Canyonlands Community Health Care, NPI 1780653741
Federally Qualified Health Center (FQHC) in Littlefield, AZ, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1780653741 |
| NPI Entity Type | Organization |
| Provider Name |
Canyonlands Community Health Care
Doing Business As |
| Subpart of Organization | Canyonlands Community Health Care |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Certification Date | September 30, 2009 |
| Provider Location Address | 3272 E Rio Virgin Road, Littlefield, AZ, US |
| Provider Mailing Address | P O Box 1625, 827 Vista Avenue, Page, AZ, US, 860401625 |
| Gender | Male |
| Is Sole Proprietor? | No |
Organization Official
| Official Name | Christopher J Hansen |
| Official Position | CEO |
| Phone | 928-645-9675 |
Group Taxonomy
| Taxonomy Code | 193200000X |
| Taxonomy Name | 193200000X MULTI-SPECIALTY GROUP |
| Definition | A business group of one or more individual practitioners, who practice with different areas of specialization. |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Federally Qualified Health Center (FQHC) |
| Classification | |
| Group | |
| License State | AZ |
| Description | Definition to come... |
Secondary Taxonomies
| Taxonomy Code | Group | Classification | License No. | State | Primary? |
|---|---|---|---|---|---|
| No | |||||
| No | |||||
| No | |||||
| AZ | No | ||||
| AZ | No |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| 100509882 | NV | MEDICAID | 05 |
| 594011 | AZ | MEDICAID | 05 |
| 432857 | AZ | MEDICAID | 05 |
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