Canyon Healthcare, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

CANYON HEALTHCARE, LLC

Practice address

165 W South St
Suite 208
Hernando, MS 38632-2265

Phone

(844) 241-1444

Fax

(888) 891-3929

NPI assigned

Oct 20, 2009

Last updated

Oct 8, 2014By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Chris Henry

Title

Managing Member

Phone

(844) 241-1444

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1255996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412726400000",
    "number": "1225364615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 W SOUTH ST",
            "address_2": "SUITE 208",
            "city": "HERNANDO",
            "state": "MS",
            "postal_code": "386322265",
            "telephone_number": "844-241-1444",
            "fax_number": "888-891-3929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 W SOUTH ST",
            "address_2": "SUITE 208",
            "city": "HERNANDO",
            "state": "MS",
            "postal_code": "386322265",
            "telephone_number": "844-241-1444",
            "fax_number": "888-891-3929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANYON HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-20",
        "last_updated": "2014-10-08",
        "status": "A",
        "authorized_official_last_name": "HENRY",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "844-241-1444",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nyesha Butler
• Lorenzo C Cabe, M.D.
• Elxis Breanna Caldwell
• Linda Karen Campbell Mercier, PHARMD
• Virginia C Campbell, MCD, CCC-SLP
• Marcal Douglas Card, P.T.
• Lindsey Cardosi
• John D Carlson, OD
• Jacqueline Cartwright
• Holly Childers

• Durable Medical Equipment & Medical Supplies in Hernando, MS
• Providers in Hernando, MS by specialty
• Durable Medical Equipment & Medical Supplies in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.