| Community Health Center Mobile Health Program 2 | |
| 
					Base Of Operations 167 N Main Street Service Area Western Navajo Agency W In Az Tuba City AZ 86045  | |
| (928) 283-2781 | |
| (928) 283-2677 | 
| Full Name | Community Health Center Mobile Health Program 2 | 
|---|---|
| Speciality | Clinic/center | 
| Location | Base Of Operations 167 N Main Street, Tuba City, Arizona | 
| Authorized Official Name and Position | Joette Walters (CHIEF EXECUTIVE OFFICER) | 
| Authorized Official Contact | 9282832501 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Community Health Center Mobile Health Program 2 167 N Main Street Po Box 600 Tuba City AZ 86045 Ph: (928) 283-2781  | Community Health Center Mobile Health Program 2 Base Of Operations 167 N Main Street Service Area Western Navajo Agency W In Az Tuba City AZ 86045 Ph: (928) 283-2781  | 
| NPI Number | 1487438388 | 
|---|---|
| Provider Enumeration Date | 08/22/2023 | 
| Last Update Date | 08/22/2023 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1487438388 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary | 
Tcrhcc Mobile Healthcare Van System (2) Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 167 N Main Street, Tuba City, AZ 86045 Phone: 928-283-2781 Fax: 928-283-2677  | |
Tcrhcc Mobile Healthcare Van System Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 167 North Main Street, Base Of Operations, Service Area: Western Navajo Agency W/in Az, Tuba City, AZ 86045 Phone: 928-283-2501 Fax: 928-283-2677  | |
Tcrhcc Mobile Healthcare Van System (2) Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 167 North Main Street Base Of Operations:, Tuba City, AZ 86045 Phone: 928-283-2781 Fax: 928-283-2677  | |
Community Health Mobile Dental Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 167 North Main Street, Base Of Operations, Service Area: Western Navajo Agency W/in Az, Tuba City, AZ 86045 Phone: 928-283-2781 Fax: 928-283-2677  |