OrganizationActive
Sage Memorial Hospital
NPI 1447315494 · Clinic Pharmacy · Ganado, AZ
Provider details
- NPI number
- 1447315494
- Entity type
- Organization
- Primary specialty
- Clinic PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Farid Kiyarash, Dir of Phcy(928) 755-4500
Specialties & taxonomies
Suppliers
- Managed Care Organization Pharmacy3336M0003X
Suppliers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Hwy 264 and 191
Ganado, AZ 86505
Phone: (928) 755-4500
Fax: (928) 755-4659
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 457
Ganado, AZ 86505-0457
Other names (DBA / former)
- Doing business as
- Sage Memorial Hospital
Registry dates
- Enumerated
- 2006-12-27
- Last updated
- 2009-06-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.