CANYONLANDS COMMUNITY HEALTH CARE (NPI# 1609966860) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609966860 |
| Entity Type | Organization |
| Organization Name | CANYONLANDS COMMUNITY HEALTH CARE |
| Practice Address |
827 Vista Avenue Page AZ 86040-1625 |
| Mailing Address |
Po Box 1625 Page AZ 86040-1625 |
| Practice Telephone | 9286459675 |
| Practice Fax Number | 9286453862 |
| Mailing Telephone | 9286459675 |
| Mailing Fax Number | 9286453030 |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2009-03-25 |
| Authorized Official Name | ELIZABETH G LATHAM (CEO) |
| Authorized Official Telephone | 9286459675 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223G0001X |
Dentist Specialization: General Practice |
AZ | Dental Providers | |
| N | 207R00000X | Internal Medicine | AZ | Allopathic & Osteopathic Physicians | |
| N | 207V00000X | Obstetrics & Gynecology | AZ | Allopathic & Osteopathic Physicians | |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
AZ | Physician Assistants & Advanced Practice Nursing Providers | |
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
AZ | Physician Assistants & Advanced Practice Nursing Providers | |
| N | 363L00000X | Nurse Practitioner | AZ | Physician Assistants & Advanced Practice Nursing Providers | |
| Y | 207Q00000X | Family Medicine | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 432857 | 05 |
| 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 |
| 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 |
827 VISTA AVENUE |
| City | PAGE |
| State | AZ |
| Zip Code | 86040-1625 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881251437 | Amy Jean Snell | Nurse Practitioner | 501 N. Navajo Dr., Page, AZ 86040 | 2019-05-20 |
| 1740748441 | Cameron Sidney Shick | Pharmacist | 501 N Navajo Drive, Page, AZ 86040 | 2019-03-12 |
| 1891250338 | Samantha Elizabeth Cannavo | Specialist/Technologist | 1801 N Navajo Dr., Page, AZ 86040 | 2019-02-08 |
| 1023593282 | Sally Ann Breen | Nurse Practitioner | 440 N Navajo Drive, Page, AZ 86040 | 2018-10-03 |
| 1114447653 | Naquita Ahern | Physical Therapist | 501 N Navajo Rd, Page, AZ 86040 | 2017-06-26 |
| 1396270443 | Peter Richard Jones | Physical Therapy Assistant | 43 Sixth Ave, Page, AZ 86040 | 2017-04-26 |
| 1407392590 | Lake Powell Dental Center, PC | Dentist | 436 Vista Avenue, Box 1956, Page, AZ 86040 | 2017-01-12 |
| 1992257695 | Theodore Martin | Physical Therapist | 39 6th Avenue, Page, AZ 86040 | 2016-10-28 |
| 1750833539 | Jacqueline Joyce Muthanga Kigundu | Nurse Practitioner | 440 North Navajo Dr, Page, AZ 86040 | 2016-10-27 |
| 1821540899 | George Wertz | Physical Therapist | 39 6th Ave, Page, AZ 86040 | 2016-10-26 |
| Find all providers in zip 86040 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891817615 | E Pell Wadleigh Dds PC | Family Medicine | 436 Vista Ave, Page, AZ 86040-0002 | 2007-04-04 |
| 1639242969 | Eric P Wadleigh | Family Medicine | 436 Vist Ave, Page, AZ 86040-0002 | 2006-11-16 |
| 1578645602 | Canyon View Medical Center,ltd | Family Medicine | 601 N Navajo Dr, Page, AZ 86040-7050 | 2006-10-19 |
| 1669441564 | Canyonlands Community Health Care | Family Medicine | 440 North Navajo Drive, Page, AZ 86040-1625 | 2006-03-15 |
| 1932103462 | Janeen Bjork | Family Medicine | 467 Vista Avenue, Page, AZ 86040-1625 | 2005-06-13 |
| 1841294378 | Michael J Demangone | Family Medicine | 463 S Lake Powell Blvd, Page, AZ 86040-0790 | 2005-06-13 |
| 1619945904 | Canyonlands Community Health Care | Family Medicine | 467 Vista Avenue, Page, AZ 86040-1625 | 2006-03-10 |
| 1538130109 | David Hipkin | Family Medicine | 463 S. Lake Powell Blvd, Page, AZ 86040-0790 | 2006-01-31 |
| 1194729632 | Dennis James Foley | Family Medicine | 467 Vista Avenue, Page, AZ 86040-1625 | 2005-06-13 |
| 1003810540 | Raymond Lee Holsten | Family Medicine | 467 Vista Avenue, Page, AZ 86040-1625 | 2005-06-13 |
| Find all providers in PAGE | ||||
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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.