Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Canyonlands Community Health Care

Organization Family Medicine Physician · NPI 1568430676

Canyonlands Community Health Care is a Family Medicine Physician in Kaibeto, Arizona. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
2

Practice location Address checks out

Kaibeto Boarding School Dorm # 4
Kaibeto, AZ 86053-2121
Phone: (928) 673-3491
Fax: (928) 673-3494
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Federally Qualified Health Center (FQHC) (primary) Taxonomy 261QF0400X
Family Medicine Physician Taxonomy 207Q00000X

Record details

NPI number1568430676
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationCanyonlands Community Health Care
Authorized official Elizabeth Latham — Ceo · (928) 645-9675
Other names Kaibeto Clinic
NPI enumeratedMarch 14, 2006
Last updated in NPPESApril 20, 2008
Mailing addressPo Box 1625, Page, AZ 86040-1625