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Organization

TCRHCC MOBILE HEALTHCARE VAN SYSTEM

Active
Parent organization
TUBA CITY REGIONAL HEALTH CARE CORPORATION
Other names
Coppermine Chapter House
Organization subpart
Yes

Provider details

NPI number
Legal business name
TUBA CITY REGIONAL HEALTH CARE CORPORATION
Authorized official
JOSEPH T ENGELKEN (CEO)
(928) 283-2501
Entity
Organization

Contact information

Practice address
26 MILES SOUTH OF PAGE, COPPERMINE CHAPTER HOUSE, PAGE, AZ 86040
(928) 283-2501
(928) 283-2677
Mailing address
PO BOX 600, BASE OF OPERATIONS: 167 NORTH MAIN STREET, TUBA CITY, AZ 86045-0600
(928) 283-2781
(928) 283-2677

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary

Other

Enumeration date
10/18/2012
Last updated
10/24/2012
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