| Tuba City Indian Medical Center | |
|
167 North Main Street Tuba City AZ 86045 | |
| (928) 283-2501 | |
| (928) 283-2677 |
| Full Name | Tuba City Indian Medical Center |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 167 North Main Street, Tuba City, Arizona |
| Authorized Official Name and Position | Joseph Engelken (CEO) |
| Authorized Official Contact | 9282832501 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tuba City Indian Medical Center Po Box 600 167 North Main Street Tuba City AZ 86045-0600 Ph: (928) 283-2501 | Tuba City Indian Medical Center 167 North Main Street Tuba City AZ 86045 Ph: (928) 283-2501 |
| NPI Number | 1528241395 |
|---|---|
| Provider Enumeration Date | 12/14/2007 |
| Last Update Date | 06/03/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528241395 | NPI | - | NPPES |
| 726531 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Tuba City Indian Medical Center Dental Clinic Medicare: Medicare Enrolled Practice Location: 167 North Main Street, Tuba City, AZ 86045 Phone: 928-283-2501 Fax: 928-283-2677 | |
Tuba City Indian Medical Center Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 167 North Main Street, Tuba City, AZ 86045 Phone: 928-283-2501 Fax: 928-283-2677 |