COMMUNITY INTERVENTION ASSOCIATES (NPI# 1043504376) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043504376 |
| Entity Type | Organization |
| Organization Name | COMMUNITY INTERVENTION ASSOCIATES |
| Other Organization Name | COMMUNITY HEALTH ASSOCIATES |
| Practice Address |
32 Blvd Del Rey David Nogales AZ 85621 |
| Mailing Address |
2851 S Ave B Bldg 4 Yuma AZ 85364-7726 |
| Practice Telephone | 5203947400 |
| Practice Fax Number | 5203779596 |
| Mailing Telephone | 9283760026 |
| Mailing Fax Number | 9287822298 |
| Enumeration Date | 2011-06-03 |
| Last Update Date | 2016-02-12 |
| Authorized Official Name | MR. FRED R COGBURN (CEO) |
| Authorized Official Telephone | 9283760026 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251S00000X | Community/Behavioral Health | B-3771 | AZ | Agencies |
| Y | 251S00000X | Community/Behavioral Health | BH-3771 | AZ | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 603657 | 05 |
| Other Name | Type Code |
|---|---|
| Community Health Associates | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639567209 | Community Intervention Associates | Community/Behavioral Health | 1923 North Trekell Road, Casa Grande, AZ 85122 | 2015-01-05 |
| 1245523364 | Community Intervention Associates | Community/Behavioral Health | 1701 North Douglasave, Douglas, AZ 85607 | 2011-05-23 |
| 1013239136 | Community Intervention Associates | Community/Behavioral Health | 1938 E Juan Sanchez Blvd, Suite 4, San Luis, AZ 85349 | 2010-02-16 |
| 1194137315 | Community Intervention Associates | Case Management | 2851 S Avenue B, Bldg 4, Yuma, AZ 85364-7726 | 2014-05-22 |
| 1639287667 | Community Intervention Associates | Community/Behavioral Health | 2851 S Ave B, Bldg 4a, 4b, Suites 1101 and 1102, Yuma, AZ 85364 | 2006-08-29 |
| Street Address |
32 BLVD DEL REY DAVID |
| City | NOGALES |
| State | AZ |
| Zip Code | 85621 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548771033 | Intermountain Health Center, Inc. | Community/Behavioral Health | 272 West Viewpoint Drive, Nogales, AZ 85621 | 2017-10-24 |
| 1336696657 | Intermountain Centers for Human Development Inc. | Community/Behavioral Health | 276 West View Point Drive, Nogales, AZ 85621 | 2016-09-02 |
| 1831584291 | Helping Ourselves Pursue Enrichment, Inc. | Community/Behavioral Health | 1857 N Mastick Way, Nogales, AZ 85621 | 2015-04-02 |
| 1568782175 | Arizona's Children Association | Clinic/Center | 1740 N. Mastick Way, Suite D, Nogales, AZ 85621 | 2010-06-04 |
| 1811032493 | Susan M. Jaworski | Local Education Agency (LEA) | 315 Plum Street, Nogales, AZ 85621 | 2007-02-21 |
| 1194885905 | Alex Gracia | Pharmacy Technician | 839 W. Calle Chico, Nogales, AZ 85621 | 2006-12-11 |
| 1982716130 | Yvette Denise Braun | Chiropractor | 1821 N Mastick Way #1, Nogales, AZ 85621 | 2006-08-31 |
| 1043254154 | John Diaz | Emergency Medicine | 1171 W Target Range Road, Carondelet Holy Cross Hospital, Nogales, AZ 85621 | 2006-06-16 |
| 1467495085 | Bart L Mc Rae | Emergency Medicine | Carondelet Holy Cross Hospital, 1171 W. Target Range Road, Nogales, AZ 85621 | 2006-06-13 |
| 1215974951 | Carondelet Medical Group, Inc | Podiatrist | 1209 W. Target Range Rd., Nogales, AZ 85621 | 2006-06-01 |
| Find all providers in zip 85621 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548771033 | Intermountain Health Center, Inc. | Community/Behavioral Health | 272 West Viewpoint Drive, Nogales, AZ 85621 | 2017-10-24 |
| 1023539483 | Southeastern Arizona Behavioral Health Service, Inc. | Community/Behavioral Health | 1891 N Mastick Way Ste A&b, Nogales, AZ 85621-1025 | 2017-07-06 |
| 1336696657 | Intermountain Centers for Human Development Inc. | Community/Behavioral Health | 276 West View Point Drive, Nogales, AZ 85621 | 2016-09-02 |
| 1982150876 | Mentally Ill Kids In Distress | Community/Behavioral Health | 1777 N Frank Reed Rd, Suite 1 & 2, Nogales, AZ 85621-4031 | 2016-08-30 |
| 1831584291 | Helping Ourselves Pursue Enrichment, Inc. | Community/Behavioral Health | 1857 N Mastick Way, Nogales, AZ 85621 | 2015-04-02 |
| 1336421973 | Southeastern Arizona Behavioral Health Services, Inc. | Community/Behavioral Health | 441 N Grand Ave Ste 9, Nogales, AZ 85621-2729 | 2011-09-09 |
| 1538450960 | Colorado River Behavioral Health System | Community/Behavioral Health | 2073 N Grand Ave, #19, Nogales, AZ 85621-1038 | 2011-04-19 |
| 1841592078 | Pinal Hispanic Council | Community/Behavioral Health | 275 N Grand Court Plz, Nogales, AZ 85621-2744 | 2010-11-19 |
| 1053573592 | Construyendo Circulos De Paz, Inc. | Community/Behavioral Health | 1859 N Grand Ave, Suites 3 & 4, Nogales, AZ 85621-1386 | 2008-06-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932700929 | True Wellness Support Services | Community/Behavioral Health | 8936 W Villa Rita Dr, Peoria, AZ 85382-3021 | 2020-11-05 |
| 1447851837 | Laws of Mindful Healing | Community/Behavioral Health | 3717 S Chaparral Rd, Apache Junction, AZ 85119-3608 | 2020-11-03 |
| 1790384030 | Great Xpectations LLC | Community/Behavioral Health | 4014 W Christy Dr, Phoenix, AZ 85029-3958 | 2020-10-19 |
| 1710586144 | Brighter Tomorrow's Family Services, LLC | Community/Behavioral Health | 644 N Country Club Dr Ste D, Mesa, AZ 85201-4983 | 2020-10-16 |
| 1386242295 | Mercy Cares LLC | Community/Behavioral Health | 2644 E Paradise Ln Apt D, Phoenix, AZ 85032-2945 | 2020-10-13 |
| 1124626080 | Beia's Families | Community/Behavioral Health | 3230 E Broadway Rd Ste C-235, Phoenix, AZ 85040-2873 | 2020-10-13 |
| 1558968099 | Seed Sower LLC | Community/Behavioral Health | 11526 W Bloomfield Rd, El Mirage, AZ 85335-3916 | 2020-10-07 |
| 1306443171 | Essential Health Services, LLC | Community/Behavioral Health | 2112 E Sanoque Ct, Gilbert, AZ 85298-6117 | 2020-10-05 |
| 1518564442 | Infinity Groups Homes LLC | Community/Behavioral Health | 3523 E Everett Dr, Phoenix, AZ 85032-5136 | 2020-10-05 |
| 1013524230 | Civara Behavioral Health LLC | Community/Behavioral Health | 4010 W Cactus Rd, Phoenix, AZ 85029-2905 | 2020-10-01 |
| Find all providers with the same taxonomy | ||||
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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.