TCRHCC MOBILE HEALTHCARE VAN SYSTEM (NPI# 1780937482) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780937482 |
| Entity Type | Organization |
| Organization Name | TCRHCC MOBILE HEALTHCARE VAN SYSTEM |
| Other Organization Name | BODAWAY/GAP CHAPTER HOUSE-DENTAL |
| Practice Address |
Highway 89 At Mile Post 498 Base of Operations: 167 N. Main St. Tuba City, Az 86045 Gap AZ 86020 |
| Mailing Address |
Po Box 600 Base of Operations: 167 N. Main St. Tuba City, Az 86045 Tuba City AZ 86045-0600 |
| Practice Telephone | 9282832501 |
| Practice Fax Number | 9282832677 |
| Mailing Telephone | 9282832781 |
| Mailing Fax Number | 9282832677 |
| Enumeration Date | 2012-10-18 |
| Last Update Date | 2012-10-22 |
| Authorized Official Name | JOSEPH T ENGELKEN (CEO) |
| 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 | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Bodaway/Gap Chapter House-Dental | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528311040 | Tcrhcc Mobile Healthcare Van System | Clinic/Center | I Mi N of Jct Hwy 89 & Sr 64, Cameron Chapter-dental, Cameron, AZ 86020 | 2012-10-22 |
| 1215280920 | Tcrhcc Mobile Healthcare Van System | Clinic/Center | 26 Miles South of Page, Coppermine Chapter House, Page, AZ 86040 | 2012-10-18 |
| 1033462734 | Tcrhcc Mobile Healthcare Van System | Clinic/Center | I Mile N of Jct Hwy 89 & Sr 64, Cameron Chapter House, Cameron, AZ 86020 | 2012-10-18 |
| 1205189917 | Tcrhcc Mobile Healthcare Van System | Clinic/Center | 35 Mi N of Jct Hwy 160 & Hwy 98, Kaibeto Chapter House, Kaibeto, AZ 86053 | 2012-10-18 |
| 1750634465 | Tcrhcc Mobile Healthcare Van System | Clinic/Center | 3 Mi S of Page On Nr-20 Coppermine Rd, Kaibeto Chapter House, Lechee, AZ 86040 | 2012-10-18 |
| 1073866067 | Tcrhcc Mobile Healthcare Van System | Clinic/Center | Jct of Rte Nr-21 & Hwy 160, Tonalea Chapter - Dental, Tonalea, AZ 86044 | 2012-10-16 |
| 1942553920 | Tcrhcc Mobile Healthcare Van System | Clinic/Center | 26 Miles S. of Page On Nr-20, Coppermine Chapter - Dental, Page, AZ 86040 | 2012-10-16 |
| 1134472111 | Tcrhcc Mobile Healthcare Van System | Clinic/Center | 35 Mi N of Jct Hwy 160 &hwy 98, Kaibeto Chapter House-dental, Kaibeto, AZ 86053 | 2012-10-16 |
| 1053664508 | Tcrhcc Mobile Healthcare Van System | Clinic/Center | 3 Mi S of Page On Nr-20 Coppermine Rd, Lechee Chapter-dental, Page, AZ 86040 | 2012-10-22 |
| 1104179811 | Tcrhcc Mobile Healthcare Van System | Clinic/Center | Jct of Rte Nr-21 & Hwy 160, Tonalea Chapter House, Tonalea, AZ 86044 | 2012-10-18 |
| Street Address |
HIGHWAY 89 AT MILE POST 498 BASE OF OPERATIONS: 167 N. MAIN ST. TUBA CITY, AZ 86045 |
| City | GAP |
| State | AZ |
| Zip Code | 86020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760735468 | Tcrhcc Mobile Healthcare Van System | Clinic/Center | Highway 89 At Mile Post 498, Bodaway/gap Chapter House, Gap, AZ 86020 | 2012-10-18 |
| 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 |
| 1528311040 | Tcrhcc Mobile Healthcare Van System | Clinic/Center | I Mi N of Jct Hwy 89 & Sr 64, Cameron Chapter-dental, Cameron, AZ 86020 | 2012-10-22 |
| 1033462734 | Tcrhcc Mobile Healthcare Van System | Clinic/Center | I Mile N of Jct Hwy 89 & Sr 64, Cameron Chapter House, Cameron, AZ 86020 | 2012-10-18 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689272163 | Megan Davis | Occupational Therapist | 5779 Burkey Rd, Gap, PA 17527-9648 | 2020-10-15 |
| 1730643057 | Rosemary Williams | Speech-Language Pathologist | 1139 Simmontown Rd, Gap, PA 17527-9692 | 2019-01-31 |
| 1578079927 | Jan Yanello | Midwife | 582 Meetinghouse Rd, Gap, PA 17527-9760 | 2017-12-21 |
| 1720459027 | Dr. William L. Hook Dmd PC | Dentist | 91 Newport Rd, Suite 304, Gap, PA 17527-9579 | 2015-10-13 |
| 1629472600 | Amy Thompson | Behavioral Analyst | 855 Longivew Lane, Gap, PA 17527 | 2014-10-20 |
| 1245578038 | Sekora Denae Wallace-henderson | Chiropractor | 91 Newport Rd Ste 302-303, Gap, PA 17527-9579 | 2013-01-29 |
| 1336486356 | Pequea Valley Community Medicine | Internal Medicine | 836 Houston Run Dr, Suite 201, Gap, PA 17527-9496 | 2013-01-10 |
| 1134498751 | Carrie Stevenson Cantrell | Marriage & Family Therapist | 835 Houston Run Dr., Suite 230, Gap, PA 17527 | 2011-12-28 |
| 1154698165 | Kay L. Weaver | Counselor | 835 Houston Run Drive, Suite 230, Gap, PA 17527 | 2011-11-18 |
| 1578851465 | Allison Lapp | Chiropractor | 835 Houston Run Dr Ste 240, Gap, PA 17527-9489 | 2011-07-13 |
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| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760735468 | Tcrhcc Mobile Healthcare Van System | Clinic/Center | Highway 89 At Mile Post 498, Bodaway/gap Chapter House, Gap, AZ 86020 | 2012-10-18 |
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| 1952928053 | Brio Inc | Clinic/Center | 11000 N Scottsdale Rd Ste 115, Scottsdale, AZ 85254-6168 | 2020-07-06 |
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| 1003436197 | Omo Ije's'a Pllc | Clinic/Center | 7309 E 28th St, Tucson, AZ 85710-5505 | 2020-04-20 |
| 1134752835 | Terry Wright | Clinic/Center | 1435 E University Dr, Tempe, AZ 85281-8473 | 2020-02-20 |
| 1265064265 | Hinds Mobile Md | Clinic/Center | 8485 E Mcdonald Dr # 214, Scottsdale, AZ 85250-6335 | 2020-02-07 |
| 1932731130 | Arcadia Neuropsychology, Pllc | Clinic/Center | 2929 N 44th St Ste 330, Phoenix, AZ 85018-7241 | 2020-02-06 |
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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.