CANYONLANDS COMMUNITY HEALTH CARE


Address: 3272 E Rio Virgin Road, Littlefield, AZ 86432-3200
Phone: 9283475971

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
NV 100509882 05
AZ 432857 05
AZ 594011 05

Other Provider/Organization Names

Other Name Type Code
Canyonlands Health Care - Beaver Dam Doing Business As Name - Organization

Other Provider IDs and Locations

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

Office Location

Street Address 3272 E RIO VIRGIN ROAD
City LITTLEFIELD
State AZ
Zip Code 86432-3200

Providers in the same zip code

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 Information

Taxonomy Code 261QF0400X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Federally Qualified Health Center (FQHC)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

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

Competitor

Search similar providers

City LITTLEFIELD
Zip Code 86432

Improve Information

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Dataset Information

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.

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