Organization · Type 2 NPI

Black Canyon Community Health Center, Inc.

Federally Qualified Health Center (FQHC) · Mayer, AZ

NPI number 1124730627 Active

Practice location

17301 E Spring Valley Rd Ste F
Mayer, AZ 86333-4263

Call (623) 374-0200 Map

Fax (623) 374-5576

Mailing address

19251 E Oasis Dr
Black Canyon City, AZ 85324-8878

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Family Medicine Physician 207Q00000XNone listed
Federally Qualified Health Center (FQHC) Primary 261QF0400XNone listed

Federally Qualified Health Center (FQHC): Definition to come...

4 other providers at this address

About NPI 1124730627

Black Canyon Community Health Center, Inc.'s National Provider Identifier is 1124730627, issued on Dec 16, 2022. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Mayer, AZ. The record was last updated on Sep 23, 2026.