NPIMap

Canyonlands Community Health Care

A Medicare group practice based in Page, AZ: 14 NPIs enrolled under one PECOS associate control ID (PAC ID 4082509591), with 43 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
4082509591The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Federally Qualified Health Center (FQHC), Part B Supplier - Clinic/Group Practice
Enrolled in
AZ, NV
Enrollments
13
Group size
28 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
24In 11 places

Enrollment records 13

Enrollment IDStateProvider typeNPI
O20170629001899 AZ Part A Provider - Federally Qualified Health Center (FQHC) 1144755182
O20120926000702 AZ Part A Provider - Federally Qualified Health Center (FQHC) 1417218876
O20141205000423 AZ Part A Provider - Federally Qualified Health Center (FQHC) 1134568660
O20090225000408 AZ Part A Provider - Federally Qualified Health Center (FQHC) 1609966860
O20090226000140 AZ Part A Provider - Federally Qualified Health Center (FQHC) 1780653741
O20090303000103 AZ Part A Provider - Federally Qualified Health Center (FQHC) 1154380392
O20040219000713 AZ Part B Supplier - Clinic/Group Practice 1609966860
O20070213000663 AZ Part A Provider - Federally Qualified Health Center (FQHC) 1669441564
O20071127000397 AZ Part A Provider - Federally Qualified Health Center (FQHC) 1861558595
O20071127000636 AZ Part A Provider - Federally Qualified Health Center (FQHC) 1033275706
O20211021001828 NV Part A Provider - Federally Qualified Health Center (FQHC) 1902471303
O20230911002331 NV Part B Supplier - Clinic/Group Practice 1902471303
O20250106003056 AZ Part A Provider - Federally Qualified Health Center (FQHC) 1457187981

NPIs in this group 14

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 43

Clinicians who reassign their Medicare benefits to this group (42) or whom Care Compare lists as members (28).

Sources for this page