| Tcrhcc Mobile Healthcare Van System | |
| 
					3 Mi S Of Page On Nr-20 Coppermine Rd Kaibeto Chapter House Lechee AZ 86040  | |
| (928) 283-2501 | |
| (928) 283-2677 | 
| Full Name | Tcrhcc Mobile Healthcare Van System | 
|---|---|
| Speciality | Clinic/center | 
| Location | 3 Mi S Of Page On Nr-20 Coppermine Rd, Lechee, Arizona | 
| Authorized Official Name and Position | Joseph T Engelken (CEO) | 
| Authorized Official Contact | 9282832501 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Tcrhcc Mobile Healthcare Van System Po Box 600 Base Of Operations: 167 North Main Street Tuba City AZ 86045-0600 Ph: (928) 283-2781  | Tcrhcc Mobile Healthcare Van System 3 Mi S Of Page On Nr-20 Coppermine Rd Kaibeto Chapter House Lechee AZ 86040 Ph: (928) 283-2501  | 
| NPI Number | 1750634465 | 
|---|---|
| Provider Enumeration Date | 10/18/2012 | 
| Last Update Date | 11/09/2012 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1750634465 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |