NPIMap

Organization Active NPI

Community Health Center Mobile Health Program 2

  • Clinic/Center
  • Tuba City, AZ
National Provider Identifier
1487438388
Registry record updated Aug 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
COMMUNITY HEALTH CENTER MOBILE HEALTH PROGRAM 2
Practice address
Base of Operations 167 N Main Street
Service Area Western Navajo Agency W in Az
Tuba City, AZ 86045
Phone
(928) 283-2781
Fax
(928) 283-2677
NPI assigned
Aug 22, 2023
Organization subpart
Yes
Parent organization
TUBA CITY REGIONAL HEALTH CARE CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 22, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Joette Walters
Title
Chief Executive Officer
Phone
(928) 283-2501

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

Base of Operations 167 N Main Street
Service Area Western Navajo Agency W in Az
Tuba City, AZ 86045

Mailing address

167 N Main Street
PO Box 600
Tuba City, AZ 86045
Phone (928) 283-2781

National Provider Directory

National Provider Directory
Tax ID family
Tuba City Regional Health Care Center39 organizations share this tax ID, including this one
Part of
Tuba City Regional Health Care Center

Other organizations with this tax ID 38

Organizations that report the same tax identification number in the National Provider Directory.

View all 38

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1692662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692662400000",
    "number": "1487438388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "167 N MAIN STREET",
            "address_2": "PO BOX 600",
            "city": "TUBA CITY",
            "state": "AZ",
            "postal_code": "86045",
            "telephone_number": "928-283-2781",
            "fax_number": "928-283-2677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BASE OF OPERATIONS 167 N MAIN STREET",
            "address_2": "SERVICE AREA WESTERN NAVAJO AGENCY W IN AZ",
            "city": "TUBA CITY",
            "state": "AZ",
            "postal_code": "86045",
            "telephone_number": "928-283-2781",
            "fax_number": "928-283-2677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY HEALTH CENTER MOBILE HEALTH PROGRAM 2",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TUBA CITY REGIONAL HEALTH CARE CORPORATION",
        "enumeration_date": "2023-08-22",
        "last_updated": "2023-08-22",
        "status": "A",
        "authorized_official_last_name": "WALTERS",
        "authorized_official_first_name": "JOETTE",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "928-283-2501"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tuba City, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.