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CH09130A CANYONLANDS COMMUNITY HEALTH CARE (Terminated)
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Main Details
Name
CANYONLANDS COMMUNITY HEALTH CARE
Subdivision Name
KAIBETO BOARDING SCHOOL CLINIC
Type
HRSA-Funded Health Center
Site ID
BPS-H80-002011
340B ID
CH09130A
Grant Number
H80CS00448
Additional Details
Current Program Status
Terminated
Registration Date
7/1/2001
Participating Start Date
7/1/2001
Participating Approval Date
5/14/2004
Last Recertification Date
2/29/2016
Termination Date
Termination Reason
10/1/2016
Site closure
Contacts
Authorizing Official
Canyonlands Community Health Care
Christopher Hansen, CEO
(928) 645-6600
Primary Contact
Mari Reed, Director of Operations & Billing
(928) 645-9675 Ext: 5521
Addresses
Street Address
RT 98 DORM STE 4
KAIBETO, AZ 86053-0000
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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5/14/04 - CORRECTED ENTITY NAME, 8/29/06 - ADDED BILLING ADDRESS
08/29/2006
April 2025
April 2025
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