Tcrhcc Mobile Healthcare Van System
Organization Active NPI Clinic/Center · Kaibeto, AZ
NPI 1134472111 · NPPES record last updated Oct 30, 2012
Key facts
- NPI
- 1134472111
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinic/Center 261Q00000X
- Legal business name
- TCRHCC MOBILE HEALTHCARE VAN SYSTEM
- Practice address
- 35 Mi N of JCT Hwy 160 &Hwy 98
Kaibeto Chapter House-Dental
Kaibeto, AZ 86053 - Phone
- (928) 283-2501
- Fax
- (928) 283-2677
- NPI assigned
- Oct 16, 2012
- Organization subpart
- Yes
- Parent organization (as reported)
- TUBA CITY REGIONAL HEALTH CARE CORPORATION
Authorized official
- Name
- Joseph T Engelken
- Title
- Ceo
- Phone
- (928) 283-2501
Corporate family (same tax ID) 38
National Provider Directory
- Tax ID family
- Tuba City Regional Health Care Center
- Part of
- Tuba City Regional Health Care Center
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Yes |
Addresses
Primary practice location
35 Mi N of JCT Hwy 160 &Hwy 98
Kaibeto Chapter House-Dental
Kaibeto, AZ 86053
Mailing address
PO Box 600
Base of Operations: 167 North Main Street
Tuba City, AZ 86045-0600
Phone (928) 283-2781
Other names
- Kaibeto Chapter-Dental
Other providers in Kaibeto, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 30, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.