Canyonlands Community Health Care
Clinic/Center, Federally Qualified Health Center (FQHC) in Duncan, AZ. Organization (NPI-2).
NPI number1033275706
StatusActive
Last updated in NPPESMar 20, 2023
Details
- NPI
- 1033275706
- Entity type
- Organization (NPI-2)
- Legal business name
- Canyonlands Community Health Care
- Organization subpart
- Yes
- Enumeration date
- Dec 28, 2006
- Certification date
- Mar 20, 2023
- Last updated
- Mar 20, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QF0400X | Clinic/Center, Federally Qualified Health Center (FQHC) | OTC 4096 | AZ | Yes |
Other names
- Duncan Community Health Center (Doing Business As)
Practice location
227 Main St.Duncan, AZ 85534
Phone 928-359-1380 · Fax 928-359-1381
Mailing address
Po Box 1625Page, AZ 86040-1625
Phone 928-645-9675 · Fax 928-645-2626
Authorized official
Christopher Hansen
Ceo
9286459675
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.