TUBA CITY REGIONAL HEALTH CARE CORPORATION (NPI# 1013171073) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013171073 |
| Entity Type | Organization |
| Organization Name | TUBA CITY REGIONAL HEALTH CARE CORPORATION |
| Other Organization Name | TUBA CITY INDIAN MEDICAL CENTER |
| Practice Address |
167 North Main Street Tuba City AZ 86045-0600 |
| Mailing Address |
Po Box 600 Tuba City AZ 86045-0600 |
| Practice Telephone | 9282832501 |
| Practice Fax Number | 9282832677 |
| Mailing Telephone | 9282832501 |
| Mailing Fax Number | 9282832677 |
| Enumeration Date | 2008-07-17 |
| Last Update Date | 2017-04-03 |
| Authorized Official Name | LYNETTE BONAR (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 9282832501 |
| Is Organization Subpart | Y |
| Parent Organization Name | TUBA CITY REGIONAL HEALTH CARE CORPORATION |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | Hospitals |
| Other Name | Type Code |
|---|---|
| Tuba City Indian Medical Center | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710519913 | Tuba City Regional Health Care Corporation | Family Medicine | Hwy 89 North Milepost 498 East, Bodaway Gap, AZ 86020 | 2020-02-06 |
| 1972042059 | Tuba City Regional Health Care Corporation | General Acute Care Hospital | 1911 Pacific Dr, Lincoln, NE 68506-2311 | 2017-02-22 |
| 1376773341 | Tuba City Regional Health Care Corporation | Internal Medicine | 6300 N Highway 89, Flagstaff, AZ 86004 | 2009-07-23 |
| 1134382211 | Tuba City Regional Health Care Corporation | Dentist | Highway 89 North At The 466 Mile Marker, 1/8 Mile N of Cameron Chapter House, Cameron, AZ 86020 | 2008-07-08 |
| 1396921870 | Tuba City Regional Health Care Corporation | Internal Medicine | 10 Miles Ne of Sr264 Mp362, Rocky Ridge School Street, Kykotsmovi, AZ 86039 | 2008-01-15 |
| 1922547223 | Tuba City Regional Health Care Corporation | Dietitian, Registered | 167 North Main Street, Tuba City, AZ 86045 | 2017-02-20 |
| 1235410309 | Tuba City Regional Health Care Corporation | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 6300 N Highway 89, Flagstaff, AZ 86004 | 2011-09-02 |
| 1851547897 | Tuba City Regional Health Care Corporation | Home Health | 167 North Main Street, Tuba City, AZ 86045-0600 | 2008-08-11 |
| 1427213479 | Tuba City Regional Health Care Corporation | Medicare Defined Swing Bed Unit | 167 North Main Street, Tuba City, AZ 86045-0600 | 2008-07-18 |
| 1275704314 | Tuba City Regional Health Care Corporation | Clinic/Center | 167 North Main Street, Tuba City, AZ 86045-0600 | 2008-03-17 |
| Street Address |
167 NORTH MAIN STREET |
| City | TUBA CITY |
| State | AZ |
| Zip Code | 86045-0600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912906645 | Thomas Joseph Peters | Orthopaedic Surgery | 167 North Main Street, Tuba City, AZ 86045-0600 | 2005-07-15 |
| 1134696412 | Young Chou | Pharmacist | 167 North Main Street, Tuba City, AZ 86045 | 2018-10-25 |
| 1447736186 | Kenneth Hale | Dentist | 167 North Main Street, Tuba City, AZ 86045 | 2018-07-16 |
| 1659868024 | Bradley Hilken | Radiologic Technologist | 167 North Main Street, Tuba City, AZ 86045-0600 | 2018-04-20 |
| 1811484314 | Elizabeth Sullivan | Radiologic Technologist | 167 North Main Street, Tuba City, AZ 86045-0600 | 2018-04-19 |
| 1093217945 | Scott Cerreta | Respiratory Therapist, Registered | 167 North Main Street, Po Box 600, Tuba City, AZ 86045-0600 | 2018-03-07 |
| 1821502287 | Rachel Dye | Registered Nurse | 167 North Main Street, Tuba City, AZ 86045-0600 | 2017-11-21 |
| 1467965319 | Amber Vaughn | Registered Nurse | 167 North Main Street, Tuba City, AZ 86045-0600 | 2017-11-14 |
| 1639682701 | Roselita Sloan | Registered Nurse | 167 North Main Street, Tuba City, AZ 86045-0600 | 2017-11-13 |
| 1306359518 | Debra Marshall | Registered Nurse | 167 North Main Street, Tuba City, AZ 86045-0600 | 2017-11-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205434206 | Ambrielle Grace Begay | Specialist/Technologist | 48 Turquoise Drive, Tuba City, AZ 86045 | 2020-10-12 |
| 1063028124 | Fresenius Medical Care Tuba City, LLC | Clinic/Center | 50 S. Main Street, Ste 108, Tuba City, AZ 86045 | 2020-09-23 |
| 1609422484 | Rebekah Lee | Pharmacist | 167 North Main St. Tuba City Regional Health Care Corp., Tuba City, AZ 86045 | 2019-08-16 |
| 1861977050 | Kyle C Nguyen | Pharmacist | 3008 E. Birch Ave, Tuba City, AZ 86045 | 2018-10-03 |
| 1518419845 | John Glenn Ives | Pharmacist | 167 N, Main St, Tuba City, AZ 86045 | 2016-11-03 |
| 1497208433 | Toweringrock Non-emergency Medical Transport, LLC | Non-emergency Medical Transport (VAN) | 1029 E. Tc North Side Trailer, 36.153821-111.233925, Tuba City, AZ 86045 | 2016-07-26 |
| 1699153270 | Hopi Assisted Living Facility Inc. | Point of Service | 21 Senior Lane Upper Hud Housing Moenkopi, Hopi Assisted Living, Tuba City, AZ 86045 | 2015-05-14 |
| 1306223870 | Mia Seimy | Driver | Adair Avenue Space #5, Tuba City, AZ 86045 | 2015-05-04 |
| 1033507587 | Tari Carroll | Home Health Aide | Tumbleweed Drive Nha E-3, Tuba City, AZ 86045 | 2015-01-07 |
| 1023452984 | Amanda Bancroft Burrage | Pediatrics | 167 Main St., Tuba City, AZ 86045 | 2013-04-23 |
| Find all providers in zip 86045 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427231299 | Tuba City Regional Health Care Corporation | General Acute Care Hospital | 167 North Main Street, Tuba City, AZ 86045-0600 | 2007-12-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811598121 | Smsj Tucson Holdings LLC | General Acute Care Hospital | 7401 S Wilmot Rd, Tucson, AZ 85756 | 2020-11-03 |
| 1609496397 | Fhmc LLC | General Acute Care Hospital | 9700 N Saguaro Blvd, Fountain Hills, AZ 85268-6241 | 2020-04-22 |
| 1972139004 | Banner Health | General Acute Care Hospital | 1405 S Alma School Rd, Chandler, AZ 85286 | 2020-03-20 |
| 1851927669 | Northwest Sahuarita Hospital LLC | General Acute Care Hospital | 16260 S Rancho Sahuarita Blvd, Sahuarita, AZ 85629 | 2020-03-13 |
| 1265063010 | Honorhealth | General Acute Care Hospital | 33400 N 32nd Ave, Phoenix, AZ 85085-8876 | 2020-01-30 |
| 1447898622 | Vhs of Arrowhead, Inc. | General Acute Care Hospital | 16815 W. Bell Rd, Surprise, AZ 85374 | 2019-12-18 |
| 1699322925 | Valley Hospitalists Group Pllc | General Acute Care Hospital | 6227 E Juniper Ave, Scottsdale, AZ 85254-1314 | 2019-08-21 |
| 1255995361 | Vhs of Phoenix Inc | General Acute Care Hospital | 5750 E. Baseline Rd., Mesa, AZ 85206 | 2019-04-24 |
| 1487218509 | Smsj Tucson Holdings, LLC | General Acute Care Hospital | 5620 W Cortaro Farms Rd, Tucson, AZ 85742-9559 | 2019-04-24 |
| 1518409218 | Rachel Vaughn | General Acute Care Hospital | 2623 N 108th Dr, Avondale, AZ 85392-5806 | 2016-11-11 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.