Organization · Type 2 NPI

Tcrhcc Mobile Healthcare Van System

Clinic/Center · Tonalea, AZ

NPI number 1104179811 Active

Practice location

Jct Of Rte NR-21 & Hwy 160, Tonalea Chapter House
Tonalea, AZ 86044

Fax (928) 283-2677

Mailing address

PO Box 600, Base Of Operations: 167 North Main Street
Tuba City, AZ 86045-0600

Specialties and licenses

TaxonomyCodeLicense
Clinic/Center Primary 261Q00000XNone listed

Clinic/Center: 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).

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About NPI 1104179811

Tcrhcc Mobile Healthcare Van System's National Provider Identifier is 1104179811, issued on Oct 18, 2012. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Tonalea, AZ. The record was last updated on Oct 24, 2012.