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
2016 WEST 16TH STREET
SAFFORD, AZ85546
Phone: 928-428-1500
Fax: 928-428-1555
Website:
Specialty Taxonomy Code
* Federally Qualified Health Center (FQHC) 261QF0400X

* Indicates primary specialty

NPI Profile & details for CANYONLANDS COMMUNITY HEALTH CARE

NPI Number 1861558595
Legal business name
LBN
CANYONLANDS COMMUNITY HEALTH CARE
Authorized official CHRISTOPHER HANSEN - (CEO)
Entity Organization
Organization subpart Yes
Enumeration date 12/28/2006
Last updated 09/23/2021 - About 5 years ago
Sole proprietor1 Not specified
Identifiers
  • AZ License #: OTC 4095
  • AZ Medicaid: 432857
  • AZ Medicaid: 933583

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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