Canyonlands Community Healthcare
LBN: Canyonlands Community Health Care
Canyonlands Community Healthcare is an health care organization with primary practice located at 467 Vista Avenue , Page AZ 86040. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Canyonlands Community Health Care can be contacted via phone (928) 645-6620, or through Lewandowski, Andrew via phone (928) 645-6620.
Contact Information
Primary practice address
467 Vista Avenue
Page AZ 86040
Phone: (928) 645-6620
Fax: (928) 645-6621
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | Y006821 | Arizona |
Profile Details
| NPI number | 1689021933 |
|---|---|
| LBN Legal business name | Canyonlands Community Health Care |
| DBA Doing business as | Canyonlands Community Healthcare |
| Authorized official | Lewandowski, Andrew PHARMD |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 17th, 2016 |
| Last updated | Sep 23rd, 2021 - about 5 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1689021933 | NPPES |
| Other | 2160535 | PK | |
| MEDICAID | 174027 | PK | |
| MEDICAID | 1689021933 | PK |
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