SEQUEL TSI OF AZ, LLC (NPI# 1518297241) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518297241 |
| Entity Type | Organization |
| Organization Name | SEQUEL TSI OF AZ, LLC |
| Other Organization Name | TRADITIONS CHINLE |
| Practice Address |
Navajo Route 7 Westside Trinity Presbyterian Church Chinle AZ 86503 |
| Mailing Address |
Po Box 1820 Chinle AZ 86503-1820 |
| Practice Telephone | 9286743818 |
| Practice Fax Number | 9286745814 |
| Mailing Telephone | 9286743818 |
| Mailing Fax Number | 9286745814 |
| Enumeration Date | 2009-12-31 |
| Last Update Date | 2009-12-31 |
| Authorized Official Name | CHRIS BANKEN (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 6023352095 |
| Is Organization Subpart | Y |
| Parent Organization Name | SEQUELCARE OF AZ, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Traditions Chinle | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891025524 | Sequel Tsi of Az, LLC | Clinic/Center | 1109 S. Chief Ave., White Mountain Apache Motel., Whiteriver, AZ 85941 | 2009-12-31 |
| 1790015428 | Sequel Tsi of Az, LLC | Clinic/Center | 75 S. Main St., Suite B, Kentucky Fried Chicken Comples, Tuba City, AZ 86045 | 2009-12-31 |
| 1609106335 | Sequel Tsi of Az, LLC | Clinic/Center | Navajo Reservation, St. Michaels, AZ 86511 | 2009-12-31 |
| 1982934618 | Sequel Tsi of Az, LLC | Clinic/Center | Highway 163, Kayenta Mobile Home Park #8, Kayenta, AZ 86033 | 2009-12-31 |
| Street Address |
NAVAJO ROUTE 7 WESTSIDE TRINITY PRESBYTERIAN CHURCH |
| City | CHINLE |
| State | AZ |
| Zip Code | 86503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366529414 | Vista Care, LLC | Clinic/Center | Navajo Route 7, Westside Presbyterian Church, Chinle, AZ 86503 | 2006-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164042461 | Jonathan Lam | Optometrist | Us 191 & Hospital Dr., Chinle, AZ 86503 | 2020-04-16 |
| 1154950004 | David Gibrael | Pharmacist | Us 191 Hospital Drive, Chinle, AZ 86503 | 2020-04-03 |
| 1366076739 | Calli Jo Swenson | Pharmacist | Us 191 & Hospital Drive, Chinle, AZ 86503 | 2020-02-25 |
| 1336770338 | Quan The Truong | Pharmacist | Us Hway 191 & Hospital Road, Po Drawer Ph, Chinle, AZ 86503 | 2020-01-29 |
| 1275172264 | Alexandra Guthart | Pharmacist | Us 191 and Hospital Dr, Chinle, AZ 86503 | 2019-12-23 |
| 1811530819 | Brian Spencer | Dentist | U.S. 191 and Hospital Drive, Chinle, AZ 86503 | 2019-10-22 |
| 1881249084 | Natasha Renee Bitsui | Community Health Worker | Navajo Rte 7 and 102-1, C012-118, Chinle, AZ 86503 | 2019-08-05 |
| 1871063628 | Zachary Holtkamp | Physical Therapist | Off Highway 191, Hospital Rd, Chinle, AZ 86503 | 2018-12-04 |
| 1841774296 | Tanieca Marie Downing | Dietitian, Registered | U.S. 191 & Hospital Drive, Chinle, AZ 86503 | 2018-09-21 |
| 1417430331 | Virginia Lois Woollens | Dietitian, Registered | Chinle Comprehensive Healthcare Facility, Us 191, Chinle, AZ 86503 | 2018-09-07 |
| Find all providers in zip 86503 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366529414 | Vista Care, LLC | Clinic/Center | Navajo Route 7, Westside Presbyterian Church, Chinle, AZ 86503 | 2006-11-01 |
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| 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.