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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

BLACK CANYON COMMUNITY HEALTH CENTER, INC.
NPI 1679723217
Family Medicine in Black Canyon City, AZ

Active since September 19, 2008
19251 E OASIS DR, BLACK CANYON CITY, AZ 85324(623) 374-0200(623) 374-5576 Get Directions Write a Review

NPPES record last updated: June 18, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 8, 2022, Jun 11, 2019 (2 updates tracked since 2019).

About Black Canyon Community Health Center, Inc. NPPES

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

BLACK CANYON COMMUNITY HEALTH CENTER, INC. (NPI 1679723217) is a healthcare organization registered as a family medicine in Black Canyon City, Arizona and active in the NPI registry since September 2008. The organization lists Randy Charles Hancock, Ceo, as its authorized official.

NPPES Registry Identity

NPI1679723217
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameBLACK CANYON COMMUNITY HEALTH CENTER, INC.
Location Address19251 E OASIS DRBlack Canyon City, AZ 85324-8878
Mailing AddressPo Box 1958Black Canyon City, AZ 85324-1958 · (623) 374-0200
Phone(623) 374-0200
Fax(623) 374-5576
Organization SubpartNo
Authorized OfficialRandy Charles HancockCeo · (623) 374-0200
Enumeration DateSeptember 19, 2008
Last NPPES UpdateJune 18, 20262 updates tracked since enumeration
NPPES CertifiedJune 18, 2026
✔ NPI 1679723217 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in AZ · 3297
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.
19251 E OASIS DR, Black Canyon City, AZ 85324
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Other Identifiers 1

Medicaid397607AZ

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

Accepted Insurance

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

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.

PREVENTATIVE DENTAL CARE PLLC
Clinic/Center (Dental)
19251 E OASIS DR
BLACK CANYON CITY, AZ 85324
Yavapai County (162) 344-4232
MATTHEW LYNN MCELROY PA-C
Family Medicine
19251 E OASIS DR
BLACK CANYON CITY, AZ 85324
Yavapai County (623) 374-0200
DR. RANDY CHARLES HANCOCK DO
Family Medicine
19251 E OASIS DR
BLACK CANYON CITY, AZ 85324
Yavapai County (623) 374-0200
RADIANT DENTAL LLC
Dentist (General Practice)
19251 E OASIS DR
BLACK CANYON CITY, AZ 85324
Yavapai County (623) 526-2607
DR. ANDREA KAY IRVING D.O.
General Practice
19251 E OASIS DR
BLACK CANYON CITY, AZ 85324
Yavapai County (623) 374-0200
BLACK CANYON COMMUNITY HEALTH CENTER, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
19251 E OASIS DR
BLACK CANYON CITY, AZ 85324
Yavapai County (623) 374-0200

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 Black Canyon Community Health Center, Inc.'s NPI number?

The NPI number for Black Canyon Community Health Center, Inc. is 1679723217. It was assigned to this organization in the NPPES registry on September 19, 2008.

Where is Black Canyon Community Health Center, Inc. located?

Black Canyon Community Health Center, Inc. is located at 19251 E Oasis Dr, Black Canyon City, AZ 85324. The listed phone number is (623) 374-0200.

What is Black Canyon Community Health Center, Inc.'s specialty?

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

What insurance does Black Canyon Community Health Center, Inc. accept?

Health plans from Ambetter from Arizona Complete Health list Black Canyon Community Health Center, Inc. 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 Black Canyon Community Health Center, Inc. was last updated on June 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 55 days 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.