CANYONLANDS COMMUNITY HEALTH CARE (NPI# 1417218876) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417218876 |
| Entity Type | Organization |
| Organization Name | CANYONLANDS COMMUNITY HEALTH CARE |
| Other Organization Name | CANYONLANDS HEALTHCARE GLOBE |
| Practice Address |
5860 South Hospital Drive Ste 102 Globe AZ 85501 |
| Mailing Address |
Po Box 1625 Page AZ 86040-1625 |
| Practice Telephone | 9284020491 |
| Practice Fax Number | 9284020490 |
| Mailing Telephone | 9286459675 |
| Mailing Fax Number | 9286452626 |
| Enumeration Date | 2012-06-01 |
| Last Update Date | 2016-06-17 |
| Authorized Official Name | CHRISTOPHER HANSEN (CEO) |
| 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 NPI | 1619945904 | 01 |
| AZ | 933575 | 05 | |
| AZ | CORPORATE PTAN | 031811 | 01 |
| Other Name | Type Code |
|---|---|
| Canyonlands Healthcare Globe | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134568660 | Canyonlands Community Health Care | Clinic/Center | 10 Ward Canyon Road, #a, Clifton, AZ 85533 | 2013-06-18 |
| 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 |
5860 SOUTH HOSPITAL DRIVE STE 102 |
| City | GLOBE |
| State | AZ |
| Zip Code | 85501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811936297 | Gary Alan Gustason | Ophthalmology | 5860 South Hospital Drive, Suite #101, Globe, AZ 85501 | 2006-06-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558802884 | Mary Beth Patterson | Pharmacist | 100 S Ragus Rd, Globe, AZ 85501 | 2017-03-20 |
| 1255873402 | Christopher Sessions | Physician Assistant | 5880 N Hospital Drive, Globe, AZ 85501 | 2016-11-04 |
| 1235681156 | Michelle Pettitt | Naturopath | 138 S. Broad Street, Globe, AZ 85501 | 2016-10-26 |
| 1790154664 | Ryan Bradley | Physician Assistant | 5880 N Hospital Dr, Globe, AZ 85501 | 2015-09-21 |
| 1417297052 | Horizon Health and Wellness, Inc. | Community/Behavioral Health | 2250 Hwy 60, Suite I, Globe, AZ 85501 | 2013-02-19 |
| 1528307964 | William G Sypult | Internal Medicine | 8036 South Cherokee Drive, Globe, AZ 85501 | 2013-02-05 |
| 1821345752 | Community Bridges, Inc | Clinical Medical Laboratory | 5734 East Hope Lane, Globe, AZ 85501 | 2012-08-09 |
| 1770841215 | Cv Ob Gyn Women's Healthcare | Obstetrics & Gynecology | 5882 S Hospital Drive, Suite 1, Globe, AZ 85501 | 2012-05-02 |
| 1235420993 | Jennifer Lyn Davis | Licensed Vocational Nurse | 1300 South Street, Globe, AZ 85501 | 2011-04-28 |
| 1154642858 | Billie A Holliday | Counselor | 415 W Baseline Spur, Globe, AZ 85501 | 2010-06-16 |
| Find all providers in zip 85501 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891169561 | Canyonlands Community Health Care | Clinic/Center | 111 W Blake St, Globe, AZ 85501-2177 | 2015-11-18 |
| 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 |
| 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.