| Canyonlands Community Health Care | |
|
440 North Navajo Drive Page AZ 86040-1625 | |
| (928) 645-1700 | |
| (928) 645-1701 |
| Full Name | Canyonlands Community Health Care |
|---|---|
| Speciality | Clinic/Center |
| Location | 440 North Navajo Drive, Page, Arizona |
| Authorized Official Name and Position | Elizabeth G Latham (CEO) |
| Authorized Official Contact | 9286459675 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Canyonlands Community Health Care Po Box 1625 Page AZ 86040-1625 Ph: (928) 645-9675 | Canyonlands Community Health Care 440 North Navajo Drive Page AZ 86040-1625 Ph: (928) 645-1700 |
| NPI Number | 1669441564 |
|---|---|
| Provider Enumeration Date | 03/15/2006 |
| Last Update Date | 09/23/2021 |
| Medicare PECOS PAC ID | 4082509591 |
|---|---|
| Medicare Enrollment ID | O20070213000663 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669441564 | NPI | - | NPPES |
| 432857 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QC1500X | Clinic/center - Community Health | OTC 3854 - DOH (Arizona) | Primary |
Tcrhcc Mobile Healthcare Van System Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3 Mi S Of Page On Nr-20 Coppermine Rd, Lechee Chapter-dental, Page, AZ 86040 Phone: 928-283-2501 Fax: 928-283-2677 | |
Tcrhcc Mobile Healthcare Van System Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 26 Miles South Of Page, Coppermine Chapter House, Page, AZ 86040 Phone: 928-283-2501 Fax: 928-283-2677 | |
Page Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 601 N Navajo, Page, AZ 86040 Phone: 928-645-0766 Fax: 928-645-0767 | |
Banner Hospital Based Physicians Arizona Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 501 N Navajo, Page, AZ 86040 Phone: 928-645-0112 | |
Banner Physician Specialists Arizona Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 601 N Navajo, Page, AZ 86040 Phone: 928-645-0131 Fax: 928-645-3549 | |
Canyonlands Community Health Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 635 Elm Street, #9, Page, AZ 86040 Phone: 928-645-8864 | |
Page Pro Fee Billing Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 501 North Navajo, Page, AZ 86040 Phone: 928-645-2424 |