SUMMIT HEALTHCARE ASSOCIATION (NPI# 1083736128) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083736128 |
| Entity Type | Organization |
| Organization Name | SUMMIT HEALTHCARE ASSOCIATION |
| Other Organization Name | SUMMIT HEALTHCARE ONCOLOGY CENTER |
| Practice Address |
2500 E Hunt St Suite H Show Low AZ 85901-7954 |
| Practice Telephone | 9285376937 |
| Mailing Telephone | 9285376937 |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2008-07-31 |
| Authorized Official Name | KENNETH ROBERT ALLEN (COO) |
| Authorized Official Telephone | 9285376399 |
| Is Organization Subpart | Y |
| Parent Organization Name | SUMMIT HEALTHCARE ASSOCIATION |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QX0203X |
Clinic/Center Specialization: Oncology, Radiation |
3376 | AZ | Ambulatory Health Care Facilities |
| Y | 261QX0200X |
Clinic/Center Specialization: Oncology |
3376 | AZ | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 020016 | 05 |
| Other Name | Type Code |
|---|---|
| Summit Healthcare Oncology Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811468804 | Summit Healthcare Association | Pharmacy | 4951 South White Mountain Road, Bldg A., Suite 1500, Show Low, AZ 85901 | 2018-12-17 |
| 1477104552 | Summit Healthcare Association | Psychiatric Unit | 2200 E Show Low Lake Rd, Show Low, AZ 85901-7831 | 2019-09-20 |
| 1326549031 | Summit Healthcare Association | Non-Pharmacy Dispensing Site | 2352 Quarter Horse Trail, Overgaard, AZ 85933 | 2018-02-27 |
| 1710143607 | Summit Healthcare Association | Anesthesiology | 2200 E Show Low Lake Rd, Show Low, AZ 85901-7831 | 2008-07-31 |
| 1134199839 | Summit Healthcare Association | Home Health | 2200 E Show Low Lake Rd, Show Low, AZ 85901-7881 | 2006-01-25 |
| 1144209271 | Summit Healthcare Association | General Acute Care Hospital | 2200 E Show Low Lake Rd, Show Low, AZ 85901-7881 | 2006-01-17 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | SUMMIT HEALTHCARE ASSOCIATION | 2200 E Show Low Lake Rd, Show Low, AZ 85901-7831 |
| Street Address |
2500 E HUNT ST SUITE H |
| City | SHOW LOW |
| State | AZ |
| Zip Code | 85901-7954 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164454047 | Randy Whittle | Physical Therapist | 2500 E Hunt St, Show Low, AZ 85901-7954 | 2006-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811468804 | Summit Healthcare Association | Pharmacy | 4951 South White Mountain Road, Bldg A., Suite 1500, Show Low, AZ 85901 | 2018-12-17 |
| 1821446386 | Ivy L Loney | Social Worker | 580 E. Old Linden Rd #6, Show Low, AZ 85901 | 2016-05-25 |
| 1750749214 | Summit Healthcare | General Acute Care Hospital | 181 East Sylvester, Show Low, AZ 85901 | 2016-01-29 |
| 1194153916 | Alpha & Omega Physical Therapy Acc | Physical Therapist | 861 E Cooley St # B, Show Low, AZ 85901 | 2013-10-15 |
| 1033454707 | North Country Healthcare, Inc. | Family Medicine | 2600 E. Show Low Lake Rd., Show Low, AZ 85901 | 2012-12-06 |
| 1073740098 | North Country Healthcare, Inc. | Clinic/Center | 2650 E. Show Low Lake Rd, Suite 1, Show Low, AZ 85901 | 2009-06-17 |
| 1215174768 | Coast To Coast Air Ambulance, LLC | Ambulance | 3151 Airport Loop Ste 2, Show Low, AZ 85901 | 2009-01-20 |
| 1487899712 | Akdhc, LLC | Internal Medicine | 2051 Evergreen Lane, Ste D, Your Family Practice Team, Show Low, AZ 85901 | 2008-12-16 |
| 1851553192 | Health Angels Companion Care, Inc. | Technician | 1001 E. Huning, Show Low, AZ 85901 | 2008-06-27 |
| 1528231586 | Peggy Johnson | Occupational Therapist | Cusd# 24 Hwy 191, Chinle, AZ 85901 | 2008-04-10 |
| Find all providers in zip 85901 | ||||
| Taxonomy Code | 261QX0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Oncology |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment and prescriptive services related to cancerous conditions. Services include chemotherapy infusions and monitoring of implanted chemotherapeutic agents. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073007787 | Southwest Cancer Care LLC | Clinic/Center | 100 E 5th St, Douglas, AZ 85607-2859 | 2018-06-15 |
| 1588158448 | Banner Cancer Center Specialists LLC | Clinic/Center | 122 E Main St, Payson, AZ 85541-5574 | 2018-06-14 |
| 1235656174 | Vincere Surgery Center LLC | Clinic/Center | 7469 E Monte Cristo Ave, Scottsdale, AZ 85260-1618 | 2017-08-22 |
| 1518253152 | Banner Cancer Center Specialists LLC | Clinic/Center | 2946 E Banner Gateway Drive, Gilbert, AZ 85234 | 2011-06-22 |
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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.