Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Sage Memorial Hospital

Organization Clinic Pharmacy · NPI 1447315494

Sage Memorial Hospital is a Clinic Pharmacy in Ganado, Arizona. Licensed in Arizona. Registered with an NPI since 2006.

Licensed in
AZ
In the registry since
2006
Specialties on file
2

Practice location Address checks out

Hwy 264 And 191
Ganado, AZ 86505
Phone: (928) 755-4500
Fax: (928) 755-4659
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic Pharmacy (primary) Taxonomy 3336C0002X · Licence Y000758 (AZ)
Managed Care Organization Pharmacy Taxonomy 3336M0003X

Record details

NPI number1447315494
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Farid Kiyarash — Dir Of Phcy · (928) 755-4500
Other names Sage Memorial Hospital
NPI enumeratedDecember 27, 2006
Last updated in NPPESJune 9, 2009
Mailing addressPo Box 457, Ganado, AZ 86505-0457