CANYONLANDS COMMUNITY HEALTH CARE


Address: 1615 S 1st Ave, Safford, AZ 85546-2103
Phone: 9283481708

CANYONLANDS COMMUNITY HEALTH CARE (NPI# 1144755182) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1144755182
Entity Type Organization
Organization Name CANYONLANDS COMMUNITY HEALTH CARE
Other Organization Name CANYONLANDS HEALTH CARE - SAFFORD INTEGRATED
Practice Address 1615 S 1st Ave
Safford
AZ 85546-2103
Mailing Address Po Box 1625
Page
AZ 86040-1625
Practice Telephone 9283481708
Mailing Telephone 9286459675
Mailing Fax Number 9286452626
Enumeration Date 2017-04-27
Last Update Date 2017-04-27
Authorized Official Name CHRISTOPHER HANSEN (CEO)
Authorized Official Telephone 9286459675
Is Organization Subpart Y
Parent Organization Name CANYONLANDS COMMUNITY HEALTH CARE

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QF0400X Clinic/Center
Specialization: Federally Qualified Health Center (FQHC)
OTC7466 AZ Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
CORPORATE NPI 1609966860 01
AZ STATE FACILITY LICENSE OTC7466 01
CORPORATE PTAN 031811 01

Other Provider/Organization Names

Other Name Type Code
Canyonlands Health Care - Safford Integrated Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1134568660 Canyonlands Community Health Care Clinic/Center 10 Ward Canyon Road, #a, Clifton, AZ 85533 2013-06-18
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

Office Location

Street Address 1615 S 1ST AVE
City SAFFORD
State AZ
Zip Code 85546-2103

Providers in the same location

NPI Name Taxonomy Address Enumeration
1134117047 Southeastern Arizona Behavioral Health Services, Inc. Public Health or Welfare 1615 S 1st Ave, Safford, AZ 85546-2103 2005-10-13
1376853358 Mark Smith Marriage & Family Therapist 1615 S 1st Ave, Safford, AZ 85546-2103 2010-10-08
1992969679 Kathryn Shepherd Registered Nurse 1615 S 1st Ave, Safford, AZ 85546-2103 2008-07-11
1184746364 Robert William Sommer Psychiatry & Neurology 1615 S 1st Ave, Safford, AZ 85546-2103 2007-04-06
1093896318 David Edwin Stetson Psychiatry & Neurology 1615 S 1st Ave, Safford, AZ 85546-2103 2006-10-17
1184716276 Sharon Ann Wysocki Social Worker 1615 S 1st Ave, Safford, AZ 85546-2103 2006-09-28
1568475416 Patrick Metz Counselor 1615 S 1st Ave, Safford, AZ 85546-2103 2006-08-14

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1104449628 The Pain Institute of Southern Arizona PC Anesthesiology 2241 W 16th Street, Safford, AZ 85546 2020-05-19
1114490836 Ponderosa Aviation, Inc Ambulance 4500 Aviation Way, Safford, AZ 85546 2019-01-04
1053828160 Easter Seals Blake Foundation Community/Behavioral Health 618 South Central Avenue, Safford, AZ 85546 2018-01-10
1508238700 Southeastern Arizona Consumer-run Services Clinic/Center 628 Main St., Safford, AZ 85546 2015-10-27
1457774465 Caring Connections for Special Needs, LLC Community/Behavioral Health 1952 W Thatcher Blvd, Safford, AZ 85546 2014-01-27
1841634060 Rs5 Investments LLC Family Medicine 1515 S. 20th Ave, Safford, AZ 85546 2013-04-18
1689946162 South Eastern Arizona Behavioral Health Services, Inc. Clinic/Center 1609 S. 1st Ave, Safford, AZ 85546 2012-01-31
1669741435 Southeastern Arizona Behavioral Health Services, Inc Clinic/Center 1609 S 1st Ave, Safford, AZ 85546 2011-12-22
1912295106 Canyonlands Clinic/Center 618 S. Central Avenue, Safford, AZ 85546 2011-07-21
1255669354 Dovetree Counseling Associates, Inc. Community/Behavioral Health 1906 Thatcher Blvd, Safford, AZ 85546 2009-12-01
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Taxonomy Information

Taxonomy Code 261QF0400X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Federally Qualified Health Center (FQHC)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1861558595 Canyonlands Community Health Care Clinic/Center 2016 West 16th Street, Safford, AZ 85546 2006-12-28

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1831730795 El Rio Santa Cruz Neighborhood Health Center, Inc Clinic/Center 434 E University Blvd, Tucson, AZ 85705 2019-10-02
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
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Competitor

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City SAFFORD
Zip Code 85546

Improve Information

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Dataset Information

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.

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