Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Fort Defiance Outpatient Treatment Center

Community/Behavioral Health Agency in Fort Defiance, AZ · enumerated 2007 · authorized official Miranda Blatchford, Behavioral Health Director.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1740400365

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Registry record

Entity type Organization (Type 2)

Legal business name Fort Defiance Outpatient Treatment Center

Practice address .5 Miles Sw of the Fd Field House Bldg #6905, Fort Defiance, AZ, 86504

Phone (928) 729-4012

Fax (928) 729-4200

Enumeration date Apr 26, 2007

Last updated in NPPES Mar 10, 2022

Taxonomy & classification

101YA0400X Addiction (Substance Use Disorder) Counselor Behavioral Health & Social Service Providers Secondary

251S00000X Community/Behavioral Health Agency Agencies Primary

Authorized official

Name Miranda Blatchford

Title Behavioral Health Director

Phone (928) 729-4012

Other identifiers

Identifier	Type	State	Issuer
329541	Medicaid	AZ	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2022-03-10. Verify at npiregistry.cms.hhs.gov.

Where is Fort Defiance Outpatient Treatment Center located?

The practice location on file with NPPES is in Fort Defiance, AZ.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-03-10.