<Unavail>
LBN: Canyonlands Community Health Care
<Unavail> is an health care organization with primary practice located at 2016 West 16Th Street , Safford AZ 85546. The organization recently has only one registered license in Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), which is considered as the primary health care specialty.
Canyonlands Community Health Care can be contacted via phone (928) 428-1500, or through Hansen, Christopher via phone (928) 645-9675.
Contact Information
Primary practice address
2016 West 16Th Street
Safford AZ 85546
Phone: (928) 428-1500
Fax: (928) 428-1555
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X | OTC 4095 | Arizona |
| Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X | Arizona |
Profile Details
| NPI number | 1861558595 |
|---|---|
| LBN Legal business name | Canyonlands Community Health Care |
| DBA Doing business as | <Unavail> |
| Authorized official | Hansen, Christopher |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Dec 28th, 2006 |
| 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 | 1861558595 | NPPES |
| Arizona | MEDICAID | 933583 | |
| Arizona | MEDICAID | 432857 |
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