Healthcare Provider Details

I. General information

NPI: 1851984363
Provider Name (Legal Business Name): TSO FAMILY HEALTH INFORMATION SPECIALISTS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/16/2021
Last Update Date: 07/01/2022
Certification Date: 07/01/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3 MILES NE OF THE NPS
CHINLE AZ
86503
US

IV. Provider business mailing address

PO BOX 302
CHINLE AZ
86503-0302
US

V. Phone/Fax

Practice location:
  • Phone: 928-349-3428
  • Fax:
Mailing address:
  • Phone: 928-349-3367
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code247000000X
TaxonomyHealth Information Technician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2470A2800X
TaxonomyAssistant Health Information Record Technician
License Number
License Number State

VIII. Authorized Official

Name: DENIKKA TSOSIE
Title or Position: CEO
Credential:
Phone: 928-349-3367