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CH09130H CANYONLANDS COMMUNITY HEALTH CARE (Active)
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Main Details
Name
CANYONLANDS COMMUNITY HEALTH CARE
Subdivision Name
Canyonlands Healthcare - Clifton
Type
HRSA-Funded Health Center
Site ID
BPS-H80-007424
340B ID
CH09130H
Grant Number
H80CS00448
Additional Details
Current Program Status
Active
Registration Date
5/17/2006
Participating Start Date
7/1/2006
Participating Approval Date
5/17/2006
Last Recertification Date
2/11/2025
Contacts
Authorizing Official
Canyonlands Community Health Care
Christopher Hansen, CEO
(928) 645-6600
Primary Contact
Canyonlands Healthcare
Andrew J Lewandowski, Director of Pharmacy
(928) 645-9675 Ext: 2205
Addresses
Street Address
10-A S. WARD CANYON ROAD
CLIFTON, AZ 85533-0000
Billing Address
CANYONLANDS COMMUNITY HEALTH CARE
PO BOX 1625
PAGE, AZ 86040
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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3/14/2014 Main address updated per EHB/recert
03/14/2014
April 2025
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