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Black Canyon Community Health Center
Federally Qualified Health Center (FQHC) in Black Canyon City, Arizona
NPI 1992438642

Black Canyon Community Health Center is a Federally Qualified Health Center (FQHC) based in Black Canyon City, AZ and is specialized in Federally Qualified Health Center (FQHC). Black Canyon Community Health Center practices in Black Canyon City, AZ. The NPI Number for Black Canyon Community Health Center is 1992438642 and holds a License No. (Arizona).

The current practice location address for Black Canyon Community Health Center is 19251 E Oasis Dr, Black Canyon City, AZ and can be reached out via phone at 623-374-0200 and via fax at 623-374-5576. You can also correspond with Black Canyon Community Health Center through the mailing address at PO BOX 1958, BLACK CANYON CITY, AZ - 85324-1958 (mailing address contact number: 623-374-0200).

Location: 19251 E Oasis Dr, Black Canyon City, AZ, 85324-1958
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1992438642
Provider Name
Black Canyon Community Health Center
Credential
Provider Entity Type
Organization
Address
19251 E Oasis Dr, Black Canyon City, AZ, 85324-1958
Phone Number
623-374-0200
Fax Number
623-374-5576
Provider Enumeration Date
07/08/2022
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
19251 E Oasis Dr
City
Black Canyon City
State
Arizona
Zip
85324-8878
Phone Number
623-374-0200
Fax Number
623-374-5576
person
Provider Business Mailing Address Details
Address
19251 E Oasis Dr
City
Black Canyon City
State
Arizona
Zip
85324-8878
Phone Number
623-374-0200
Fax Number
623-374-5576
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
Adolescent Medicine
Taxonomy
207QA0000X
License No.
()
Definition
A family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs.
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
261QF0400X
License No.
()
Definition
Definition to come...
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