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TUBA CITY REGIONAL HEALTH CARE CORPORATION NPI 1922547223


NPI Information

NPI: 1922547223
Provider Name: TUBA CITY REGIONAL HEALTH CARE CORPORATION

Other Name: HEALTHY LIVING CENTER/DIABETES TREATMENT & PREVENTION SERVICES

Classification: Dietitian, Registered - 133V00000X
Entity Type: Organization
Address:
167 NORTH MAIN STREET
TUBA CITY, AZ
ZIP 86045
Phone: (928) 283-2094
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TUBA CITY REGIONAL HEALTH CARE CORPORATION is a dietitian registered in Tuba City, AZ. The provider is a Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation. TUBA CITY REGIONAL HEALTH CARE CORPORATION NPI is 1922547223. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Healthy Living Center/diabetes Treatment & Prevention Services.

The provider's business location address is:

167 NORTH MAIN STREET
TUBA CITY, AZ
ZIP 86045
Phone: (928) 283-2094
Fax: (928) 283-2677

The provider's authorized official is Lynette Bonar .
The authorized official title is Chief Executive Officer and has the following contact phone number (928) 283-2501.

The enumeration date for this NPI number is 2/20/2017 and was last updated on 2/20/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1133V00000XDietitian, Registered200013ARIZONAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1721250MEDICAIDARIZONA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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