# TUBA CITY REGIONAL HEALTH CARE CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** TUBA CITY REGIONAL HEALTH CARE CORPORATION
- **Other names:** TUBA CITY INDIAN MEDICAL CENTER
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1780867556
- **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:** 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 86045-0600
- **Mailing address phone:** (928) 283-2501
- **Mailing address fax:** (928) 283-2677

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | — |
| 122300000X | Dentist | — | — | — |
| 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 | — | — | — |
| 2085B0100X | Body Imaging Physician | — | NULL | — |
| 2085B0100X | Body Imaging Physician | — | — | — |
| 208600000X | Surgery Physician | — | NULL | — |
| 208600000X | Surgery Physician | — | — | — |
| 208800000X | Urology Physician | — | NULL | — |
| 208800000X | Urology Physician | — | — | — |
| 231H00000X | Audiologist | — | NULL | — |
| 231H00000X | Audiologist | — | — | — |
| 282N00000X | General Acute Care Hospital | — | NULL | Yes |

## Other

- **Enumeration date:** 12/14/2007
- **Last updated:** 11/08/2011