Tcrhcc Mobile Healthcare Van System

NPI #1306199013 in Tuba City, Arizona

Provider Information

NPI Number: 1306199013
Entity Type: Organization
Organization Name: Tcrhcc Mobile Healthcare Van System
Subpart: Yes (part of a larger organization)
Parent Organization: TUBA CITY REGIONAL HEALTH CARE CORPORATION
Primary Specialty: Clinic/Center
Enumeration Date: Oct 18, 2012
Last Updated: Apr 25, 2014

Practice Location

Address: 167 NORTH MAIN STREET, BASE OF OPERATIONS
Address 2: SERVICE AREA: WESTERN NAVAJO AGENCY W/IN AZ
City: Tuba City
State: Arizona
ZIP Code: 86045
Phone: (928) 283-2501

Authorized Official

Name: JOSEPH T ENGELKEN
Title: CEO
Phone: (928) 283-2501

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X	Primary

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