# TUBA CITY REGIONAL HEALTH CARE CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** TUBA CITY REGIONAL HEALTH CARE CORPORATION
- **Other names:** Dinnebito Health Clinic
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1396921870
- **Legal business name:** TUBA CITY REGIONAL HEALTH CARE CORPORATION
- **Authorized official:** JOSEPH T ENGELKEN (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (928) 283-2501

## Contact information

- **Practice address:** 10 MILES NE OF SR264 MP362, ROCKY RIDGE SCHOOL STREET, KYKOTSMOVI, AZ 86039
- **Practice address phone:** (928) 283-2781
- **Practice address fax:** (928) 283-2677
- **Mailing address:** PO BOX 600, TUBA CITY, AZ 86045-0600
- **Mailing address phone:** (928) 283-2501
- **Mailing address fax:** (928) 283-2677

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |

## Other

- **Enumeration date:** 01/15/2008
- **Last updated:** 03/19/2014