Canyonlands Health Care - Clifton | |
10 Ward Canyon Road #a Clifton AZ 85533 | |
(928) 645-9675 | |
Not Available |
Full Name | Canyonlands Health Care - Clifton |
---|---|
Speciality | Clinic/Center |
Location | 10 Ward Canyon Road, Clifton, Arizona |
Authorized Official Name and Position | Christopher J Hansen (CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 9286459675 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Canyonlands Health Care - Clifton Po Box 1625 827 Vista Ave Page AZ 86040-1625 Ph: (928) 645-9675 | Canyonlands Health Care - Clifton 10 Ward Canyon Road #a Clifton AZ 85533 Ph: (928) 645-9675 |
NPI Number | 1134568660 |
---|---|
Provider Enumeration Date | 06/18/2013 |
Last Update Date | 09/23/2021 |
Medicare PECOS PAC ID | 4082509591 |
---|---|
Medicare Enrollment ID | O20141205000423 |
Identifier | Type | State | Issuer |
---|---|---|---|
1134568660 | NPI | - | NPPES |
031811 | Other | AZ | CORPORATE PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |