Organization · Type 2 NPI

Canyonlands Community Health Care

Federally Qualified Health Center (FQHC) · Clifton, AZ

NPI number 1134568660 Active

Practice location

10 Ward Canyon Road, #A
Clifton, AZ 85533

Call (928) 645-9675 Map

Mailing address

PO Box 1625, 827 Vista Ave
Page, AZ 86040-1625

Specialties and licenses

Taxonomy	Code	License
Federally Qualified Health Center (FQHC) Primary	261QF0400X	None listed

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

NPI record

NPI: 1134568660
Entity type: Organization (Type 2)
Issued: Jun 18, 2013
Last updated: Sep 23, 2021
Status: Active
Subpart: Yes of Canyonlands Community Health Care

Other names

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Canyonlands Health Care - Clifton · doing business as

Authorized official

Christopher J Hansen
Chief Executive Officer
(928) 645-9675

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1134568660

Canyonlands Community Health Care's National Provider Identifier is 1134568660, issued on Jun 18, 2013. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Clifton, AZ. The record was last updated on Sep 23, 2021.