TCRHCC MOBILE HEALTHCARE VAN SYSTEM – NPI #1215280920
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).

TCRHCC MOBILE HEALTHCARE VAN SYSTEM is an AHC clinic located in PAGE, AZ. NPPES has assigned the NPI number 1215280920 to TCRHCC MOBILE HEALTHCARE VAN SYSTEM on October 18, 2012. It is a Type-2 NPI, indicating this NPI number is associated with an organization. TCRHCC MOBILE HEALTHCARE VAN SYSTEM is also known by the name COPPERMINE CHAPTER HOUSE. The primary taxonomy selected by this provider is 261Q00000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center.

The NPI profile was previously updated about 14 years ago on Oct 24, 2012. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for TCRHCC MOBILE HEALTHCARE VAN SYSTEM below.

NPI Profile for
TCRHCC MOBILE HEALTHCARE VAN SYSTEM

NPI Number
1215280920
Enumeration Date

(more than 13 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
TCRHCC MOBILE HEALTHCARE VAN SYSTEM
Other Name: COPPERMINE CHAPTER HOUSE
Primary location
26 MILES SOUTH OF PAGE
COPPERMINE CHAPTER HOUSE
PAGE, AZ 86040
Phone: (928) 283-2501 Fax: (928) 283-2677
Mailing address
PO BOX 600
BASE OF OPERATIONS: 167 NORTH MAIN STREET
TUBA CITY, AZ 86045-0600
Phone: (928) 283-2781 Fax: (928) 283-2677
Organization Subpart
Yes - TCRHCC MOBILE HEALTHCARE VAN SYSTEM is subpart of another organization.
Authorized Official
JOSEPH ENGELKEN
CEO
Phone: (928) 283-2501
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261Q00000X
- Clinic/Center (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.