Black Canyon Community Health Center
NPI #1679723217 in Black Canyon City, Arizona
Provider Information
- NPI Number
- 1679723217
- Entity Type
- Organization
- Organization Name
- Black Canyon Community Health Center
- Primary Specialty
- Family Medicine
- Enumeration Date
- Sep 19, 2008
- Last Updated
- Jul 8, 2022
Practice Location
- Address
- 19251 E OASIS DR
- State
- Arizona
- ZIP Code
- 85324-8878
- Phone
- (623) 374-0200
Authorized Official
- Name
- RANDY CHARLES HANCOCK
- Title
- CEO
- Phone
- (623) 374-0200
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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