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Organization

CANYONLANDS COMMUNITY HEALTH CARE

Active
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Organization

CANYONLANDS COMMUNITY HEALTH CARE

Active
Parent organization
CANYONLANDS COMMUNITY HEALTH CENTER
Other names
Chilchinbeto Clinic
Organization subpart
Yes

Provider details

NPI number
Legal business name
CANYONLANDS COMMUNITY HEALTH CENTER
Authorized official
CHRISTOPHER HANSEN (CEO)
(928) 645-9675
Entity
Organization

Contact information

Practice address
CHILCHINBETO CHAPTER HOUSE COMPLEX, CHILCHINBETO, AZ 86033-1496
(928) 697-8154
(928) 697-8559
Mailing address
PO BOX 1625, PAGE, AZ 86040-1625
(928) 645-9675
(928) 645-2626

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
NULL
207Q00000X
Family Medicine Physician
—
—
261QC1500X
Community Health Clinic/Center
Primary
—
AZ

Other

Enumeration date
03/17/2006
Last updated
09/23/2021
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