Organization · Type 2 NPI

Canyonlands Community Health Care

Community Health Clinic/Center · Page, AZ

NPI number 1619945904 Active

Practice location

467 Vista Avenue
Page, AZ 86040-1625

Call (928) 645-8123 Map

Fax (928) 645-3862

Mailing address

PO Box 1625
Page, AZ 86040-1625

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician	207Q00000X	None listed
Internal Medicine Physician	207R00000X	None listed
Obstetrics & Gynecology Physician	207V00000X	None listed
Community Health Clinic/Center Primary	261QC1500X	OTC 0127 (AZ)

Community Health Clinic/Center: Definition to come...

6 other providers at this address

Other community health clinic/center providers in Page

Canyonlands Community Health CareCommunity Health Clinic/Center Page, AZ NPI 1669441564

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NPI record

NPI: 1619945904
Entity type: Organization (Type 2)
Issued: Mar 10, 2006
Last updated: Sep 23, 2021
Status: Active
Subpart: Yes of Canyondlands Community Health Care

Other names

<unavail>
Lake Powell Medical Center · doing business as
Lake Powell Medical Center · doing business as

Authorized official

Christopher J 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 1619945904

Canyonlands Community Health Care's National Provider Identifier is 1619945904, issued on Mar 10, 2006. The primary taxonomy on file is Community Health Clinic/Center (261QC1500X), and the practice location is in Page, AZ. The record was last updated on Sep 23, 2021.