CANYONLANDS COMMUNITY HEALTH CARE NPI 1609966860

NPI Information

NPI: 1609966860
Provider Name: CANYONLANDS COMMUNITY HEALTH CARE
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
827 VISTA AVENUE
PAGE, AZ
ZIP 86040
Phone: (928) 645-9675
Get Directions

CANYONLANDS COMMUNITY HEALTH CARE is a family medicine in Page, AZ. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. CANYONLANDS COMMUNITY HEALTH CARE NPI is 1609966860. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

827 VISTA AVENUE
PAGE, AZ
ZIP 86040-625
Phone: (928) 645-9675
Fax: (928) 645-3862

The provider's authorized official is Christopher J Hansen .
The authorized official title is Ceo and has the following contact phone number (928) 645-9675.

The enumeration date for this NPI number is 10/16/2006 and was last updated on 9/23/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License State	Primary
1	1223G0001X	Dentist	General Practice	ARIZONA	No
2	207V00000X	Obstetrics & Gynecology		ARIZONA	No
3	363AM0700X	Physician Assistant	Medical	ARIZONA	No
4	363AS0400X	Physician Assistant	Surgical	ARIZONA	No
5	207R00000X	Internal Medicine		ARIZONA	No
6	363L00000X	Nurse Practitioner		ARIZONA	No
7	207Q00000X	Family Medicine		ARIZONA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	432857	MEDICAID	ARIZONA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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