Clinic/Center, Federally Qualified Health Center (FQHC)
BLACK CANYON COMMUNITY HEALTH CENTER, INC.
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1124730627 · enumerated 2022-12-16 · record updated 2026-09-23. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: RANDY HANCOCK DO, CEO · (623) 374-0200
Addresses and phones
- Mailing address 19251 E OASIS DR, BLACK CANYON CITY, AZ, 85324-8878 (623) 374-0200 Fax (623) 374-5576 Google Maps Apple Maps OpenStreetMap
- Practice location 17301 E SPRING VALLEY RD STE F, MAYER, AZ, 86333-4263 (623) 374-0200 Fax (623) 374-5576 Google Maps Apple Maps OpenStreetMap
Specialties
- Counselor, Mental Health 101YM0800X
- Family Medicine 207Q00000X
- Clinic/Center, Federally Qualified Health Center (FQHC) 261QF0400X · Primary
In this directory
AZ Yavapai County Mayer Clinic/Center, Federally Qualified Health Center (FQHC)
Locations and evidence
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Practice location
MAYER, AZ, 863334263
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.