TUBA CITY REGIONAL HEALTH CARE CORPORATION
NPI 1710519913
Family Medicine in Bodaway Gap, AZ
About Tuba City Regional Health Care Corporation NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TUBA CITY REGIONAL HEALTH CARE CORPORATION (NPI 1710519913), doing business as Bodaway Gap Clinic, is a healthcare organization registered as a family medicine in Bodaway Gap, Arizona and active in the NPI registry since February 2020. The organization lists Lynette Bonar, Chief Executive Officer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Tuba City Regional Health Care Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
540Medicare enrollment records show 540 clinicians reassign Medicare billing to Tuba City Regional Health Care Corporation, which bills Medicare for the services they deliver. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 36
Nearest to this location (20)
See all 540Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Tuba City Regional Health Care Corporation's NPI number?
The NPI number for Tuba City Regional Health Care Corporation is 1710519913. It was assigned to this organization in the NPPES registry on February 6, 2020. The provider is doing business as Bodaway Gap Clinic.
Where is Tuba City Regional Health Care Corporation located?
Tuba City Regional Health Care Corporation is located at Hwy 89 North Milepost 498 East, Bodaway Gap, AZ 86020. The listed phone number is (928) 283-2501.
What is Tuba City Regional Health Care Corporation's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Tuba City Regional Health Care Corporation enrolled in Medicare?
Yes. Tuba City Regional Health Care Corporation is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Tuba City Regional Health Care Corporation?
According to the CMS Revalidation Reassignment List (October 2026 release), 540 clinicians in 36 Medicare specialties reassign their Medicare billing to Tuba City Regional Health Care Corporation. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Diagnostic Radiology (82), Emergency Medicine (81) and Nurse Practitioner (51). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Tuba City Regional Health Care Corporation was last updated on February 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Tuba City Regional Health Care Corporation · NPI 1710519913
Family Medicine organization in Bodaway Gap, Arizona. Organization record, active in the CMS NPPES registry since February 6, 2020.
## Identity
- **NPI:** 1710519913 (Entity type: Organization)
- **Enumerated:** February 6, 2020
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Also known as:** Bodaway Gap Clinic (Doing Business As)
- **Organization subpart:** Yes (part of Tuba City Regional Health Care Corporation)
- **Authorized official:** Lynette Bonar, CHIEF EXECUTIVE OFFICER
## Practice location
- **Address:** HWY 89 NORTH MILEPOST 498 EAST, Bodaway Gap, AZ 86020
- **Phone:** (928) 283-2501
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 540 clinicians in 36 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Diagnostic Radiology (82), Emergency Medicine (81), Nurse Practitioner (51); [full list](https://npiprofile.com/npi/1710519913/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 6, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1710519913) · Data from the CMS NPPES public registry.