Organization
TUBA CITY REGIONAL HEALTH CARE CORPORATION
Active
Other names
TUBA CITY INDIAN MEDICAL CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
JOETTE WALTERS (CHIEF EXECUTIVE OFFICER)
(928) 283-2147
Entity
Organization
Contact information
Practice address
167 NORTH MAIN STREET, TUBA CITY, AZ 86045-0600
(928) 283-2501
(928) 283-2677
Mailing address
PO BOX 600, TUBA CITY, AZ 86045
(928) 283-2781
(928) 283-2677
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
—
—
207L00000X
Anesthesiology Physician
—
—
207P00000X
Emergency Medicine Physician
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
207W00000X
Ophthalmology Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
207Y00000X
Otolaryngology Physician
—
—
208000000X
Pediatrics Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
2084P0800X
Psychiatry Physician
—
—
2085B0100X
Body Imaging Physician
—
—
208600000X
Surgery Physician
—
—
282N00000X
General Acute Care Hospital
Primary
—
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
721250
—
AZ
Enumeration date
07/10/2006
Last updated
03/17/2025
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