KAIBETO CLINIC
NPI 1568430676
Clinic/Center - Federally Qualified Health Center (FQHC) in Kaibeto, AZ

Active since March 14, 2006
KAIBETO BOARDING SCHOOL DORM # 4, KAIBETO, AZ 86053(928) 673-3491(928) 673-3494 Get Directions Write a Review

NPPES record last updated: April 20, 2008. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Kaibeto Clinic NPPES

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

KAIBETO CLINIC (NPI 1568430676) is a healthcare organization registered as a federally qualified health center (fqhc) in Kaibeto, Arizona and active in the NPI registry since March 2006. The organization lists Elizabeth G Latham, Ceo, as its authorized official.

NPPES Registry Identity

NPI1568430676
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameCANYONLANDS COMMUNITY HEALTH CARE
Location AddressKAIBETO BOARDING SCHOOL DORM # 4Kaibeto, AZ 86053-2121
Mailing AddressPo Box 1625Page, AZ 86040-1625 · (928) 645-9675 · Fax (928) 645-3030
Fax(928) 673-3494
Organization SubpartYes
Authorized OfficialElizabeth G LathamCeo · (928) 645-9675
Enumeration DateMarch 14, 2006
Last NPPES UpdateApril 20, 2008
NPI 1568430676 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
Also ListedFamily MedicineTaxonomy 207Q00000X
KAIBETO BOARDING SCHOOL DORM # 4, Kaibeto, AZ 86053

Other Names 1

Doing Business AsKaibeto Clinic

Other Identifiers 6

Medicaid432857AZ
Medicaid594045AZ
Medicaid=========006AZ
Medicare OSCAR/certification031827AZ
Medicare PINCS0184AZ
Medicare PINZFQ31811AZ

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 Canyonlands Community Health Care's NPI number?

The NPI number for Canyonlands Community Health Care is 1568430676. It was assigned to this organization in the NPPES registry on March 14, 2006. The provider is doing business as Kaibeto Clinic.

Where is Canyonlands Community Health Care located?

Canyonlands Community Health Care is located at Kaibeto Boarding School Dorm # 4, Kaibeto, AZ 86053. The listed phone number is (928) 673-3491.

What is Canyonlands Community Health Care's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

When was this NPI record last updated?

The NPPES record for Canyonlands Community Health Care was last updated on April 20, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.