Organization Active NPI

Copper Canyon Family Health Center

  • Family Medicine Physician
  • Camp Verde, AZ
National Provider Identifier
1376816918
Registry record updated May 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
COPPER CANYON FAMILY HEALTH CENTER
Practice address
348 S Main St
Camp Verde, AZ 86322-7155
Phone
(928) 649-6477
Fax
(928) 325-0445
NPI assigned
Feb 13, 2012
Last updated
May 13, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2026

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

Authorized official

Name
Joseph Wayne Elio, PA-CNPI 1942240866
Title
Ceo
Phone
(928) 649-6477

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

348 S Main St
Camp Verde, AZ 86322-7155

Mailing address

PO Box 1808
Camp Verde, AZ 86322-1808
Phone (928) 649-6477

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120508000717 AZ Part B Supplier - Clinic/Group Practice 1759543705 Receives reassigned benefits from 6 practitioners
Practice locations: Camp Verde, AZ

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D1092949Copper Canyon Family Health Center348 S Main St, Camp Verde, AZ 86322Provider-performed microscopyDec 7, 2026

National Provider Directory

National Provider Directory

Locations

348 S Main St
Camp Verde, AZ 86322
Phone (928) 567-4846

348 S Main St
Ste 1A
Camp Verde, AZ 86322
Phone (928) 649-6477

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1329091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778630400000",
    "number": "1376816918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1808",
            "city": "CAMP VERDE",
            "state": "AZ",
            "postal_code": "863221808",
            "telephone_number": "928-649-6477",
            "fax_number": "928-325-0445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "348 S MAIN ST",
            "city": "CAMP VERDE",
            "state": "AZ",
            "postal_code": "863227155",
            "telephone_number": "928-649-6477",
            "fax_number": "928-325-0445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COPPER CANYON FAMILY HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-13",
        "last_updated": "2026-05-13",
        "certification_date": "2026-05-13",
        "status": "A",
        "authorized_official_last_name": "ELIO",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "928-649-6477",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camp Verde, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.