CANYONLANDS COMMUNITY HEALTH CARE (NPI# 1669441564) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669441564 |
| Entity Type | Organization |
| Organization Name | CANYONLANDS COMMUNITY HEALTH CARE |
| Other Organization Name | CANYONLANDS URGENT CARE |
| Practice Address |
440 North Navajo Drive Page AZ 86040-1625 |
| Mailing Address |
Po Box 1625 Page AZ 86040-1625 |
| Practice Telephone | 9286451700 |
| Practice Fax Number | 9286451701 |
| Mailing Telephone | 9286459675 |
| Mailing Fax Number | 9286453030 |
| Enumeration Date | 2006-03-15 |
| Last Update Date | 2008-04-20 |
| Authorized Official Name | ELIZABETH G LATHAM (CEO) |
| Authorized Official Telephone | 9286459675 |
| Is Organization Subpart | Y |
| Parent Organization Name | CANYONDLANDS COMMUNITY HEALTH CARE |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 261QC1500X |
Clinic/Center Specialization: Community Health |
OTC 3854 - DOH | AZ | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 432857 | 05 |
| Other Name | Type Code |
|---|---|
| Canyonlands Urgent Care | 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 |
| 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 |
| 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 |
440 NORTH NAVAJO DRIVE |
| City | PAGE |
| State | AZ |
| Zip Code | 86040-1625 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295033611 | Florinda Tracey | Physician Assistant | 440 North Navajo Drive, Page, AZ 86040 | 2011-03-09 |
| 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 | 261QC1500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Community Health |
| Definition to come... |
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| 1770107476 | Buena Vista Recovery, LLC | Clinic/Center | 8171 E Indian Bend Rd Ste 100, Scottsdale, AZ 85250-4830 | 2020-05-29 |
| 1841771920 | Harmony Health and Wellness Foundation | Clinic/Center | 5220 N Dysart Rd Building C, Litchfield Park, AZ 85340 | 2018-08-27 |
| 1427536770 | Mulligan's Manor, Inc. | Clinic/Center | 4701 S Lakeshore Dr Unit 1, Tempe, AZ 85282-7169 | 2018-07-30 |
| 1033614060 | Devereux Foundation | Clinic/Center | 1837 S Mesa Dr Ste A200, Mesa, AZ 85210-6219 | 2018-03-30 |
| 1841703253 | Tri-state Community Healthcare Center | Clinic/Center | 8700 S Highway 95, Mohave Valley, AZ 86440-8519 | 2017-11-07 |
| 1477082642 | Horizon Health and Wellness, Inc. | Clinic/Center | 450 W Adamsville Rd Ste A, Florence, AZ 85132 | 2017-06-09 |
| 1649710328 | City of Surprise | Clinic/Center | 14250 W Statler Plz Ste 101, Surprise, AZ 85374-7474 | 2017-03-01 |
| 1144696097 | Wesley Community Center, Inc | Clinic/Center | 1625 N 39th Ave, Phoenix, AZ 85009-2149 | 2015-08-14 |
| 1487062667 | Pph Franchise Holdings LLC | Clinic/Center | 8324 E Hartford Dr Ste 200, Scottsdale, AZ 85255-7801 | 2014-07-31 |
| 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.