| Canyonlands Urgent Care | |
|
440 North Navajo Drive Page AZ 86040-1625 | |
| (928) 645-1700 | |
| (928) 645-1701 |
| Full Name | Canyonlands Urgent Care |
|---|---|
| Speciality | Clinic/Center |
| Location | 440 North Navajo Drive, Page, Arizona |
| Authorized Official Name and Position | Elizabeth G Latham (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 Urgent Care Po Box 1625 Page AZ 86040-1625 Ph: (928) 645-9675 | Canyonlands Urgent Care 440 North Navajo Drive Page AZ 86040-1625 Ph: (928) 645-1700 |
| NPI Number | 1669441564 |
|---|---|
| Provider Enumeration Date | 03/15/2006 |
| Last Update Date | 09/23/2021 |
| Medicare PECOS PAC ID | 4082509591 |
|---|---|
| Medicare Enrollment ID | O20070213000663 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669441564 | NPI | - | NPPES |
| 432857 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QC1500X | Clinic/center - Community Health | OTC 3854 - DOH (Arizona) | Primary |
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