Organization · Type 2 NPI

Canyonlands Community Health Care

Federally Qualified Health Center (FQHC) · Globe, AZ

NPI number 1417218876 Active

Practice location

5860 South Hospital Drive, Ste 102
Globe, AZ 85501

Call (928) 402-0491 Map

Fax (928) 402-0490

Mailing address

PO Box 1625
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...

Other federally qualified health center (fqhc) providers in Globe

Horizon Health and Wellness, Inc.Federally Qualified Health Center (FQHC) Globe, AZ NPI 1689436412

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NPI record

NPI: 1417218876
Entity type: Organization (Type 2)
Issued: Jun 1, 2012
Last updated: Sep 23, 2021
Status: Active
Subpart: Yes of Canyonlands Community Health Care

Other names

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Canyonlands Healthcare Globe · doing business as

Authorized official

Christopher Hansen
CEO
(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 1417218876

Canyonlands Community Health Care's National Provider Identifier is 1417218876, issued on Jun 1, 2012. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Globe, AZ. The record was last updated on Sep 23, 2021.