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
KAIBETO BOARDING SCHOOL DORM # 4
KAIBITO, AZ86053-2121
Phone: 928-673-3491
Fax: 928-673-3494
Website:
Specialty Taxonomy Code
* Federally Qualified Health Center (FQHC) 261QF0400X
Family Medicine 207Q00000X

* Indicates primary specialty

NPI Profile & details for CANYONLANDS COMMUNITY HEALTH CARE

NPI Number 1568430676
Legal business name
LBN
CANYONLANDS COMMUNITY HEALTH CARE
Authorized official ELIZABETH LATHAM - (CEO)
Entity Organization
Organization subpart Yes
Enumeration date 03/14/2006
Last updated 04/20/2008 - About 18 years ago
Sole proprietor1 Not specified
Identifiers
  • AZ Medicaid: 432857
  • AZ Medicaid: 594045

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

There are currently no reviews for CANYONLANDS COMMUNITY HEALTH CARE


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