COMMUNITY INTERVENTION ASSOCIATES (NPI# 1245523364) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245523364 |
| Entity Type | Organization |
| Organization Name | COMMUNITY INTERVENTION ASSOCIATES |
| Other Organization Name | COMMUNITY HEALTH ASSOCIATES |
| Practice Address |
1701 North Douglasave Douglas AZ 85607 |
| Mailing Address |
2851 S Ave B Bldg 4 Yuma AZ 85364 |
| Practice Telephone | 5207277091 |
| Practice Fax Number | 5203642770 |
| Mailing Telephone | 9283760026 |
| Mailing Fax Number | 9287822298 |
| Enumeration Date | 2011-05-23 |
| Last Update Date | 2016-02-10 |
| 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 | BH-3769 | AZ | Agencies |
| Y | 251S00000X | Community/Behavioral Health | BH-3221 | AZ | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 620627 | 05 | |
| AZ | 881988 | 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 |
| 1043504376 | Community Intervention Associates | Community/Behavioral Health | 32 Blvd Del Rey David, Nogales, AZ 85621 | 2011-06-03 |
| 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 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Community Intervention Associates LLC | 5516 Falmouth St, Suite 305, Richmond, Virginia 23230 |
| Street Address |
1701 NORTH DOUGLASAVE |
| City | DOUGLAS |
| State | AZ |
| Zip Code | 85607 |
| 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 |
| 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 |
| 1174736177 | Suzanne Marie Crase | Pharmacist | 90 Fifth St., Douglas, AZ 85607 | 2007-05-07 |
| Find all providers in zip 85607 | ||||
| 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 |
|---|---|---|---|---|
| 1316561509 | Juneau Youth Services, Inc. | Community/Behavioral Health | 1507 3rd St, Douglas, AK 99824 | 2020-06-03 |
| 1831659473 | The Kiddo's Club LLC | Community/Behavioral Health | 3319 W Lariat Ln, Douglas, AZ 85607-6147 | 2019-03-20 |
| 1124584644 | Juneau Youth Services, Inc. | Community/Behavioral Health | 1507 3rd Street, Douglas, AK 99824 | 2019-02-20 |
| 1932620390 | Southeastern Arizona Behavioral Health Service, Inc | Community/Behavioral Health | 936 F Ave Ste B, Douglas, AZ 85607-2024 | 2017-07-06 |
| 1407262512 | Helping Ourselves Pursue Enrichment, Inc. | Community/Behavioral Health | 661 N G Ave, Douglas, AZ 85607-2105 | 2014-07-09 |
| 1174933246 | Caring Connections for Special Needs, LLC | Community/Behavioral Health | 1019 F Ave, Douglas, AZ 85607 | 2014-04-29 |
| 1669899373 | Pinal Hispanic Council | Community/Behavioral Health | 1930 E 11th St, Douglas, AZ 85607-2413 | 2014-03-20 |
| 1346675394 | Corazon Inc. | Community/Behavioral Health | 936 F Ave Ste A&b, Douglas, AZ 85607-2001 | 2013-09-10 |
| 1689946808 | Dorothy Dixon | Community/Behavioral Health | 552 Creekwood Rd, Douglas, GA 31535-1918 | 2012-02-03 |
| 1295907608 | Child & Family Resources, Inc. | Community/Behavioral Health | 855 Cochise Ave, Douglas, AZ 85607-3440 | 2008-03-25 |
| Find all providers in DOUGLAS | ||||
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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.