COMMUNITY HOSPITAL ASSOCIATION, INC. (NPI# 1225274210) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1225274210 |
Entity Type | Organization |
Organization Name | COMMUNITY HOSPITAL ASSOCIATION, INC. |
Other Organization Name | COMMUNITY HOSPITAL CLINIC - WICKENBURG |
Practice Address |
523 Rose Ln Wickenburg AZ 85390-1448 |
Practice Telephone | 9286681833 |
Practice Fax Number | 9286847457 |
Mailing Telephone | 9286681833 |
Mailing Fax Number | 9286847457 |
Enumeration Date | 2008-12-23 |
Last Update Date | 2019-04-29 |
Authorized Official Name | MR. JAMES TAVARY (CEO) |
Authorized Official Telephone | 9286845421 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
RGH3505 | AZ | Hospitals |
Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
OTC4928 | AZ | Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Community Hospital Clinic - Wickenburg | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154989168 | Community Hospital Association, Inc. | Pharmacy | 26750b S. Santa Fe Rd., Congress, AZ 85332 | 2019-06-04 |
1770097123 | Community Hospital Association, Inc. | Clinic/Center | 32919 N Center St Ste B, Wittmann, AZ 85361-9433 | 2017-11-21 |
1730445347 | Community Hospital Association, Inc. | Clinic/Center | 700 Palo Verde Road, Bagdad, AZ 86321 | 2012-04-09 |
1609144393 | Community Hospital Association, Inc. | Clinic/Center | 26750 S. Santa Fe Road, Suite B, Congress, AZ 85332 | 2011-12-08 |
1841282852 | Community Hospital Association, Inc. | General Acute Care Hospital | 520 Rose Ln, Wickenburg, AZ 85390-1447 | 2005-08-16 |
1376150946 | Community Hospital Association, Inc. | Pharmacy | 520 Rose Ln, Wickenburg, AZ 85390-1447 | 2020-09-28 |
Street Address |
523 ROSE LN |
City | WICKENBURG |
State | AZ |
Zip Code | 85390-1448 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821614587 | Brittany A Miranda | Nurse Practitioner | 523 Rose Ln, Wickenburg, AZ 85390-1448 | 2020-06-18 |
1821518192 | Drema Denae Newman | Nurse Practitioner | 523 Rose Ln, Wickenburg, AZ 85390-1448 | 2017-06-27 |
1326493289 | Blair L Funk | Family Medicine | 523 Rose Ln, Wickenburg, AZ 85390-1448 | 2016-04-28 |
1003178666 | Jeremy J. Bramwell | Family Medicine | 523 Rose Ln, Wickenburg, AZ 85390 | 2012-06-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215559471 | Innovative Dermatology Alliance Az, PC | Dermatology | 390 Bralliar Rd, Wickenburg, AZ 85390 | 2020-05-11 |
1982040127 | Lottis & Associates, P.C. | Clinic/Center | 55 E. Yavapai St, Wickenburg, AZ 85390 | 2013-05-15 |
1760760250 | New Directions Integrative Wellness Center of Wickenburg, Arizona, Pll | Clinic/Center | 370 Palm Drive, Wickenburg, AZ 85390 | 2011-08-01 |
1326278953 | Amy Elizabeth Wasserbauer | Psychologist | One E Apache St, Remuda Ranch Treatment Center, Wickenburg, AZ 85390 | 2009-07-16 |
1063653061 | Wallace B Mendelson | Psychiatry & Neurology | 1 E. Apache St., Remuda Ranch, Wickenburg, AZ 85390 | 2009-03-20 |
1316195902 | Nichole Elsner | Counselor | 920 S Vulture Mine Rd, Wickenburg, AZ 85390 | 2008-09-08 |
1992962310 | Judy Rosittia Zobel | Acupuncturist | 519 Rose Lane, Wickenburg, AZ 85390 | 2008-05-22 |
1336361179 | Eduardo Rodolfo Huergo | Psychiatry & Neurology | One East Apache Street, Wickenburg, AZ 85390 | 2007-05-02 |
1972625515 | Kari Marie Froelicher | Counselor | 315 Apache Street, Wickenburg, AZ 85390 | 2007-04-04 |
1477689933 | Wickenburg Unified School District #9 | Local Education Agency (LEA) | 920 S. Vulture Mine Road, Special Education Office, Wickenburg, AZ 85390 | 2007-02-26 |
Find all providers in zip 85390 |
Taxonomy Code | 261QR1300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rural Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316552516 | San Luis Walk-in Clinic, Inc. | Clinic/Center | 151 S Oak Ave Ste 2, San Luis, AZ 85336-0756 | 2020-09-14 |
1447865654 | San Luis Walk-in Clinic, Inc. | Clinic/Center | 151 S Oak Ave Ste 3, San Luis, AZ 85336-0756 | 2020-09-14 |
1457966657 | San Luis Walk-in Clinic, Inc. | Clinic/Center | 151 S Oak Ave Ste 5, San Luis, AZ 85336-0756 | 2020-09-14 |
1992321723 | Ponderosa Family Care, LLC | Clinic/Center | 127 E Main St Ste D, Payson, AZ 85541-5646 | 2020-06-17 |
1770097123 | Community Hospital Association, Inc. | Clinic/Center | 32919 N Center St Ste B, Wittmann, AZ 85361-9433 | 2017-11-21 |
1720433832 | Parker Medical Center, Ltd | Clinic/Center | 905 S Fiesta Ave, Parker, AZ 85344-5152 | 2016-04-26 |
1386904019 | Mz Trans | Clinic/Center | 8603 N 22nd Ave Apt 134, Phoenix, AZ 85021 | 2012-05-29 |
1497021844 | Cobre Valley Regional Medical Center | Clinic/Center | 124 N Tewskbury Blvd, Young, AZ 85554-0000 | 2012-03-30 |
1609144393 | Community Hospital Association, Inc. | Clinic/Center | 26750 S. Santa Fe Road, Suite B, Congress, AZ 85332 | 2011-12-08 |
1285869883 | Rchp-sierra Vista Inc | Clinic/Center | 1101 N San Antonio Ave, Douglas, AZ 85607-2419 | 2009-05-27 |
Find all providers with the same taxonomy |
City | WICKENBURG |
Zip Code | 85390 |
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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.