Black Canyon Community Health Center Inc. - Medicare Mental Health Clinic in Mayer, AZ

  1. Home
  2. Mental Health Clinics
  3. AZ
  4. Mayer
Black Canyon Community Health Center Inc. is a medicare enrolled mental health clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Mayer, Arizona. The current practice location for Black Canyon Community Health Center Inc. is 17301 E Spring Valley Rd Ste F, Mayer, Arizona. For appointments, you can reach them via phone at (623) 374-0200. The mailing address for Black Canyon Community Health Center Inc. is Po Box 12, Black Canyon City, Arizona and phone number is (623) 374-0200.

Black Canyon Community Health Center Inc. is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1124730627. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (623) 374-0200.

Contact Information

Black Canyon Community Health Center Inc.
17301 E Spring Valley Rd Ste F
Mayer
AZ 86333-4263
(623) 374-0200
(623) 374-5576

Map and Direction


Mental Health Clinic Profile

Full NameBlack Canyon Community Health Center Inc.
SpecialityClinic/Center
Location17301 E Spring Valley Rd Ste F, Mayer, Arizona
Authorized Official Name and PositionRandy Charles Hancock (CEO)
Authorized Official Contact6233740200
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Black Canyon Community Health Center Inc.
Po Box 12
Black Canyon City
AZ 85324-0012

Ph: (623) 374-0200		Black Canyon Community Health Center Inc.
17301 E Spring Valley Rd Ste F
Mayer
AZ 86333-4263

Ph: (623) 374-0200

NPI Details:

NPI Number1124730627
Provider Enumeration Date12/16/2022
Last Update Date12/16/2022
Certification Date12/16/2022

Medicare PECOS Information:

Medicare PECOS PAC ID6406900331
Medicare Enrollment IDO20230601002988

Medical Identifiers

Medical identifiers for Black Canyon Community Health Center Inc. such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124730627NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health (* (Not Available))Secondary
207Q00000XFamily Medicine (* (Not Available))Secondary
261QF0400XClinic/center - Federally Qualified Health Center (fqhc) (* (Not Available))Primary

Reviews and Comments

Clinic/Center in Mayer, AZ


Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 13190 Central Ave, Mayer, AZ 86333
Phone: 928-793-2216    Fax: 602-687-9274

Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 20172 E Stagecoach Trl Ste B, Mayer, AZ 86333
Phone: 928-632-4399    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.