Canyonlands Community Healthcare - Bh | |
467 Vista Avenue Page AZ 86040 | |
(928) 645-9675 | |
Not Available |
Full Name | Canyonlands Community Healthcare - Bh |
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Speciality | Psychologist - Clinical |
Location | 467 Vista Avenue, Page, Arizona |
Authorized Official Name and Position | Elizabeth G Latham (CEO) |
Authorized Official Contact | 9286459675 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Canyonlands Community Healthcare - Bh Po Box 1625 Page AZ 86040-1625 Ph: (928) 645-9675 | Canyonlands Community Healthcare - Bh 467 Vista Avenue Page AZ 86040 Ph: (928) 645-9675 |
NPI Number | 1558609222 |
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Provider Enumeration Date | 01/30/2013 |
Last Update Date | 01/30/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1558609222 | NPI | - | NPPES |
432857 | Medicaid | AZ |
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