| NPI | 1427213479 |
|---|---|
| Former Legal Business Name | TUBA CITY INDIAN MEDICAL CENTER |
| Entity Type | Organization |
| Authorized Contact | LYNETTE BONAR Chief Executive Officer 928-283-2501 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 275N00000X Medicare Defined Swing Bed Unit |
| Enumeration Date | 2008-07-18 |
| Last Update Date | 2017-04-03 |