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NPI 1679195069 · Durable Medical Equipment & Medical Supplies · Whiteriver, AZ
Provider details
- NPI number
- 1679195069
- Entity type
- Organization
- Primary specialty
- Durable Medical Equipment & Medical SuppliesSuppliers
- Organization subpart
- No
- Authorized official
- Michelle Martinez,, Chief Executive Officer(928) 338-4911
Specialties & taxonomies
Suppliers
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 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
200 W Hospital Dr
Whiteriver, AZ 85941-0860
Phone: (928) 338-4911
Fax: (928) 338-5508
Street-level locationGet directions
Mailing address
Po Box 860
Whiteriver, AZ 85941-0860
Other names (DBA / former)
- Doing business as
- Whiteriver Indian Hospital
Registry dates
- Enumerated
- 2020-05-08
- Last updated
- 2020-05-08
- Certified
- 2020-05-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.