TUBA CITY REGIONAL HEALTH CARE CORPORATION (NPI# 1376773341) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376773341 |
| Entity Type | Organization |
| Organization Name | TUBA CITY REGIONAL HEALTH CARE CORPORATION |
| Other Organization Name | SACRED PEAKS HEALTH CENTER |
| Practice Address |
6300 N Highway 89 Flagstaff AZ 86004 |
| Mailing Address |
Po Box 600 Tuba City AZ 86045-0600 |
| Practice Telephone | 9288637333 |
| Practice Fax Number | 9285250047 |
| Mailing Telephone | 9282832501 |
| Mailing Fax Number | 9282832677 |
| Enumeration Date | 2009-07-23 |
| 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 |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians | ||
| N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians | ||
| N | 2085U0001X |
Radiology Specialization: Diagnostic Ultrasound |
Allopathic & Osteopathic Physicians | ||
| N | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 291U00000X | Clinical Medical Laboratory | Laboratories | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 721250 | 05 |
| Other Name | Type Code |
|---|---|
| Sacred Peaks Health Center | 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 |
| 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 |
| 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 |
|---|---|---|---|---|
| 1184045916 | Sacred Peaks Health Center Dme | Durable Medical Equipment & Medical Supplies | 6300 N Highway 89, Flagstaff, AZ 86004 | 2013-12-20 |
| 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 |
| 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 | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679083364 | Austin Grace | Family Medicine | 1501 S Yale St Ste 150, Flagstaff, AZ 86001-7337 | 2017-10-06 |
| 1154849610 | Altacare, LLC | Family Medicine | 2700 S Woodlands Village Blvd Ste 700, Flagstaff, AZ 86001 | 2017-09-05 |
| 1699128348 | Michael Seby | Family Medicine | 1178 N Wakonda St, Flagstaff, AZ 86004-7893 | 2016-07-18 |
| 1619345675 | North Country Healthcare, Inc. | Family Medicine | 1120 West University Avenue, Suite 101, Flagstaff, AZ 86001-3630 | 2015-09-08 |
| 1003222951 | North Country Healthcare-ponderosa Hs | Family Medicine | 2384 N Steves Blvd, Flagstaff, AZ 86004-6105 | 2014-07-10 |
| 1013272988 | Patti Mugo | Family Medicine | 1120 W University Ave Ste 101, Flagstaff, AZ 86001-2851 | 2012-07-06 |
| 1336407774 | Andrew Robert Larson | Family Medicine | 801 E Hilltop Ave, Flagstaff, AZ 86001-4738 | 2012-04-23 |
| 1992938088 | Aero Vista Inc | Family Medicine | 611 N Leroux St Ste 100, Flagstaff, AZ 86001-3267 | 2009-08-24 |
| 1386872315 | Carmen F. Alfonso | Family Medicine | 521 W Deanna Dr, Flagstaff, AZ 86001-3057 | 2009-06-29 |
| 1144454117 | Charles Dennis Bendixen | Family Medicine | 1955 N Meteor Dr, Flagstaff, AZ 86001-1144 | 2009-05-06 |
| Find all providers in FLAGSTAFF | ||||
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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.