National Provider Identifier Database

CANYONLANDS COMMUNITY HEALTH CARE
Federally Qualified Health Center (FQHC)

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.


Contact Information

CANYONLANDS COMMUNITY HEALTH CARE
5860 SOUTH HOSPITAL DRIVE
STE 102
GLOBE, AZ85501
Phone: 928-402-0491
Fax: 928-402-0490
Website:
Specialty Taxonomy Code
* Federally Qualified Health Center (FQHC) 261QF0400X

* Indicates primary specialty

NPI Profile & details for CANYONLANDS COMMUNITY HEALTH CARE

NPI Number 1417218876
Legal business name
LBN
CANYONLANDS COMMUNITY HEALTH CARE
Authorized official CHRISTOPHER HANSEN - (CEO)
Entity Organization
Organization subpart Yes
Enumeration date 06/01/2012
Last updated 09/23/2021 - About 5 years ago
Sole proprietor1 Not specified
Identifiers
  • AZ Medicaid: 933575
  • AZ Other: 1619945904 CORPORATE NPI
  • AZ Other: 031811 CORPORATE PTAN

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.

Reviews for CANYONLANDS COMMUNITY HEALTH CARE

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