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Contact Information

CANYONLANDS COMMUNITY HEALTH CARE
CHILCHINBETO CHAPTER HOUSE COMPLEX
CHILCHINBETO, AZ86033
 Phone: 928-697-8154
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for CANYONLANDS COMMUNITY HEALTH CARE

NPI # 1184283335
LBN Legal business name CANYONLANDS COMMUNITY HEALTH CARE
Authorized official ANDREW LEWANDOWSKI - (DIRECTOR OF PHARMACY)
Entity Organization
Organization subpart 1 Yes
Enumeration date 06/11/2019
Last updated 09/23/2021 - About 5 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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