Active NPI
Canyon View Medical Center,LTD
- Family Medicine Physician
- Page, AZ
National Provider Identifier
1578645602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 1330
- 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.
-
- Nephrology Physician
- South Salt Lake, UT
- NPI 1811902505
National Provider Directory
National Provider DirectorySpecialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 1330 | AZ | Primary |
Addresses
NPPES NPI RegistryPrimary 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.