Canyonlands Community Healthcare

LBN: Canyonlands Community Healthcare
Canyonlands Community Healthcare is an health care organization with primary practice located at 103 Fairgrounds Rd , Duncan AZ 85534-8234. 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 Healthcare can be contacted via phone (928) 645-9675, or through Reed, Mari A via phone (928) 645-9675.

Contact Information

Primary practice address
103 Fairgrounds Rd Duncan AZ 85534-8234
Phone: (928) 645-9675
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Reed, Mari A
Phone: (928) 645-9675

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1386244861
LBN Legal business name Canyonlands Community Healthcare
DBA Doing business as
Authorized official Reed, Mari A
Entity Organization
Organization subpart 1 Yes
Enumeration date Oct 26th, 2020
Last updated Oct 26th, 2020 - about 6 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386244861 NPPES
Arizona Other R000037 STATE OF ARIZONA PHARMACY BOARD

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