CANYONLANDS COMMUNITY HEALTH CARE (NPI# 1780653741) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1780653741 |
Entity Type | Organization |
Organization Name | CANYONLANDS COMMUNITY HEALTH CARE |
Other Organization Name | CANYONLANDS HEALTH CARE - BEAVER DAM |
Practice Address |
3272 E Rio Virgin Road Littlefield AZ 86432-3200 |
Mailing Address |
P O Box 1625 827 Vista Avenue Page AZ 86040-1625 |
Practice Telephone | 9283475971 |
Practice Fax Number | 9283475793 |
Mailing Telephone | 9286459675 |
Mailing Fax Number | 9286452626 |
Enumeration Date | 2006-03-14 |
Last Update Date | 2017-02-02 |
Authorized Official Name | CHRISTOPHER J HANSEN (CEO) |
Authorized Official Telephone | 9286459675 |
Is Organization Subpart | Y |
Parent Organization Name | CANYONLANDS COMMUNITY HEALTH CARE |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207Q00000X | Family Medicine | AZ | Allopathic & Osteopathic Physicians | |
N | 261QC1500X |
Clinic/Center Specialization: Community Health |
AZ | Ambulatory Health Care Facilities | |
N | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers | ||
N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
AZ | Ambulatory Health Care Facilities | |
N | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NV | 100509882 | 05 | |
AZ | 432857 | 05 | |
AZ | 594011 | 05 |
Other Name | Type Code |
---|---|
Canyonlands Health Care - Beaver Dam | 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 |
1154380392 | Canyonlands Community Health Care | Family Medicine | Chilchinbeto Chapter House Complex, Chilchinbeto, AZ 86033-1496 | 2006-03-17 |
1669441564 | Canyonlands Community Health Care | Family Medicine | 440 North Navajo Drive, Page, AZ 86040-1625 | 2006-03-15 |
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 |
3272 E RIO VIRGIN ROAD |
City | LITTLEFIELD |
State | AZ |
Zip Code | 86432-3200 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639681646 | Red Hawk Behavioral Health, LLC | Community Based Residential Treatment Facility, Mental Illness | 3767 South Scenic Blvd, Littlefield, AZ 86432 | 2017-10-31 |
1265707004 | Charlotte Frame | Speech-Language Pathologist | 3436 East Rio Virgin Road, Beaver Dam, AZ 86432 | 2012-03-13 |
1386911386 | Wendie G Black | Psychologist | 3490 E. Rio Virgin Rd., Littlefield, AZ 86432 | 2011-11-19 |
1689955395 | Littlefield Unified School District #9 | Local Education Agency (LEA) | 3490 E Rio Virgin Road, Beaver Dan, AZ 86432 | 2011-09-08 |
1750524054 | Brandon K Finlinson | Physician Assistant | 3272 E. Rio Virgin Rd., Littlefield, AZ 86432 | 2009-04-16 |
1093922148 | Cynthia Terese Schultz | Registered Nurse | 3933 E. Rio Virgin Rd, Littlefield, AZ 86432 | 2007-05-17 |
1417172859 | Encompass Health Services | Point of Service | 4103 E Fleet, Suite 100, Littlefield, AZ 86432 | 2007-04-13 |
1154388072 | Lone Birgit Stephens | Physician Assistant | I-15 Exit 9 At The Firestation, Littlefield, AZ 86432-0490 | 2006-04-26 |
1427053867 | Jarrod D Johnson | Family Medicine | I15 Exit 9 @ The Firestation, Littlefield, AZ 86432-0490 | 2005-06-14 |
1881886059 | Emerson Todd Rowley | Dentist | I-15 Exit 9 At The Firestation, Box 490, Littlefield, AZ 86432-0490 | 2007-08-13 |
Find all providers in zip 86432 |
Taxonomy Code | 261QF0400X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Federally Qualified Health Center (FQHC) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831730795 | El Rio Santa Cruz Neighborhood Health Center, Inc | Clinic/Center | 434 E University Blvd, Tucson, AZ 85705 | 2019-10-02 |
1710462593 | Chiricahua Community Health Centers, Inc | Clinic/Center | 310 Arizona St, Bisbee, AZ 85603-1502 | 2018-09-27 |
1811472665 | Chiricahua Community Health Centers, Inc | Clinic/Center | 1151 16th Street, Douglas, AZ 85607 | 2018-09-27 |
1194207878 | Valle Del Sol, Inc. | Clinic/Center | 1510 S 19th Dr, Phoenix, AZ 85009-6540 | 2018-08-30 |
1861970139 | Horizon Health and Wellness, Inc. | Clinic/Center | 374 W Alden Rd, Kearny, AZ 85137-1208 | 2018-07-30 |
1578059168 | Native Health | Clinic/Center | 6850 W Indian School Rd Ste Nh1, Phoenix, AZ 85033-3249 | 2018-07-06 |
1821582529 | Chiricahua Community Health Centers, Inc | Clinic/Center | 335 South Ocotillo Avenue, Benson, AZ 85602 | 2018-06-18 |
1881198992 | Valle Del Sol, Inc. | Clinic/Center | 334 W 10th Pl Ste 100, Mesa, AZ 85201-3499 | 2018-03-22 |
1841706785 | Circle The City | Clinic/Center | 206 S 12th Ave, Phoenix, AZ 85007 | 2017-12-14 |
1346755295 | Circle The City | Clinic/Center | 210 S 12th Ave, Phoenix, AZ 85007-3101 | 2017-12-13 |
Find all providers with the same taxonomy |
City | LITTLEFIELD |
Zip Code | 86432 |
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.