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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 | Specialty Code | Provider Type | |
Federally Qualified Health Center (FQHC) |
261QF0400X | B4[14] | Federally Qualified Health Center | |
Family Medicine |
207Q00000X | 08 | Physician/Family Practice | |
Mental Health |
101YM0800X |
| NPI Number | 1124730627 |
| LBN Legal business name | BLACK CANYON COMMUNITY HEALTH CENTER INC. |
| Authorized official | RANDY HANCOCK - (CEO) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 12/16/2022 |
| Last updated | 12/16/2022 - About 3 years ago |
| Identifiers | n/a |
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BLACK CANYON COMMUNITY HEALTH CENTER INC.