| Tohatchi Health Center | |
|
007 Choosgai Drive Tohatchi NM 87325 | |
| (505) 722-1000 | |
| (505) 722-1310 |
| Full Name | Tohatchi Health Center |
|---|---|
| Speciality | Clinic/center - Public Health, Federal |
| Location | 007 Choosgai Drive, Tohatchi, New Mexico |
| Authorized Official Name and Position | Bennie C Yazzie (ACTING CEO) |
| Authorized Official Contact | 5057221000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tohatchi Health Center Po Box 1337 Gallup NM 87305-1337 Ph: (505) 722-1000 | Tohatchi Health Center 007 Choosgai Drive Tohatchi NM 87325 Ph: (505) 722-1000 |
| NPI Number | 1902875594 |
|---|---|
| Provider Enumeration Date | 03/16/2006 |
| Last Update Date | 02/09/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902875594 | NPI | - | NPPES |
| 06286518 | Medicaid | NM | |
| 061135 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP0904X | Clinic/center - Public Health, Federal | 9435 (* (Not Available)) | Primary |