CANYONLANDS COMMUNITY HEALTH CARE (NPI# 1154380392) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154380392 |
| Entity Type | Organization |
| Organization Name | CANYONLANDS COMMUNITY HEALTH CARE |
| Other Organization Name | CHILCHINBETO CLINIC |
| Practice Address |
Chilchinbeto Chapter House Complex Chilchinbeto AZ 86033-1496 |
| Mailing Address |
Po Box 1625 Page AZ 86040-1625 |
| Practice Telephone | 9286978154 |
| Practice Fax Number | 9286978559 |
| Mailing Telephone | 9286459675 |
| Mailing Fax Number | 9286452626 |
| Enumeration Date | 2006-03-17 |
| Last Update Date | 2017-03-15 |
| Authorized Official Name | CHRISTOPHER HANSEN (CEO) |
| Authorized Official Telephone | 9286459675 |
| Is Organization Subpart | Y |
| Parent Organization Name | CANYONLANDS COMMUNITY HEALTH CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 261QC1500X |
Clinic/Center Specialization: Community Health |
AZ | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 933559 | 05 | |
| AZ | 594037 | 05 |
| Other Name | Type Code |
|---|---|
| Chilchinbeto Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134568660 | Canyonlands Community Health Care | Clinic/Center | 10 Ward Canyon Road, #a, Clifton, AZ 85533 | 2013-06-18 |
| 1417218876 | Canyonlands Community Health Care | Clinic/Center | 5860 South Hospital Drive, Ste 102, Globe, AZ 85501 | 2012-06-01 |
| 1598052466 | Canyonlands Community Health Care | Clinic/Center | 618 S Central Ave, Safford, AZ 85546-2721 | 2011-06-29 |
| 1861558595 | Canyonlands Community Health Care | Clinic/Center | 2016 West 16th Street, Safford, AZ 85546 | 2006-12-28 |
| 1609966860 | Canyonlands Community Health Care | Dentist | 827 Vista Avenue, Page, AZ 86040-1625 | 2006-10-16 |
| 1669441564 | Canyonlands Community Health Care | Family Medicine | 440 North Navajo Drive, Page, AZ 86040-1625 | 2006-03-15 |
| 1780653741 | Canyonlands Community Health Care | Family Medicine | 3272 E Rio Virgin Road, Littlefield, AZ 86432-3200 | 2006-03-14 |
| 1568430676 | Canyonlands Community Health Care | Family Medicine | Kaibeto Boarding School Dorm # 4, Kaibeto, AZ 86053-2121 | 2006-03-14 |
| 1548238876 | Canyonlands Community Health Care | Family Medicine | 100 E Wood Hill Road, Fredonia, AZ 86022-0175 | 2006-03-11 |
| 1184283335 | Canyonlands Community Health Care | Pharmacy | Chilchinbeto Chapter House Complex, Chilchinbeto, AZ 86033 | 2019-06-11 |
| Street Address |
CHILCHINBETO CHAPTER HOUSE COMPLEX |
| City | CHILCHINBETO |
| State | AZ |
| Zip Code | 86033-1496 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184283335 | Canyonlands Community Health Care | Pharmacy | Chilchinbeto Chapter House Complex, Chilchinbeto, AZ 86033 | 2019-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962048306 | Pauletta A Butterfly | Social Worker | Hwy. 160 Mp 394.3, Kayenta, AZ 86033 | 2019-11-20 |
| 1871143255 | Andrea Dawn Begay | Nurse's Aide | Us Hwy 160 M.p. 394.3, Kayenta, AZ 86033 | 2019-09-17 |
| 1083264451 | Mavis Ann Bahe | Nurse's Aide | Kayenta Health Center, Us Hwy 160, Mp 394.3, Kayenta, AZ 86033 | 2019-09-17 |
| 1609420165 | Emily Ingram Nimon | Registered Nurse | Kayenta Health Center Hwy 160 M.p. 394.3, Kayenta, AZ 86033 | 2019-08-01 |
| 1700439577 | Sherri A Verdon | Registered Nurse | Hwy 160 M.p 394.3, Kayenta, AZ 86033 | 2019-07-22 |
| 1447712104 | Cynthia Kaye Robbins | Registered Nurse | Us Highway 160 Mile Post 394.3, Kayenta, AZ 86033 | 2019-04-02 |
| 1871051052 | Brian Jason Miller | Registered Nurse | Hwy 160, Mile Post 394.3, Kayenta, AZ 86033 | 2019-03-07 |
| 1265915615 | Marissa Brooke Wall | Optometrist | 394.3 Us-160, Kayenta, AZ 86033 | 2018-09-12 |
| 1467952762 | Michael Ruddy | Pharmacist | Hwy 160 1/2 Mile South of Mile Post 394.3, Kayenta, AZ 86033 | 2018-02-14 |
| 1922516319 | Xavier Kelton Nelson | Spec/Tech, Pathology | Highway 160 Mp 394.3, Kayenta Health Center, Kayenta, AZ 86033 | 2018-01-19 |
| Find all providers in zip 86033 | ||||
| Taxonomy Code | 261QC1500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053926204 | Avondale Fire & Medical | Clinic/Center | 125 S Avondale Blvd Ste 100, Avondale, AZ 85323-5214 | 2020-09-14 |
| 1770107476 | Buena Vista Recovery, LLC | Clinic/Center | 8171 E Indian Bend Rd Ste 100, Scottsdale, AZ 85250-4830 | 2020-05-29 |
| 1841771920 | Harmony Health and Wellness Foundation | Clinic/Center | 5220 N Dysart Rd Building C, Litchfield Park, AZ 85340 | 2018-08-27 |
| 1427536770 | Mulligan's Manor, Inc. | Clinic/Center | 4701 S Lakeshore Dr Unit 1, Tempe, AZ 85282-7169 | 2018-07-30 |
| 1033614060 | Devereux Foundation | Clinic/Center | 1837 S Mesa Dr Ste A200, Mesa, AZ 85210-6219 | 2018-03-30 |
| 1841703253 | Tri-state Community Healthcare Center | Clinic/Center | 8700 S Highway 95, Mohave Valley, AZ 86440-8519 | 2017-11-07 |
| 1477082642 | Horizon Health and Wellness, Inc. | Clinic/Center | 450 W Adamsville Rd Ste A, Florence, AZ 85132 | 2017-06-09 |
| 1649710328 | City of Surprise | Clinic/Center | 14250 W Statler Plz Ste 101, Surprise, AZ 85374-7474 | 2017-03-01 |
| 1144696097 | Wesley Community Center, Inc | Clinic/Center | 1625 N 39th Ave, Phoenix, AZ 85009-2149 | 2015-08-14 |
| 1487062667 | Pph Franchise Holdings LLC | Clinic/Center | 8324 E Hartford Dr Ste 200, Scottsdale, AZ 85255-7801 | 2014-07-31 |
| Find all providers with the same taxonomy | ||||
| City | CHILCHINBETO |
| Zip Code | 86033 |
Please comment or provide details below to improve the information on CANYONLANDS COMMUNITY HEALTH CARE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.