Canyonlands Community Health Care, NPI 1780653741
Federally Qualified Health Center (FQHC) in Littlefield, AZ, US

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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
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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

261QF0400X

Taxonomy Name Federally Qualified Health Center (FQHC)
Classification

Clinic/Center

Group

Ambulatory Health Care Facilities

License State AZ
Description Definition to come...

Other Organization Name

Canyonlands Health Care - Beaver Dam
Doing Business As

Business Address

Canyonlands Community Health Care
3272 E Rio Virgin Road

Littlefield, AZ, US

Phone: 928-347-5971
Fax: 928-347-5793

Mailing Address

Canyonlands Community Health Care
P O Box 1625
827 Vista Avenue
Page, AZ, US
ZIP 860401625
Phone: 928-645-9675
Fax: 928-645-2626

Secondary Taxonomies

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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PT Catherine Broadbent

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