TUBA CITY REGIONAL HEALTH CARE CORPORATION (NPI# 1235410309) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235410309 |
| Entity Type | Organization |
| Organization Name | TUBA CITY REGIONAL HEALTH CARE CORPORATION |
| Other Organization Name | SACRED PEAKS HEALTH CENTER PHARMACY |
| Practice Address |
6300 N Highway 89 Flagstaff AZ 86004 |
| Practice Telephone | 9288637331 |
| Practice Fax Number | 9285265900 |
| Mailing Telephone | 9288637331 |
| Mailing Fax Number | 9285265900 |
| Enumeration Date | 2011-09-02 |
| Last Update Date | 2019-09-10 |
| Authorized Official Name | LYNETTE BONAR (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 9282832944 |
| Is Organization Subpart | Y |
| Parent Organization Name | TUBA CITY REGIONAL HEALTH CARE CORPORATION |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332800000X | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 721250 | 05 | |
| NCPDP PROVIDER IDENTIFICATION NUMBER | 0357257 | 01 |
| Other Name | Type Code |
|---|---|
| Sacred Peaks Health Center Pharmacy | Doing Business As 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 |
| 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 |
| 1013171073 | Tuba City Regional Health Care Corporation | General Acute Care Hospital | 167 North Main Street, Tuba City, AZ 86045-0600 | 2008-07-17 |
| 1275704314 | Tuba City Regional Health Care Corporation | Clinic/Center | 167 North Main Street, Tuba City, AZ 86045-0600 | 2008-03-17 |
| Street Address |
6300 N HIGHWAY 89 |
| City | FLAGSTAFF |
| State | AZ |
| Zip Code | 86004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376773341 | Tuba City Regional Health Care Corporation | Internal Medicine | 6300 N Highway 89, Flagstaff, AZ 86004 | 2009-07-23 |
| 1184045916 | Sacred Peaks Health Center Dme | Durable Medical Equipment & Medical Supplies | 6300 N Highway 89, Flagstaff, AZ 86004 | 2013-12-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598387805 | Michael Joseph Oxtoby | Counselor | 2625 N. King St., Flagstaff, AZ 86004 | 2020-05-08 |
| 1083264501 | Dazhoni Elizabeth Scott | Counselor | 1500 E. Cedar Avenue #26, 2110 N. East St Apt C, Flagstaff, AZ 86004 | 2019-09-17 |
| 1760948046 | Emily Bauerle | Social Worker | 3009 N West St, Flagstaff, AZ 86004 | 2019-02-12 |
| 1992295745 | Kaibab Behavioral Services, Pllc | Behavioral Analyst | 2323 E Greenlaw Lane, Suite 12a, Flagstaff, AZ 86004 | 2018-05-17 |
| 1083115364 | Sequelcare of Arizona | Community Based Residential Treatment Facility, Mental Illness | 8800 Marys Drive, Flagstaff, AZ 86004 | 2018-02-22 |
| 1710391081 | Janet Coleman | Hearing Instrument Specialist | 1851 E Butler Avenue, Flagstaff, AZ 86004 | 2014-06-16 |
| 1568703163 | Mercy Timoh | Pharmacist | 4255 E. Soliere Ave., Flagstaff, AZ 86004 | 2013-03-06 |
| 1053617217 | Scott Nichols | Veterinarian | 6122 Abineau Canyon Drive, Flagstaff, AZ 86004 | 2011-02-07 |
| 1366745218 | Karoline S. Mariano | Registered Nurse | 3480 East Route 66, Flagstaff, AZ 86004 | 2010-12-15 |
| 1912209719 | Payal Parekh | Pharmacist | 1500 E Cedar, Flagstaff, AZ 86004 | 2010-11-30 |
| Find all providers in zip 86004 | ||||
| Taxonomy Code | 332800000X |
| Grouping | Suppliers |
| Classification | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy |
| An Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy means a pharmacy operated by the Indian Health Service, an Indian tribe or tribal organization, or an urban Indian organization, all of which are defined in Section 4 of the Indian Health Care Improvement Act, 25 U.S.C. 1603. |
| Notes: Source: The Medicare Prescription Drug, Improvement and Modernization Act of 2003 [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396244976 | Remgbekor | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 7227 S Central Ave Ste 1080, Phoenix, AZ 85042-5457 | 2018-02-08 |
| 1831448398 | Lechee Health Facility | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 3 Miles South of Page, Az, Coppermine Road, Lechee, AZ 86040-0000 | 2012-08-30 |
| 1467690966 | Medone Healthcare LLC | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 2615 S Industrial Park Ave, Tempe, AZ 85282-1821 | 2009-01-22 |
| 1811165319 | Ton San Simon Health Center | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | West Hwy 86 Mile Marker 74, Sells, AZ 85634 | 2008-02-19 |
| 1659490225 | Tsaile Health Center Pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | Intersection Rt 64 and 12, Tsaile, AZ 86556 | 2007-03-28 |
| 1912030768 | Dhhs Phs Naihs Chinle Comprehensive Health Care Facility | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | Nr 4 2 Mi East of Pinon, Pinon, AZ 86510 | 2007-03-13 |
| 1346377926 | Inscription House Hlth Ctr Pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | Hwy 98 and Navajo Rt 16, Shonto, AZ 86054 | 2007-02-28 |
| 1467587030 | Dhhs Ihs Phoenix Area | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 2 West 3rd St, Cibecue, AZ 85911 | 2007-02-22 |
| 1023143609 | Dhhs Ihs Phoenix Area | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 238 Cibecue Circle, San Carlos, AZ 85550 | 2007-02-22 |
| 1376678946 | Dhhs Ihs Phoenix Area | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | Hwy 264 Mile Marker 388, Polacca, AZ 86042 | 2007-02-22 |
| 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.