Organization Name: | TUBA CITY REGIONAL HEALTH CARE CENTER |
NPI Number: | 1174825624 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LAURA DEAN LIGENZOWSKI (SONOGRAPHER) |
Mailing Address: | 1660 Foothill Ter Deltona |
State: | FL US |
Postal Code: | 327256038 |
Phone Number: | 9282832703 |
Fax Number: | |
NPI Enumeration Date: | 12/03/2010 |
NPI Last Update Date: | 12/03/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 282NR1301X |
License Number: | 31381 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Hospitals |
Taxonomy Classification: | General Acute Care Hospital |
Taxonomy Specialization: | Rural |
Taxonomy Definition: |