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Organization
TUBA CITY REGIONAL HEALTH CARE CORPORATION
Active
Organization
TUBA CITY REGIONAL HEALTH CARE CORPORATION
Active
Other names
TUBA CITY INDIAN MEDICAL CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH ENGELKEN (CEO)
(928) 283-2501
Entity
Organization
Contact information
Practice address
167 NORTH MAIN STREET, TUBA CITY, AZ 86045
(928) 283-2501
(928) 283-2677
Mailing address
PO BOX 600, 167 NORTH MAIN STREET, TUBA CITY, AZ 86045-0600
(928) 283-2501
(928) 283-2677
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
NULL
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
726531
—
AZ
Enumeration date
12/14/2007
Last updated
06/03/2011
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