| Bodaway/gap Chapter House | |
|
Highway 89 At Mile Post 498 Bodaway/gap Chapter House Gap AZ 86020 | |
| (928) 283-2501 | |
| (928) 283-2677 |
| Full Name | Bodaway/gap Chapter House |
|---|---|
| Speciality | Clinic/center |
| Location | Highway 89 At Mile Post 498, Gap, Arizona |
| Authorized Official Name and Position | Joseph T Engelken (CEO) |
| Authorized Official Contact | 9282832501 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bodaway/gap Chapter House Po Box 600 Base Of Operations: 167 N. Main St. Tuba City, Az 86045 Tuba City AZ 86045-0600 Ph: (928) 283-2781 | Bodaway/gap Chapter House Highway 89 At Mile Post 498 Bodaway/gap Chapter House Gap AZ 86020 Ph: (928) 283-2501 |
| NPI Number | 1760735468 |
|---|---|
| Provider Enumeration Date | 10/18/2012 |
| Last Update Date | 10/24/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760735468 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Bodaway/gap Chapter House-dental Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Highway 89 At Mile Post 498, Base Of Operations: 167 N. Main St. Tuba City, Az 86045, Gap, AZ 86020 Phone: 928-283-2501 Fax: 928-283-2677 |