| Canyonlands Healthcare Globe | |
|
5860 South Hospital Drive Ste 102 Globe AZ 85501 | |
| (928) 402-0491 | |
| (928) 402-0490 |
| Full Name | Canyonlands Healthcare Globe |
|---|---|
| Speciality | Clinic/Center |
| Location | 5860 South Hospital Drive, Globe, Arizona |
| Authorized Official Name and Position | Christopher Hansen (CEO) |
| Authorized Official Contact | 9286459675 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Canyonlands Healthcare Globe Po Box 1625 Page AZ 86040-1625 Ph: (928) 645-9675 | Canyonlands Healthcare Globe 5860 South Hospital Drive Ste 102 Globe AZ 85501 Ph: (928) 402-0491 |
| NPI Number | 1417218876 |
|---|---|
| Provider Enumeration Date | 06/01/2012 |
| Last Update Date | 09/23/2021 |
| Medicare PECOS PAC ID | 4082509591 |
|---|---|
| Medicare Enrollment ID | O20120926000702 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417218876 | NPI | - | NPPES |
| 031811 | Other | AZ | CORPORATE PTAN |
| 1619945904 | Other | AZ | CORPORATE NPI |
| 933575 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Vm Health Initiatives Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5880 S Hospital Dr, Globe, AZ 85501 Phone: 702-453-3799 Fax: 702-453-5741 | |
Michael R Durham Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 703 E Ash St, Globe, AZ 85501 Phone: 928-425-4467 Fax: 928-425-6166 | |
Red Rock Mobilecare, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1035 E Thornwood Dr, Globe, AZ 85501 Phone: 928-200-2928 Fax: 928-425-8495 | |
Palo Verde Family Care, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 108 South Broad St., Globe, AZ 85501 Phone: 928-425-6592 Fax: 928-425-7566 | |
Cobre Valley Red Rock Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5990 S Hospital Dr, Globe, AZ 85501 Phone: 928-425-8151 Fax: 928-425-9425 | |
Pinal Mountain Internal Medicine Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5884 S Hospital Drive, Suite #1, Globe, AZ 85501 Phone: 928-402-0096 Fax: 928-402-0098 |