Canyonlands Community Health Care

Organization Family Medicine Physician · NPI 1154380392

Canyonlands Community Health Care provides Family Medicine Physician services in Chilchinbeto, Arizona. Licensed in Arizona. Registered with an NPI since 2006.

Licensed in: AZ
In the registry since: 2006
Specialties on file: 2

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Practice location Partly verified

Some contact details are missing from the federal record.

Chilchinbeto Chapter House Complex
Chilchinbeto, AZ 86033-1496
Phone: (928) 697-8154
Fax: (928) 697-8559

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community Health Clinic/Center (primary)	Taxonomy 261QC1500X (AZ)
Family Medicine Physician	Taxonomy 207Q00000X

Record details

NPI number	1154380392
Entity type	Organization (Type 2)
Organization subpart	Yes
Parent organization	Canyonlands Community Health Center
Authorized official	Christopher Hansen — Ceo · (928) 645-9675
Other names	Chilchinbeto Clinic
NPI enumerated	March 17, 2006
Last updated in NPPES	September 23, 2021
Certification date	September 23, 2021
Mailing address	Po Box 1625, Page, AZ 86040-1625