# TUBA CITY REGIONAL HEALTH CARE CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** TUBA CITY INDIAN MEDICAL CENTER
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548294424
- **Authorized official:** JOETTE WALTERS (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (928) 283-2147

## Contact information

- **Practice address:** 167 NORTH MAIN STREET, TUBA CITY, AZ 86045-0600
- **Practice address phone:** (928) 283-2501
- **Practice address fax:** (928) 283-2677
- **Mailing address:** PO BOX 600, TUBA CITY, AZ 86045
- **Mailing address phone:** (928) 283-2781
- **Mailing address fax:** (928) 283-2677

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | — |
| 1223G0001X | General Practice Dentistry | — | — | — |
| 207L00000X | Anesthesiology Physician | — | NULL | — |
| 207L00000X | Anesthesiology Physician | — | — | — |
| 207P00000X | Emergency Medicine Physician | — | NULL | — |
| 207P00000X | Emergency Medicine Physician | — | — | — |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | — |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | — |
| 207W00000X | Ophthalmology Physician | — | NULL | — |
| 207W00000X | Ophthalmology Physician | — | — | — |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | — |
| 207X00000X | Orthopaedic Surgery Physician | — | — | — |
| 207Y00000X | Otolaryngology Physician | — | NULL | — |
| 207Y00000X | Otolaryngology Physician | — | — | — |
| 208000000X | Pediatrics Physician | — | NULL | — |
| 208000000X | Pediatrics Physician | — | — | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | — |
| 2084P0800X | Psychiatry Physician | — | NULL | — |
| 2084P0800X | Psychiatry Physician | — | — | — |
| 2085B0100X | Body Imaging Physician | — | NULL | — |
| 2085B0100X | Body Imaging Physician | — | — | — |
| 208600000X | Surgery Physician | — | NULL | — |
| 208600000X | Surgery Physician | — | — | — |
| 282N00000X | General Acute Care Hospital | — | AZ | Yes |

## Other

- **Enumeration date:** 07/10/2006
- **Last updated:** 03/17/2025