CANYONLANDS HEALTHCARE - SAFFORD – NPI #1861558595
Clinic/Center

CANYONLANDS HEALTHCARE - SAFFORD is an AHC clinic located in SAFFORD, AZ. NPPES has assigned the NPI number 1861558595 to CANYONLANDS HEALTHCARE - SAFFORD on December 28, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “CANYONLANDS HEALTHCARE - SAFFORD” is a dba name, the actual legal business name for this organization is CANYONLANDS COMMUNITY HEALTH CARE. The primary taxonomy selected by this provider is 261QF0400X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Federally Qualified Health Center (FQHC)

The NPI profile was previously updated about 5 years ago on Sep 23, 2021. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CANYONLANDS HEALTHCARE - SAFFORD below.

NPI Profile for
CANYONLANDS COMMUNITY HEALTH CARE

NPI Number
1861558595
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CANYONLANDS COMMUNITY HEALTH CARE
Doing Business As (dba): CANYONLANDS HEALTHCARE - SAFFORD
Primary location
2016 WEST 16TH STREET
SAFFORD, AZ 85546
Phone: (928) 428-1500 Fax: (928) 428-1555
Mailing address
PO BOX 1625
827 VISTA AVENUE
PAGE, AZ 86040-1625
Phone: (928) 645-9675 Fax: (928) 645-2626
Organization Subpart
Yes - CANYONLANDS HEALTHCARE - SAFFORD is subpart of another organization.
Authorized Official
CHRISTOPHER HANSEN
CEO
Phone: (928) 645-9675
Updated
Certification Date
Sep 23, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for CANYONLANDS HEALTHCARE - SAFFORD

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDAZ933583
MEDICAIDAZ432857
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QF0400X
- Clinic/Center / Federally Qualified Health Center (FQHC) (Primary)
AZ OTC 4095

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.