National Provider Identifier Database

TCRHCC MOBILE HEALTHCARE VAN SYSTEM
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).


Contact Information

TCRHCC MOBILE HEALTHCARE VAN SYSTEM
26 MILES SOUTH OF PAGE
COPPERMINE CHAPTER HOUSE
PAGE, AZ86040
Phone: 928-283-2501
Fax: 928-283-2677
Website:
Specialty Taxonomy Code
* Clinic/Center 261Q00000X

* Indicates primary specialty

NPI Profile & details for TCRHCC MOBILE HEALTHCARE VAN SYSTEM

NPI Number 1215280920
Legal business name
LBN
TCRHCC MOBILE HEALTHCARE VAN SYSTEM
Authorized official JOSEPH ENGELKEN - (CEO)
Entity Organization
Organization subpart Yes
Enumeration date 10/18/2012
Last updated 10/24/2012 - About 14 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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