Organization
CANYONLANDS COMMUNITY HEALTH CARE
Active
Organization
CANYONLANDS COMMUNITY HEALTH CARE
Active
Parent organization
CANYONLANDS COMMUNITY HEALTH CARE
Other names
Duncan Community Health Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
CANYONLANDS COMMUNITY HEALTH CARE
Authorized official
CHRISTOPHER HANSEN (CEO)
(928) 645-9675
Entity
Organization
Contact information
Practice address
227 MAIN ST., DUNCAN, AZ 85534
(928) 359-1380
(928) 359-1381
Mailing address
PO BOX 1625, PAGE, AZ 86040-1625
(928) 645-9675
(928) 645-2626
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
OTC 4096
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
933609
—
AZ
Enumeration date
12/28/2006
Last updated
03/20/2023
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