TCRHCC MOBILE HEALTHCARE VAN SYSTEM (NPI# 1205189917) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205189917 |
| Entity Type | Organization |
| Organization Name | TCRHCC MOBILE HEALTHCARE VAN SYSTEM |
| Other Organization Name | KAIBETO CHAPTER HOUSE |
| Practice Address |
35 Mi N of Jct Hwy 160 & Hwy 98 Kaibeto Chapter House Kaibeto AZ 86053 |
| Mailing Address |
Po Box 600 Base of Operations: 167 North Main Street Tuba City AZ 86060-0600 |
| Practice Telephone | 9282832501 |
| Practice Fax Number | 9282832677 |
| Mailing Telephone | 9282832781 |
| Mailing Fax Number | 9282832677 |
| Enumeration Date | 2012-10-18 |
| Last Update Date | 2012-10-24 |
| 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 |
|---|---|
| Kaibeto Chapter House | 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 |
| 1780937482 | Tcrhcc Mobile Healthcare Van System | Clinic/Center | Highway 89 At Mile Post 498, Base of Operations: 167 N. Main St. Tuba City, Az 86045, Gap, AZ 86020 | 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 |
| 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 |
35 MI N OF JCT HWY 160 & HWY 98 KAIBETO CHAPTER HOUSE |
| City | KAIBETO |
| State | AZ |
| Zip Code | 86053 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376195024 | Regina Gorman | Counselor | .25 Miles S. of Kaibeto Market, Kaibeto, AZ 86053 | 2019-07-12 |
| 1013569763 | Paul Lowman Jr. | Case Manager/Care Coordinator | .25 Miles South of Kaibeto Market, Kaibeto, AZ 86053 | 2019-07-12 |
| 1215589957 | Stephan Klain | Counselor | 1/2 Mile South of Kaibeto Market Bldg #7986a, Kaibeto, AZ 86053 | 2019-07-12 |
| 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 |
| 1285072926 | Rebecca Michelle White | Psychiatry & Neurology | Highway 191 and Hospital Road, Chinle, AZ 86053 | 2013-06-04 |
| 1568430676 | Canyonlands Community Health Care | Family Medicine | Kaibeto Boarding School Dorm # 4, Kaibeto, AZ 86053-2121 | 2006-03-14 |
| 1083835458 | Kaibeto Outpatient Treatment Center | Counselor | 0.5 Mile South of Kaibeto Market, Kaibeto, AZ 86053-2147 | 2007-05-01 |
| 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 |
|---|---|---|---|---|
| 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 |
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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.