CANYONLANDS COMMUNITY HEALTH CARE NPI 1780653741

NPI Information

CANYONLANDS COMMUNITY HEALTH CARE is a federally qualified health center (fqhc) clinic center in Littlefield, AZ. CANYONLANDS COMMUNITY HEALTH CARE NPI is 1780653741. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Canyonlands Health Care - Beaver Dam.

The provider's business location address is:

3272 E RIO VIRGIN ROAD
LITTLEFIELD, AZ
ZIP 86432-200
Phone: (928) 347-5971
Fax: (928) 347-5793

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 3/14/2006 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:

Other Identifiers

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

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