LAKE POWELL MEDICAL CENTER
NPI 1619945904
Clinic/Center - Community Health in Page, AZ
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
Specialties & Licenses 4
Other Names 1
Other Identifiers 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Lake Powell Medical Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
34Medicare enrollment records show 34 clinicians reassign Medicare billing to Lake Powell Medical Center, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 8 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 8
Nearest to this location (20)
See all 34Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, AZFrequently 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.
Is Canyonlands Community Health Care enrolled in Medicare?
Yes. Canyonlands Community Health Care is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Canyonlands Community Health Care?
According to the CMS Revalidation Reassignment List (October 2026 release), 34 clinicians in 8 Medicare specialties reassign their Medicare billing to Canyonlands Community Health Care. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (16), Family Practice (6) and Chiropractic (3). Of these, 3 practice at this address and 8 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 5 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.
# Lake Powell Medical Center · NPI 1619945904
Community Health organization in Page, Arizona. Organization record, active in the CMS NPPES registry since March 10, 2006.
## Identity
- **NPI:** 1619945904 (Entity type: Organization)
- **Enumerated:** March 10, 2006
- **Primary specialty:** Clinic/Center - Community Health · taxonomy 261QC1500X
- **Legal business name:** Canyonlands Community Health Care
- **Organization subpart:** Yes (part of Canyondlands Community Health Care)
- **Authorized official:** Christopher Hansen, CEO
## Practice location
- **Address:** 467 VISTA AVENUE, Page, AZ 86040-1625
- **Phone:** (928) 645-8123 · **Fax:** (928) 645-3862
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 34 clinicians in 8 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (16), Family Practice (6), Chiropractic (3); 3 practice at this address and 8 within 10 miles; [full list](https://npiprofile.com/npi/1619945904/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 23, 2021
- **Other identifiers:** Medicaid 432857 (AZ)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1619945904) · Data from the CMS NPPES public registry.