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COMMUNITY HEALTH CENTER MOBILE HEALTH PROGRAM NPI 1659624633


NPI Information

NPI: 1659624633
Provider Name: COMMUNITY HEALTH CENTER MOBILE HEALTH PROGRAM

Other Name: COMMUNITY HEALTH MOBILE DENTAL

Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
167 NORTH MAIN STREET, BASE OF OPERATIONS
SERVICE AREA: WESTERN NAVAJO AGENCY W/IN AZ
TUBA CITY, AZ
ZIP 86045
Phone: (928) 283-2781
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COMMUNITY HEALTH CENTER MOBILE HEALTH PROGRAM is a clinic center in Tuba City, 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). COMMUNITY HEALTH CENTER MOBILE HEALTH PROGRAM NPI is 1659624633. The provider is registered as an organization entity type.
The provider Other Name Is Community Health Mobile Dental.

The provider's business location address is:

167 NORTH MAIN STREET, BASE OF OPERATIONS
SERVICE AREA: WESTERN NAVAJO AGENCY W/IN AZ
TUBA CITY, AZ
ZIP 86045-600
Phone: (928) 283-2781
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 10/16/2012 and was last updated on 4/24/2014.


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
1261Q00000XClinic/CenterYes

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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