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CH091300 CANYONLANDS COMMUNITY HEALTH CARE (Active)
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Main Details
Name
CANYONLANDS COMMUNITY HEALTH CARE
Subdivision Name
Canyonlands Healthcare - Lake Powell
Type
HRSA-Funded Health Center
Site ID
BPS-H80-004454
340B ID
CH091300
Grant Number
H80CS00448
Additional Details
Current Program Status
Active
Registration Date
10/1/1998
Participating Start Date
10/1/1998
Participating Approval Date
5/14/2004
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
467 VISTA AVENUE
PAGE, AZ 86040
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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5/14/04 - CORRECTED ENTITY NAME, 8/29/06 - ADDED BILL TO ADDRESS
08/29/2006
April 2025
April 2025
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