TRISTATE AMBULATORY SURGERY CENTER (NPI# 1033587308) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033587308 |
| Entity Type | Organization |
| Organization Name | TRISTATE AMBULATORY SURGERY CENTER |
| Other Organization Name | COLORADO RIVER MEDICAL CENTER |
| Practice Address |
1401 Bailey Ave Building A Needles CA 92363-3103 |
| Mailing Address |
1401 Bailey Ave Needles CA 92363-3103 |
| Practice Telephone | 7603267160 |
| Practice Fax Number | 7603267292 |
| Mailing Telephone | 7603267160 |
| Mailing Fax Number | 7603267292 |
| Enumeration Date | 2015-09-03 |
| Last Update Date | 2015-09-03 |
| Authorized Official Name | MR. STEVE KELLEY LOPEZ (CEO) |
| Authorized Official Telephone | 7603267160 |
| Is Organization Subpart | Y |
| Parent Organization Name | COMMUNITY HEALTHCARE PARTNER, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities | ||
| Y | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
240000227 | CA | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 240000227 | 05 | |
| AZ | 330130 | 05 |
| Other Name | Type Code |
|---|---|
| Colorado River Medical Center | Doing Business As Name - Organization |
| Street Address |
1401 BAILEY AVE BUILDING A |
| City | NEEDLES |
| State | CA |
| Zip Code | 92363-3103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780666560 | William R Kelley Jr. | Radiology | 1401 Bailey Ave, Dept of Radiology, Needles, CA 92363-3103 | 2005-11-16 |
| 1063819019 | Community Healthcare Partner, Inc. | Skilled Nursing Facility | 1401 Bailey Ave, Needles, CA 92363-3103 | 2014-11-19 |
| 1922415538 | Community Healthcare Partner, Inc. | Registered Nurse | 1401 Bailey Ave, Building A, Needles, CA 92363-3103 | 2014-07-15 |
| 1073752861 | Gilbert Almaraz Md Inc | Anesthesiology | 1401 Bailey Ave, Needles, CA 92363-3103 | 2009-02-18 |
| 1588714190 | Principal-needles Inc | Emergency Medicine | 1401 Bailey Ave, Needles, CA 92363-3103 | 2007-01-12 |
| 1568533388 | River View Emergency Physicians | Emergency Medicine | 1401 Bailey Ave, Needles, CA 92363-3103 | 2006-11-13 |
| 1942383393 | Wantzy Cooper | Emergency Medicine | 1401 Bailey Ave, Bldg 1, Needles, CA 92363-3103 | 2006-10-21 |
| 1043305840 | Principal-needles Inc | General Acute Care Hospital | 1401 Bailey Ave, Needles, CA 92363-3103 | 2006-10-04 |
| 1578512711 | Premier Emergency Physicians of California PC | Emergency Medicine | 1401 Bailey Ave, Needles, CA 92363-3103 | 2006-05-06 |
| 1104894336 | Brad Clayton Barth | Anesthesiology | 1401 Bailey Ave, Needles, CA 92363-3103 | 2006-03-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396022026 | Dhhs Ihs Phoenix Area | Clinic/Center | 1900 Palo Verde, Havasu Lake, CA 92363 | 2011-11-09 |
| 1457520942 | Community Healthcare Partner, Inc | Emergency Medicine | 1401 Bailey Avenue, Needles, CA 92363 | 2008-02-28 |
| 1457478075 | Lake Havasu Fire District | Ambulance | 148808 Havasu Lake Rd, Lake Havasu, CA 92363 | 2007-03-26 |
| 1871070672 | David Rubio | Counselor | 1600 Bailey Ave Ste 2, Needles, CA 92363 | 2018-07-24 |
| 1205035862 | Donald Anderson | Counselor | 640 California Ave, Needles, CA 92363-2115 | 2007-07-13 |
| 1578642815 | Jerry Neil South | Chiropractor | 1400 Needles Hwy, Ste. 105, Needles, CA 92363-2364 | 2006-11-06 |
| 1437145299 | Willow Valley Pharmacy, Inc., Dba | Pharmacy | 1101 W Broadway St, Needles, CA 92363-2704 | 2005-09-26 |
| 1417426578 | Needles Hospice, Inc. | Hospice Care, Community Based | 813 W Broadway St Unit B, Needles, CA 92363-2727 | 2018-11-19 |
| 1598397960 | Billet Adhc Inc Needles | Clinic/Center | 901 Front St, Needles, CA 92363-2739 | 2020-02-04 |
| 1821126889 | Mental Health Systems, Inc. | Community/Behavioral Health | 300 H St, Needles, CA 92363-2928 | 2007-03-01 |
| Find all providers in zip 92363 | ||||
| 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 |
|---|---|---|---|---|
| 1962705772 | Needles Hospital, Inc | General Acute Care Hospital | 1916 Desoto St, Needles, CA 92363-3023 | 2010-12-16 |
| 1043305840 | Principal-needles Inc | General Acute Care Hospital | 1401 Bailey Ave, Needles, CA 92363-3103 | 2006-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407208713 | Moheb Youssef,m.d.,inc | General Acute Care Hospital | 5730 Glen Oaks Dr, La Verne, CA 91750-1713 | 2016-07-11 |
| 1659720373 | Pavel S. Volkov, M.d. Inc. | General Acute Care Hospital | 2393 E Strathmore Pl, Fresno, CA 93730-9717 | 2016-06-03 |
| 1841647575 | Ma Corazon Sabado Domine-flores | General Acute Care Hospital | 13884 Euclid St Apt B01, Garden Grove, CA 92843-3401 | 2016-05-23 |
| 1215305404 | Karen Samartan | General Acute Care Hospital | 6361 Varsity Dr, Huntington Beach, CA 92647-6544 | 2015-09-04 |
| 1427486802 | Lake Arrowhead Physical Therapy | General Acute Care Hospital | 29099 Hospital Rd Suite 106, Lake Arrowhead, CA 92352-0070 | 2013-10-23 |
| 1841626587 | Adventist Health Clearlake Hospital, Inc | General Acute Care Hospital | 9430 Lake St, Lower Lake, CA 95457-8600 | 2013-09-25 |
| 1982948030 | Kern Medical Center | General Acute Care Hospital | 1420 H Street, Bakersfield, CA 93305 | 2012-11-15 |
| 1881960698 | Lisa M Bach Bohler | General Acute Care Hospital | 2202 N Magnolia Rd, Palm Springs, CA 92262-3652 | 2012-03-26 |
| 1750680914 | Cedars-sinai Medical Center | General Acute Care Hospital | 1650 Manning Ave, Los Angeles, CA 90024-5810 | 2011-03-26 |
| 1558662098 | St. Joseph Health Northern California, LLC | General Acute Care Hospital | 248 Anzavista Ave, San Francisco, CA 94115 | 2010-11-16 |
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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.