Tcrhcc Mobile Healthcare Van System

NPI #1942553920 in Page, Arizona

Provider Information

NPI Number
1942553920
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 16, 2012
Last Updated
Oct 24, 2012

Practice Location

Address
26 MILES S. OF PAGE ON NR-20
Address 2
COPPERMINE CHAPTER - DENTAL
City
Page
State
Arizona
ZIP Code
86040
Phone
(928) 283-2501

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Clinic/Center

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