Organization Active NPI

Canyon View Medical Center,LTD

  • Family Medicine Physician
  • Page, AZ
National Provider Identifier
1578645602
Registry record updated Mar 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
1330 Issued in AZ
Legal business name
CANYON VIEW MEDICAL CENTER,LTD
Practice address
601 N Navajo Dr
Page, AZ 86040-7050
Phone
(928) 645-8823
Fax
(928) 645-2524
NPI assigned
Oct 19, 2006
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Dr. Darrell A Bunch, D.O.
Title
President
Phone
(928) 645-8823

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

National Provider Directory

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 1330 AZ Primary

Addresses

NPPES NPI Registry

Primary practice location

601 N Navajo Dr
Page, AZ 86040-7050

Mailing address

PO Box 7050
601 N. Navajo Dr.
Page, AZ 86040-7050
Phone (928) 645-8823

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 9, 2010.

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268092800000",
    "number": "1578645602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7050",
            "address_2": "601 N. NAVAJO DR.",
            "city": "PAGE",
            "state": "AZ",
            "postal_code": "860407050",
            "telephone_number": "928-645-8823",
            "fax_number": "928-645-2524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 N NAVAJO DR",
            "city": "PAGE",
            "state": "AZ",
            "postal_code": "860407050",
            "telephone_number": "928-645-8823",
            "fax_number": "928-645-2524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANYON VIEW MEDICAL CENTER,LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-19",
        "last_updated": "2010-03-09",
        "status": "A",
        "authorized_official_last_name": "BUNCH",
        "authorized_official_first_name": "DARRELL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "928-645-8823",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "1330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Page, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2010; 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.