Organization
TUBA CITY REGIONAL HEALTH CARE CORPORATION
Active
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, 167 NORTH MAIN STREET, TUBA CITY, AZ 86045-0600
(928) 283-2501
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AC0012
MEDICARE GROUP PTAN
—
Enumeration date
02/29/2008
Last updated
03/12/2025
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