institution
Canyonlands Community Health Care
Federally Qualified Health Center (FQHC) in Safford, Arizona
NPI 1144755182

Canyonlands Community Health Care is a Federally Qualified Health Center (FQHC) based in Page, AZ and is specialized in Federally Qualified Health Center (FQHC). Canyonlands Community Health Care practices in Safford, AZ. The NPI Number for Canyonlands Community Health Care is 1144755182 and holds a License No. OTC7466 (Arizona).

The current practice location address for Canyonlands Community Health Care is 1615 S 1St Ave, Safford, AZ and can be reached out via phone at 928-348-1708.

Location: 1615 S 1St Ave, Safford, AZ, 86040-1625
institution
Provider Profile Details
NPI Number
1144755182
Provider Name
Canyonlands Community Health Care
Credential
Provider Entity Type
Organization
Address
1615 S 1St Ave, Safford, AZ, 86040-1625
Phone Number
928-348-1708
Fax Number
Provider Enumeration Date
04/27/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1609966860 01 CORPORATE NPI
OTC7466 01 AZ STATE FACILITY LICENSE
031811 01 CORPORATE PTAN
institution
Provider Business Practice Location Address Details
Address
1615 S 1St Ave
City
State
Zip
85546-2103
Phone Number
928-348-1708
Fax Number
person
Provider Business Mailing Address Details
Address
1615 S 1St Ave
City
State
Zip
85546-2103
Phone Number
928-348-1708
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
License No.
OTC7466 (Arizona)
Definition
Definition to come...
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