| Canyonlands Community Health Care | |
|
618 S Central Ave Safford AZ 85546-2721 | |
| (928) 428-1500 | |
| Not Available |
| Full Name | Canyonlands Community Health Care |
|---|---|
| Speciality | Clinic/center - Community Health |
| Location | 618 S Central Ave, Safford, Arizona |
| Authorized Official Name and Position | John Paul Nestor (SITE DIRECTOR) |
| Authorized Official Contact | 9284281500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Canyonlands Community Health Care 618 S Central Ave Safford AZ 85546-2721 Ph: (928) 428-1500 | Canyonlands Community Health Care 618 S Central Ave Safford AZ 85546-2721 Ph: (928) 428-1500 |
| NPI Number | 1598052466 |
|---|---|
| Provider Enumeration Date | 06/29/2011 |
| Last Update Date | 07/07/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598052466 | NPI | - | NPPES |
| 788771 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | 3915 (Arizona) | Primary |
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