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LAKE POWELL MEDICAL CENTER
NPI 1619945904
Clinic/Center - Community Health in Page, AZ

Active since March 10, 2006CLIA 03D0533867 · Microscopy
467 VISTA AVENUE, PAGE, AZ 86040(928) 645-8123(928) 645-3862 Get Directions Write a Review

NPPES record last updated: September 23, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lake Powell Medical Center NPPES

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

LAKE POWELL MEDICAL CENTER (NPI 1619945904) is a healthcare organization registered as a community health in Page, Arizona and active in the NPI registry since March 2006. The organization holds a CLIA Microscopy certificate valid through November 7, 2027 and lists Christopher J Hansen, Ceo, as its authorized official.

NPPES Registry Identity

NPI1619945904
Entity TypeOrganization
Primary Taxonomy261QC1500X
Legal Business NameCANYONLANDS COMMUNITY HEALTH CARE
Location Address467 VISTA AVENUEPage, AZ 86040-1625
Mailing AddressPo Box 1625Page, AZ 86040-1625 · (928) 645-9675 · Fax (928) 645-3030
Phone(928) 645-8123
Fax(928) 645-3862
Organization SubpartYesParent: Canyondlands Community Health Care
Authorized OfficialChristopher J HansenCeo · (928) 645-9675
Enumeration DateMarch 10, 2006
Last NPPES UpdateSeptember 23, 2021
NPPES CertifiedSeptember 23, 2021
✔ NPI 1619945904 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyClinic/Center · Community HealthAmbulatory Health Care Facilities
Taxonomy Code261QC1500X
License✔ Licensed in AZ · OTC 0127
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedObstetrics & GynecologyTaxonomy 207V00000X
467 VISTA AVENUE, Page, AZ 86040
Open in Google Maps ↗

Other Names 1

Doing Business AsLake Powell Medical Center

Other Identifiers 1

Medicaid432857AZ

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, UnitedHealthcare.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 03D0533867

Canyonlands Community Healthcare Dba Lake Powell Medical Center · Page, AZ
Active · expires Nov 7, 2027
CLIA Number03D0533867
Laboratory TypeCommunity Clinic
Certificate Effective DateNovember 8, 2025
Certificate Expiration DateNovember 7, 2027
Laboratory DirectorRaymond Holsten MD
Laboratory Phone(928) 645-8123
Laboratory LocationCanyonlands Community Healthcare Dba Lake Powell Medical Center467 Vista Ave, Page, AZ 86040
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. RAYMOND LEE HOLSTEN MD
Family Medicine
467 VISTA AVENUE
PAGE, AZ 86040
Coconino County (928) 645-8123
DR. DENNIS JAMES FOLEY MD
Family Medicine
467 VISTA AVENUE
PAGE, AZ 86040
Coconino County (928) 645-8123
CANYONLANDS COMMUNITY HEALTHCARE - BH
Psychologist (Clinical)
467 VISTA AVENUE
PAGE, AZ 86040
Coconino County (928) 645-9675
CANYONLANDS COMMUNITY HEALTH CARE
Pharmacy (Community/Retail Pharmacy)
467 VISTA AVENUE
PAGE, AZ 86040
Coconino County (928) 645-6620
DR. BARBARA M ZIMMERMAN MD
Family Medicine
467 VISTA AVENUE
PAGE, AZ 86040
Coconino County (928) 645-8123
JANEEN BJORK MD
Family Medicine
467 VISTA AVENUE
PAGE, AZ 86040
Coconino County (928) 645-8123

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 1619945904. It was assigned to this organization in the NPPES registry on March 10, 2006. The provider is doing business as Lake Powell Medical Center.

Where is Canyonlands Community Health Care located?

Canyonlands Community Health Care is located at 467 Vista Avenue, Page, AZ 86040. The listed phone number is (928) 645-8123.

What is Canyonlands Community Health Care's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Community Health, with taxonomy code 261QC1500X.

Does Canyonlands Community Health Care hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 03D0533867) is associated with this NPI, valid through November 7, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Canyonlands Community Health Care accept?

Health plans from Ambetter from Arizona Complete Health and UnitedHealthcare list Canyonlands Community Health Care as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Canyonlands Community Health Care was last updated on September 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.