN HOSPITAL BOARD, INCORPORATION
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
CORNER OF ROUTE N12 & N7
FORT DEFIANCE, AZ 86504
Apache County (928) 729-8000
MRS. LORETTA NOTAH-ASHLEY
Counselor (Mental Health)
CORNER OF ROUTE N12 & N7, PHS FORT DEFIANCE INDIAN HOSPITAL
FORT DEFIANCE, AZ 86504
Apache County (928) 729-8944
MS. VALERIE EUGENIA LONG RDH
Dental Hygienist
CORNER OF ROUTE N12 & N7
FORT DEFIANCE, AZ 86504
Apache County (928) 729-8890
DR. JASON RYAN PRICE D.D.S.
Dentist
CORNER OF ROUTE N12 & N7, FORT DEFIANCE PHS HOSPITAL
FORT DEFIANCE, AZ 86504
Apache County (928) 729-8000
KAREN HOIWAN WONG-LI RD, LD
Dietitian, Registered
CORNER OF ROUTE N12 & N7
FORT DEFIANCE, AZ 86504
Apache County (928) 729-8000
MS. BEVERLY ANN DESCHEENIE BSW
Social Worker
CORNER OF ROUTE N12 & N7
FORT DEFIANCE, AZ 86504
Apache County (928) 729-3767
MS. JEAN PROPER FNP
Nurse Practitioner (Family)
CORNER OF ROUTE N12 & N7
FORT DEFIANCE, AZ 86504
Apache County (928) 729-8000
ORENA SAM RN, BSN
Registered Nurse (Community Health)
CORNER OF ROUTE N12 & N7
FORT DEFIANCE, AZ 86504
Apache County (928) 729-8000

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 Dhhs Phs Naihs Fort Defiance Hospital's NPI number?

The NPI number for Dhhs Phs Naihs Fort Defiance Hospital is 1790953214. It was assigned to this organization in the NPPES registry on February 19, 2008. The provider is doing business as Phs Fort Defiance Indian Hospital.

Where is Dhhs Phs Naihs Fort Defiance Hospital located?

Dhhs Phs Naihs Fort Defiance Hospital is located at Corner Of Route N12 & N7, Fort Defiance, AZ 86504. The listed phone number is (928) 729-8003.

What is Dhhs Phs Naihs Fort Defiance Hospital's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

When was this NPI record last updated?

The NPPES record for Dhhs Phs Naihs Fort Defiance Hospital was last updated on May 27, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.