CANYONLANDS COMMUNITY HEALTH CARE (NPI# 1134568660) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134568660 |
| Entity Type | Organization |
| Organization Name | CANYONLANDS COMMUNITY HEALTH CARE |
| Other Organization Name | CANYONLANDS HEALTH CARE - CLIFTON |
| Practice Address |
10 Ward Canyon Road #a Clifton AZ 85533 |
| Mailing Address |
Po Box 1625 827 Vista Ave Page AZ 86040-1625 |
| Practice Telephone | 9286459675 |
| Mailing Telephone | 9286459675 |
| Enumeration Date | 2013-06-18 |
| Last Update Date | 2016-02-08 |
| Authorized Official Name | CHRISTOPHER J HANSEN (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 9286459675 |
| Is Organization Subpart | Y |
| Parent Organization Name | CANYONLANDS COMMUNITY HEALTH CARE |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | CORPORATE PTAN | 031811 | 01 |
| Other Name | Type Code |
|---|---|
| Canyonlands Health Care - Clifton | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417218876 | Canyonlands Community Health Care | Clinic/Center | 5860 South Hospital Drive, Ste 102, Globe, AZ 85501 | 2012-06-01 |
| 1598052466 | Canyonlands Community Health Care | Clinic/Center | 618 S Central Ave, Safford, AZ 85546-2721 | 2011-06-29 |
| 1861558595 | Canyonlands Community Health Care | Clinic/Center | 2016 West 16th Street, Safford, AZ 85546 | 2006-12-28 |
| 1609966860 | Canyonlands Community Health Care | Dentist | 827 Vista Avenue, Page, AZ 86040-1625 | 2006-10-16 |
| 1154380392 | Canyonlands Community Health Care | Family Medicine | Chilchinbeto Chapter House Complex, Chilchinbeto, AZ 86033-1496 | 2006-03-17 |
| 1669441564 | Canyonlands Community Health Care | Family Medicine | 440 North Navajo Drive, Page, AZ 86040-1625 | 2006-03-15 |
| 1780653741 | Canyonlands Community Health Care | Family Medicine | 3272 E Rio Virgin Road, Littlefield, AZ 86432-3200 | 2006-03-14 |
| 1568430676 | Canyonlands Community Health Care | Family Medicine | Kaibeto Boarding School Dorm # 4, Kaibeto, AZ 86053-2121 | 2006-03-14 |
| 1548238876 | Canyonlands Community Health Care | Family Medicine | 100 E Wood Hill Road, Fredonia, AZ 86022-0175 | 2006-03-11 |
| 1184283335 | Canyonlands Community Health Care | Pharmacy | Chilchinbeto Chapter House Complex, Chilchinbeto, AZ 86033 | 2019-06-11 |
| Street Address |
10 WARD CANYON ROAD #A |
| City | CLIFTON |
| State | AZ |
| Zip Code | 85533 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851653125 | Jesse Barrown Hozey | Physician Assistant | 110 Hill St, Clifton, AZ 85533 | 2012-06-13 |
| 1568765899 | Community Partners Integrated Healthcare, Inc. | Community/Behavioral Health | 562 N. Coronado Blvd., Clifton, AZ 85533 | 2010-12-08 |
| 1538389465 | Steven Ralph Owens | Dentist | #1 N. Coronado Blvd., Suite C, Clifton, AZ 85533 | 2007-04-25 |
| 1669540555 | Rudolfo Bruce Campos | Respite Care | 114 Mccormick Canyon, Clifton, AZ 85533 | 2006-12-01 |
| 1336238260 | Barnet Dulaney Perkins Eye Center | Ophthalmology | 264858 Us Highway 198, Clifton, AZ 85533 | 2006-10-11 |
| 1902993470 | Southeastern Arizona Behavioral Health Services | Community/Behavioral Health | 10-a Ward Canyon Road, Room 2, Clifton, AZ 85533 | 2006-10-06 |
| 1730310046 | Greenlee County | Clinic/Center | 253 5th Street, Clifton, AZ 85533-0936 | 2009-08-04 |
| 1538251780 | Southeastern Arizona Behavorial Health Svc, Inc. | Public Health or Welfare | 430 N Coronado Blvd, Clifton, AZ 85533-8086 | 2006-09-28 |
| 1033428628 | Karri Rachelle Macri | Social Worker | 430 N Coronado Blvd, Clifton, AZ 85533-8086 | 2010-09-29 |
| 1487728622 | Kathleen A Oldfather | Nurse Practitioner | 430 N Coronado Blvd, Clifton, AZ 85533-8086 | 2006-11-20 |
| Find all providers in zip 85533 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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| 1063660595 | Hardin County Regional Health Center | Clinic/Center | 207 Main St, Clifton, TN 38425-5547 | 2008-09-09 |
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| 1710462593 | Chiricahua Community Health Centers, Inc | Clinic/Center | 310 Arizona St, Bisbee, AZ 85603-1502 | 2018-09-27 |
| 1811472665 | Chiricahua Community Health Centers, Inc | Clinic/Center | 1151 16th Street, Douglas, AZ 85607 | 2018-09-27 |
| 1194207878 | Valle Del Sol, Inc. | Clinic/Center | 1510 S 19th Dr, Phoenix, AZ 85009-6540 | 2018-08-30 |
| 1861970139 | Horizon Health and Wellness, Inc. | Clinic/Center | 374 W Alden Rd, Kearny, AZ 85137-1208 | 2018-07-30 |
| 1578059168 | Native Health | Clinic/Center | 6850 W Indian School Rd Ste Nh1, Phoenix, AZ 85033-3249 | 2018-07-06 |
| 1821582529 | Chiricahua Community Health Centers, Inc | Clinic/Center | 335 South Ocotillo Avenue, Benson, AZ 85602 | 2018-06-18 |
| 1881198992 | Valle Del Sol, Inc. | Clinic/Center | 334 W 10th Pl Ste 100, Mesa, AZ 85201-3499 | 2018-03-22 |
| 1841706785 | Circle The City | Clinic/Center | 206 S 12th Ave, Phoenix, AZ 85007 | 2017-12-14 |
| 1346755295 | Circle The City | Clinic/Center | 210 S 12th Ave, Phoenix, AZ 85007-3101 | 2017-12-13 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.