Organization
CANYONLANDS COMMUNITY HEALTH CARE
Active
Parent organization
CANYONLANDS COMMUNITY HEALTH CARE
Other names
Canyonlands Healthcare - Safford
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
2016 WEST 16TH STREET, SAFFORD, AZ 85546
(928) 428-1500
(928) 428-1555
Mailing address
PO BOX 1625, 827 VISTA AVENUE, PAGE, AZ 86040-1625
(928) 645-9675
(928) 645-2626
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
OTC 4095
AZ
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
432857
—
AZ
05
—
933583
—
AZ
Enumeration date
12/28/2006
Last updated
09/23/2021
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