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CH09130B CANYONLANDS COMMUNITY HEALTH CARE (Active)
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Main Details
Name
CANYONLANDS COMMUNITY HEALTH CARE
Subdivision Name
Canyonlands Healthcare - Chilchinbeto
Type
HRSA-Funded Health Center
Site ID
BPS-H80-011483
340B ID
CH09130B
Grant Number
H80CS00448
Additional Details
Current Program Status
Active
Registration Date
7/1/2001
Participating Start Date
7/1/2001
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
Chilchinbeto Chapter House Complex
Chilchinbeto, AZ 86033
Billing Address
Canyonlands Community Health Care
PO Box 1625
Page, AZ 86040-1625
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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CORRECTED ENTITY NAME
05/14/2004
April 2025
April 2025
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