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CANYON MEDICAL CLINIC LLC
NPI 1356834642
Family Medicine in Black Canyon City, AZ

Active since June 11, 2018
34501 S OLD BLACK CANYON HWY # 1, BLACK CANYON CITY, AZ 85324(623) 374-5070(623) 374-5068 Get Directions Write a Review

NPPES record last updated: August 14, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 14, 2018, Jun 11, 2018 (2 updates tracked since 2018).

About Canyon Medical Clinic Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CANYON MEDICAL CLINIC LLC (NPI 1356834642) is a healthcare organization registered as a family medicine in Black Canyon City, Arizona and active in the NPI registry since June 2018. The organization maintains a secondary practice location in Black Canyon City and lists Joshua Eric Motl, Physician Assistant, as its authorized official.

NPPES Registry Identity

NPI1356834642
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCANYON MEDICAL CLINIC LLC
Location Address34501 S OLD BLACK CANYON HWY # 1Black Canyon City, AZ 85324
Mailing Address14534 W Hidden Terrace LoopLitchfield Park, AZ 85340-0989
Phone(623) 374-5070
Fax(623) 374-5068
Organization SubpartNo
Authorized OfficialJoshua Eric MotlPhysician Assistant · (218) 371-9340
Enumeration DateJune 11, 2018
Last NPPES UpdateAugust 14, 20182 updates tracked since enumeration
✔ NPI 1356834642 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

34501 S OLD BLACK CANYON HWY # 1, Black Canyon City, AZ 85324
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Secondary Practice Location 1

Location 134501 S Old Black Canyon Hwy # 3Black Canyon City, AZ 85324-9723 · Phone (218) 371-9340

Other Identifiers 2

Medicaid1588081087AZ
Medicaid912701AZ

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Canyon Medical Clinic LLC's NPI number?

The NPI number for Canyon Medical Clinic LLC is 1356834642. It was assigned to this organization in the NPPES registry on June 11, 2018.

Where is Canyon Medical Clinic LLC located?

Canyon Medical Clinic LLC is located at 34501 S Old Black Canyon Hwy # 1, Black Canyon City, AZ 85324. The listed phone number is (623) 374-5070.

What is Canyon Medical Clinic LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Canyon Medical Clinic LLC was last updated on August 14, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.