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Contact Information

TUBA CITY REGIONAL HEALTH CARE CORPORATION
167 NORTH MAIN STREET
TUBA CITY, AZ86045
 Phone: 928-283-2094
 Fax: 928-283-2677
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dietitian, Registered

133V00000X 71 Registered Dietitian or Nutrition Professional
Indicates primary specialty

NPI Profile & details for TUBA CITY REGIONAL HEALTH CARE CORPORATION

NPI # 1922547223
LBN Legal business name TUBA CITY REGIONAL HEALTH CARE CORPORATION
Authorized official LYNETTE BONAR - (CHIEF EXECUTIVE OFFICER)
Entity Organization
Organization subpart 1 Yes
Enumeration date 02/20/2017
Last updated 02/20/2017 - About 9 years ago
Identifiers
AZ License # 200013
AZ Medicaid 721250
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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