COMMUNITY HEALTHCARE OF DOUGLAS INC. (NPI# 1083932784) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083932784 |
| Entity Type | Organization |
| Organization Name | COMMUNITY HEALTHCARE OF DOUGLAS INC. |
| Practice Address |
2174 W Oak Ave Douglas AZ 85607-6003 |
| Mailing Address |
2174 West Oak Avenue Douglas AZ 85607 |
| Practice Telephone | 5208055943 |
| Practice Fax Number | 5203642551 |
| Mailing Telephone | 5208055943 |
| Mailing Fax Number | 5203642551 |
| Enumeration Date | 2010-05-06 |
| Last Update Date | 2010-05-06 |
| Authorized Official Name | ROBERTA C BERRY (EXECUTIVE ASSISTANT) |
| Authorized Official Telephone | 5208055943 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | H-0015 | AZ | Laboratories |
| Street Address |
2174 W OAK AVE |
| City | DOUGLAS |
| State | AZ |
| Zip Code | 85607-6003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467452623 | Arizona Ambulance of Douglas, Inc. | Ambulance | 2174 W Oak Ave, Douglas, AZ 85607-6003 | 2005-07-28 |
| 1073923066 | Douglas Community Hospital, Inc. | General Acute Care Hospital | 2174 W Oak Ave, Douglas, AZ 85607-6003 | 2014-04-30 |
| 1992127716 | Douglas Community Hospital | General Acute Care Hospital | 2174 W Oak Ave, Douglas, AZ 85607 | 2014-01-14 |
| 1891070520 | Arizona Em-i Medical Services | Nurse Practitioner | 2174 W Oak Ave, Douglas, AZ 85607-6003 | 2011-10-13 |
| 1821386400 | Grand Canyon State Inpatient Services | Hospitalist | 2174 W Oak Ave, Douglas, AZ 85607-6003 | 2011-07-15 |
| 1205164688 | Community Health Care of Douglas | Radiology | 2174 W Oak Ave, Douglas, AZ 85607 | 2009-11-24 |
| 1740514207 | Ciara Jane Aparicio | Nurse Practitioner | 2174 W Oak Ave, Douglas, AZ 85607-6003 | 2009-09-30 |
| 1023342342 | Saddle Gap Emergency Physicians LLC | Emergency Medicine | 2174 W Oak Ave, Douglas, AZ 85607-6003 | 2009-09-21 |
| 1427228212 | Community Healthcare of Douglas | General Acute Care Hospital | 2174 W Oak Ave, Douglas, AZ 85607-6003 | 2008-03-07 |
| 1932300910 | Community Healthcare of Douglas Inc | Medicare Defined Swing Bed Unit | 2174 W Oak Ave, Douglas, AZ 85607-6003 | 2007-05-29 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811472665 | Chiricahua Community Health Centers, Inc | Clinic/Center | 1151 16th Street, Douglas, AZ 85607 | 2018-09-27 |
| 1457758609 | Angela Leah Overturf | Nurse Practitioner | 100 East 5th Street, Douglas, AZ 85607 | 2014-12-02 |
| 1609279108 | Walter Tucker | Counselor | 2100 E 8th, Douglas, AZ 85607 | 2014-09-29 |
| 1851700488 | Gerardo Grijalva | Non-emergency Medical Transport (VAN) | 2714 E 6th St, Douglas, AZ 85607 | 2014-08-07 |
| 1174933246 | Caring Connections for Special Needs, LLC | Community/Behavioral Health | 1019 F Ave, Douglas, AZ 85607 | 2014-04-29 |
| 1831473164 | Cheryl Lynn Mcneeley | Speech-Language Pathologist | 815 E. 15th Street, Douglas, AZ 85607 | 2011-10-05 |
| 1245523364 | Community Intervention Associates | Community/Behavioral Health | 1701 North Douglasave, Douglas, AZ 85607 | 2011-05-23 |
| 1174820898 | Chiricahua Community Health Centers, Inc | Clinic/Center | 815 15th Street, Douglas, AZ 85607 | 2011-02-15 |
| 1033319512 | Community Healthcare of Douglas Inc | Clinic/Center | 1906 11th Street, Douglas, AZ 85607 | 2007-07-23 |
| 1538360888 | Jay Daniel Zamora | Chiropractor | 1915 E 10th St, Douglas, AZ 85607 | 2007-05-31 |
| Find all providers in zip 85607 | ||||
| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
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|---|---|---|---|---|
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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.