TCRHCC MOBILE HEALTHCARE VAN SYSTEM NPI 1104179811

NPI Information

TCRHCC MOBILE HEALTHCARE VAN SYSTEM is a clinic center in Tonalea, AZ. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). TCRHCC MOBILE HEALTHCARE VAN SYSTEM NPI is 1104179811. The provider is registered as an organization entity type.
The provider Other Name Is Tonalea Chapter House.

The provider's business location address is:

JCT OF RTE NR-21 & HWY 160
TONALEA CHAPTER HOUSE
TONALEA, AZ
ZIP 86044
Phone: (928) 283-2501
Fax: (928) 283-2677

The provider's authorized official is Joseph T Engelken .
The authorized official title is Ceo and has the following contact phone number (928) 283-2501.

The enumeration date for this NPI number is 10/18/2012 and was last updated on 10/24/2012.

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:

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