| Canyonlands Community Health Care | |
|
210 N Sandhill Blvd Mesquite NV 89027-4789 | |
| (702) 602-0556 | |
| Not Available |
| Full Name | Canyonlands Community Health Care |
|---|---|
| Speciality | Clinic/Center |
| Location | 210 N Sandhill Blvd, Mesquite, Nevada |
| Authorized Official Name and Position | Mari A Reed (DIRECTOR OF OPERATIONS) |
| 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 210 N Sandhill Blvd Mesquite NV 89027-4789 Ph: (702) 602-0556 |
| NPI Number | 1902471303 |
|---|---|
| Provider Enumeration Date | 05/26/2021 |
| Last Update Date | 05/26/2021 |
| Medicare PECOS PAC ID | 4082509591 |
|---|---|
| Medicare Enrollment ID | O20211021001828 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902471303 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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