Healthcare Provider Details

I. General information

NPI: 1003743188
Provider Name (Legal Business Name): TOHONO O'ODHAM NATION HEALTH CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/05/2026
Last Update Date: 05/05/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

SR-86
SELLS AZ
85634
US

IV. Provider business mailing address

PO BOX 2665
SELLS AZ
85634-2665
US

V. Phone/Fax

Practice location:
  • Phone: 520-383-7221
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State

VIII. Authorized Official

Name: REANNA GARCIA
Title or Position: LICENSE PRACTICAL NURSE
Credential: LPN
Phone: 520-304-1844