Organization
TCRHCC MOBILE HEALTHCARE VAN SYSTEM
Active
Parent organization
TUBA CITY REGIONAL HEALTH CARE CORPORATION
Other names
Bodaway/Gap Chapter House-Dental
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
HIGHWAY 89 AT MILE POST 498, BASE OF OPERATIONS: 167 N. MAIN ST. TUBA CITY, AZ 86045, GAP, AZ 86020
(928) 283-2501
(928) 283-2677
Mailing address
PO BOX 600, BASE OF OPERATIONS: 167 N. MAIN ST. TUBA CITY, AZ 86045, 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
10/22/2012
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