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167 North Main Street Tuba City AZ 86045-0600 | |
(928) 283-2501 | |
(928) 283-2677 |
Full Name | |
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Speciality | General Acute Care Hospital |
Location | 167 North Main Street, Tuba City, Arizona |
Authorized Official Name and Position | Lynette Bonar (CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 9282832827 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Po Box 600 Tuba City AZ 86045 Ph: (928) 283-2781 | 167 North Main Street Tuba City AZ 86045-0600 Ph: (928) 283-2501 |
NPI Number | 1548294424 |
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Provider Enumeration Date | 07/10/2006 |
Last Update Date | 06/20/2022 |
Medicare PECOS PAC ID | 4284542531 |
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Medicare Enrollment ID | O20021202000038 |
Identifier | Type | State | Issuer |
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1548294424 | NPI | - | NPPES |
721250 | Medicaid | AZ |