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
—
—
261QC1500X
Community Health Clinic/Center
Primary
—
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
594037
—
AZ
05
—
933559
—
AZ
Enumeration date
03/17/2006
Last updated
09/23/2021
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