Black Canyon Community Health Center, Inc
Black Canyon Community Health Center, Inc is a Counselor in Black Canyon City, Arizona. Registered with an NPI since 2022.
- In the registry since
- 2022
- Specialties on file
- 3
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
19251 E Oasis DrBlack Canyon City, AZ 85324-8878
Phone: (623) 374-0200
Fax: (623) 374-5576
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Federally Qualified Health Center (FQHC) (primary) | Taxonomy 261QF0400X |
|---|---|
| Counselor | Taxonomy 101Y00000X |
| Adolescent Medicine (Family Medicine) Physician | Taxonomy 207QA0000X |
Record details
| NPI number | 1992438642 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Randy Hancock — Ceo · (623) 374-0200 |
| NPI enumerated | July 8, 2022 |
| Last updated in NPPES | June 18, 2026 |
| Certification date | June 18, 2026 |
| Mailing address | Po Box 1958, Black Canyon City, AZ 85324-1958 |