A Federally Qualified Health Center (FQHC) is a community-based organization that provides comprehensive primary care and preventive care, including health, oral, and mental health/substance abuse services to persons of all ages, regardless of their ability to pay or health insurance status.
| Specialty | Taxonomy Code | |
|---|---|---|
| * | Federally Qualified Health Center (FQHC) | 261QF0400X |
| Family Medicine | 207Q00000X | |
| Mental Health | 101YM0800X |
* Indicates primary specialty
| NPI Number | 1124730627 |
| Legal business name LBN |
BLACK CANYON COMMUNITY HEALTH CENTER INC. |
| Authorized official | RANDY HANCOCK - (CEO) |
| Entity | Organization |
| Organization subpart | No |
| Enumeration date | 12/16/2022 |
| Last updated | 12/16/2022 - About 3 years ago |
| Sole proprietor1 | Not specified |
| Identifiers | n/a |
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.
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