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
—
—
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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