GILA RIVER HEALTH CARE CORPORTION (NPI# 1033437884) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1033437884 |
Entity Type | Organization |
Organization Name | GILA RIVER HEALTH CARE CORPORTION |
Other Organization Name | HU HU KAM MEMORIAL HOSPITAL |
Practice Address |
483 W. Seed Farm Rd. Credentialing Sacaton AZ 85147-0115 |
Practice Telephone | 6025281340 |
Practice Fax Number | 6025281296 |
Mailing Telephone | 6025281340 |
Mailing Fax Number | 6025281296 |
Enumeration Date | 2010-05-04 |
Last Update Date | 2010-05-04 |
Authorized Official Name | MR. KAYLOR SCHEMBURGER (CEO) |
Authorized Official Telephone | 6025281200 |
Is Organization Subpart | Y |
Parent Organization Name | GILA RIVER HEALTH CARE CORPORATION |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
TRIBAL | AZ | Hospitals |
Other Name | Type Code |
---|---|
Hu Hu Kam Memorial Hospital | Other Name - Individual/Organization |
Street Address |
483 W. SEED FARM RD. CREDENTIALING |
City | SACATON |
State | AZ |
Zip Code | 85147-0115 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316941867 | Ronald Eugene Morehouse | Physician Assistant | 483 W. Seed Farm Rd., Sacaton, AZ 85147-0038 | 2005-06-10 |
1154808780 | Brady Glenn Lybbert | Dentist | 483 W. Seed Farm Rd., Sacaton, AZ 85147 | 2018-07-26 |
1598257248 | Corinne C Ciuris | Dietitian, Registered | 483 W. Seed Farm Rd., Sacaton, AZ 85043 | 2018-05-30 |
1598256398 | Phil Armando Sanchez | Social Worker | 483 W. Seed Farm Rd., Icm - Behavioral Health, Sacaton, AZ 85147 | 2018-05-29 |
1710414503 | Vicki Stevenson | Social Worker | 483 W. Seed Farm Rd., Sacaton, AZ 85147-0038 | 2017-05-11 |
1124569892 | Dustin Akina | Physical Therapist | 483 W. Seed Farm Rd., Sacaton, AZ 85147-0038 | 2017-03-15 |
1346791571 | Emily Perkins | Dietitian, Registered | 483 W. Seed Farm Rd., Sacaton, AZ 85147-0038 | 2016-10-24 |
1861852329 | Christine Waite | Dietitian, Registered | 483 W. Seed Farm Rd., Sacaton, AZ 85147-0038 | 2016-02-26 |
1912366980 | Rosalinda Sigarroba | Counselor | 483 W. Seed Farm Rd., Sacaton, AZ 85147 | 2016-02-18 |
1447619523 | Manny Athans | Counselor | 483 W. Seed Farm Rd., Sacaton, AZ 85147 | 2016-02-17 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104452507 | Jeremy James Pumphrey | Counselor | 438 W Seed Farm Rd, Sacaton, AZ 85147 | 2020-03-17 |
1215563804 | Leo Oswaldo Merino | Counselor | 291 W. Casa Blanca Rd. Bldg. # 7, Sacaton, AZ 85147 | 2020-03-16 |
1588166896 | Stephanie Lashawn Brown | Social Worker | 483 West Seed Farm Rd., Sacaton, AZ 85147 | 2018-03-02 |
1255602447 | Joyce Mildred Villalobos | Counselor | Gila River Health Care Corp, 483 W Seed Farm Rd, Sacaton, AZ 85147 | 2012-01-19 |
1417237074 | Gila River Health Care | Community/Behavioral Health | 291 W Casa Blanca Rd, Sacaton, AZ 85147 | 2011-08-26 |
1750598322 | Kari Beth Harris | Social Worker | 198 South Skill Center Road, Sacaton, AZ 85147 | 2007-05-16 |
1740378694 | Vincent Anthony Berkley | Internal Medicine | 198 S. Skill Center Road, Sacaton, AZ 85147 | 2006-10-10 |
1568448801 | Wesley Neil Yamada | Podiatrist | 483 W Seed Farm Road, Sacaton, AZ 85147 | 2005-12-19 |
1376532515 | Frances Antone | Physician Assistant | 483 W Seed Farm Rd., Sacaton, AZ 85147 | 2005-10-20 |
1538167051 | Xuong Wilkinson | Family Medicine | 483 West Seed Farm Road, Sacaton, AZ 85147 | 2005-07-08 |
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Taxonomy Code | 282NC0060X |
Grouping | Hospitals |
Classification | General Acute Care Hospital |
Specialization | Critical Access |
Definition to come. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225023179 | Gila River Health Care Corporation | General Acute Care Hospital | 483 W. Seed Farm Rd., Sacaton, AZ 85147-0038 | 2005-09-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306287644 | University of Arizona Medical Center | General Acute Care Hospital | 4561 W Plantation St, Tucson, AZ 85741-4036 | 2013-07-16 |
1548591720 | Cobre Valley Regional Medical Center | General Acute Care Hospital | 5880 S Hospital Drive, Globe, AZ 85501-9447 | 2010-01-27 |
1225274210 | Community Hospital Association, Inc. | General Acute Care Hospital | 523 Rose Ln, Wickenburg, AZ 85390-1448 | 2008-12-23 |
1962669929 | University Medical Center Corp | General Acute Care Hospital | 3015 N Mountain Ave, # 1, Tucson, AZ 85719-2637 | 2008-05-19 |
1578515789 | Page Hospital | General Acute Care Hospital | 501 North Navajo, Page, AZ 86040 | 2006-05-16 |
1376538231 | Gila River Health Care Corporation | General Acute Care Hospital | 17487 S. Health Care Dr., Laveen, AZ 85339-0038 | 2005-09-16 |
1841282852 | Community Hospital Association, Inc. | General Acute Care Hospital | 520 Rose Ln, Wickenburg, AZ 85390-1447 | 2005-08-16 |
1023632973 | Benson Hospital Corporation | General Acute Care Hospital | 890 W 4th St, Benson, AZ 85602-6437 | 2020-06-05 |
1205327582 | Benson Hospital Corporation | General Acute Care Hospital | 688 W 4th St Ste B, Benson, AZ 85602 | 2018-05-23 |
1437664182 | Gila River Health Care Corporation | General Acute Care Hospital | 3042 W. Queen Creek Road, Chandler, AZ 85286 | 2017-12-04 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.