| |
167 North Main Street Tuba City AZ 86045-0600 | |
(928) 283-2501 | |
(928) 283-2677 |
Full Name | |
---|---|
Speciality | General Acute Care Hospital |
Location | 167 North Main Street, Tuba City, Arizona |
Authorized Official Name and Position | Joseph T Engelken (CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 9282832501 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Po Box 600 Tuba City AZ 86045-0600 Ph: (928) 283-2501 | 167 North Main Street Tuba City AZ 86045-0600 Ph: (928) 283-2501 |
NPI Number | 1780867556 |
---|---|
Provider Enumeration Date | 12/14/2007 |
Last Update Date | 11/08/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1780867556 | NPI | - | NPPES |
721250 | Medicaid | AZ |