Canyonlands Community Health Care

LBN: Canyonlands Community Health Care
Canyonlands Community Health Care is an health care organization with primary practice located at 827 Vista Avenue , Page AZ 86040-1625. The organization recently has 7 registered licenses in different health care specialties including Dental Providers / General Practice, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Canyonlands Community Health Care can be contacted via phone (928) 645-9675, or through Hansen, Christopher J via phone (928) 645-9675.

Contact Information

Primary practice address
827 Vista Avenue Page AZ 86040-1625
Phone: (928) 645-9675
Fax: (928) 645-3862
Website:
Map and Directions
Authorized official contact:
Name: Hansen, Christopher J
Phone: (928) 645-9675

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X Arizona
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X Arizona
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X Arizona
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X Arizona
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X Arizona
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X Arizona
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X Arizona

Profile Details

NPI number 1609966860
LBN Legal business name Canyonlands Community Health Care
DBA Doing business as
Authorized official Hansen, Christopher J
Entity Organization
Organization subpart 1 No
Enumeration date Oct 16th, 2006
Last updated Sep 23rd, 2021 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609966860 NPPES
Arizona MEDICAID 432857

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