Canyonlands Community Healthcare - Bh

LBN: Canyonlands Community Healthcare - Bh
Canyonlands Community Healthcare - Bh is an health care organization with primary practice located at 467 Vista Avenue , Page AZ 86040. The organization recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Prescribing (Medical), Behavioral Health & Social Service Providers / Group Psychotherapy. Behavioral Health & Social Service Providers / Clinical is the primary health care specialty. Canyonlands Community Healthcare - Bh can be contacted via phone (928) 645-9675, or through Latham, Elizabeth G via phone (928) 645-9675.

Contact Information

Primary practice address
467 Vista Avenue Page AZ 86040
Phone: (928) 645-9675
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Latham, Elizabeth G
Phone: (928) 645-9675

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X BH-4088 Arizona
Behavioral Health & Social Service Providers / Clinical 103TC0700X BH-4088 Arizona
Behavioral Health & Social Service Providers / Prescribing (Medical) 103TP0016X BH-4088 Arizona
Behavioral Health & Social Service Providers / Group Psychotherapy 103TP2701X BH-4088 Arizona

Profile Details

NPI number 1558609222
LBN Legal business name Canyonlands Community Healthcare - Bh
DBA Doing business as
Authorized official Latham, Elizabeth G
Entity Organization
Organization subpart 1 Yes
Enumeration date Jan 30th, 2013
Last updated Jan 30th, 2013 - about 12 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 1558609222 NPPES
Arizona MEDICAID 432857

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