Whiteriver Service Unit Dental Clinic
LBN: Dhhs Ihs Phoenix Area
Whiteriver Service Unit Dental Clinic is an health care organization with primary practice located at 200 West Hospital Way , Whiteriver AZ 85941-0860. The organization recently has 5 registered licenses in different health care specialties including Dental Providers / Dental Public Health, Dental Providers / General Practice, Dental Providers / Pediatric Dentistry, Dental Providers / Dental Hygienist, Ambulatory Health Care Facilities / Dental. Ambulatory Health Care Facilities / Dental is the primary health care specialty.
Dhhs Ihs Phoenix Area can be contacted via phone (928) 338-4911, or through Martinez, Michelle via phone (928) 338-4911.
Contact Information
Primary practice address
200 West Hospital Way
Whiteriver AZ 85941-0860
Phone: (928) 338-4911
Fax: (928) 338-5508
Website:
Authorized official contact:
Name: Martinez, Michelle Family Nurse Practitioner (FNP)
Phone: (928) 338-4911
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Public Health | 1223D0001X | ||
| Dental Providers / General Practice | 1223G0001X | ||
| Dental Providers / Pediatric Dentistry | 1223P0221X | ||
| Dental Providers / Dental Hygienist | 124Q00000X | ||
| Ambulatory Health Care Facilities / Dental | 261QD0000X |
Profile Details
| NPI number | 1144347501 |
|---|---|
| LBN Legal business name | Dhhs Ihs Phoenix Area |
| DBA Doing business as | Whiteriver Service Unit Dental Clinic |
| Authorized official | Martinez, Michelle Family Nurse Practitioner (FNP) |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Mar 23rd, 2007 |
| Last updated | Dec 27th, 2011 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1144347501 | NPPES |
| Arizona | MEDICAID | 020561 | |
| Arizona | MEDICAID | 092403-01 | |
| Arizona | Other | AZ0109760 |
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