| NPI | 1780653741 |
|---|---|
| Doing Business As | CANYONLANDS HEALTH CARE - BEAVER DAM |
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER J HANSEN CEO 928-645-9675 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice |
| 207Q00000X Family Medicine | |
| 207V00000X Obstetrics & Gynecology | |
| 261QC1500X Clinic/Center, Community Health | |
| 207Q00000X Family Medicine | |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2021-09-23 |