# CANYONLANDS COMMUNITY HEALTH CARE

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CANYONDLANDS COMMUNITY HEALTH CARE
- **Other names:** Canyonlands Urgent Care
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1669441564
- **Legal business name:** CANYONDLANDS COMMUNITY HEALTH CARE
- **Authorized official:** ELIZABETH G LATHAM (CEO)
- **Authorized official phone:** (928) 645-9675

## Contact information

- **Practice address:** 440 NORTH NAVAJO DRIVE, PAGE, AZ 86040-1625
- **Practice address phone:** (928) 645-1700
- **Practice address fax:** (928) 645-1701
- **Mailing address:** PO BOX 1625, PAGE, AZ 86040-1625
- **Mailing address phone:** (928) 645-9675
- **Mailing address fax:** (928) 645-3030

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 261QC1500X | Community Health Clinic/Center | OTC 3854 - DOH | AZ | Yes |

## Other

- **Enumeration date:** 03/15/2006
- **Last updated:** 09/23/2021