Canyonlands Community Health Care in Page - Federally Qualified Health Center (fqhc)
Canyonlands Community Health Care - NPI 1033275706
Canyonlands Community Health Care is a Federally Qualified Health Center (fqhc) in Page, Arizona. Canyonlands Community Health Care practices all healthcare services and medical treatments related to Federally Qualified Health Center (fqhc). The NPI Number for Canyonlands Community Health Care is 1033275706. The last update date is 2023-03-20.
Canyonlands Community Health Care's current location address is Po Box 1625, Page, Arizona. You can contact this provider via phone number 9286459675 and fax number 9286452626. The mailing address for Canyonlands Community Health Care is Po Box 1625, Page, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Canyonlands Community Health Care |
|---|---|
| Address | Po Box 1625, Page, Arizona |
| Phone Number | 9286459675 |
| Fax Number | 9286452626 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Hansen Christopher |
| Telephone Number | 9286459675 |
NPI Number Detail
| NPI Number | 1033275706 |
|---|---|
| Provider Enumeration Date | 2006-12-28 |
| Last Updated Date | 2023-03-20 |
Provider Mailing Address Detail
| Address | Po Box 1625 |
|---|---|
| City | Page |
| State | Arizona (AZ) |
| Post Code | 860401625 |
| Phone Number | 9286459675 |
| Fax Number | 9286452626 |
Provider's Primary Taxonomy Detail
| Speciality | Federally Qualified Health Center (fqhc) |
|---|---|
| Taxonomy | 261Qf0400X |
| Licence No | OTC 4096 |
|
Definition: Provides primary and preventive care services in underserved areas, receiving certain federal funding grants. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 933609 | AZ | -- |
Post Comment/ Review Below
What is the Canyonlands Community Health Care's 1033275706?
The Canyonlands Community Health Care's NPI (National Provider Identifier) Number is 1033275706. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Canyonlands Community Health Care?
The Canyonlands Community Health Care is physically situated at Po Box 1625, in the city of Page, state of AZ, with the postal code 860401625.
What is Canyonlands Community Health Care's specialized field of practice, and what is the corresponding taxonomy classification code?
The Canyonlands Community Health Care's area of specialization is Federally Qualified Health Center (fqhc), and the corresponding taxonomy code that categorizes this field of practice is 261Qf0400X.
On what date did the Centers for Medicare & Medicaid Services issue the 1033275706 to Canyonlands Community Health Care?
The Canyonlands Community Health Care received its 1033275706 assignment from the Centers for Medicare & Medicaid Services on 2006-12-28.
As of what date were the details related to Canyonlands Community Health Care most recently updated or revised?
The information pertaining to Canyonlands Community Health Care, including its address, specialty, and other relevant details, was last updated or revised on 2023-03-20.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC