NORTHERN COCHISE COMMUNITY HOSPITAL INC (NPI# 1295992345) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295992345 |
| Entity Type | Organization |
| Organization Name | NORTHERN COCHISE COMMUNITY HOSPITAL INC |
| Practice Address |
901 W Rex Allen Dr Willcox AZ 85643-1009 |
| Practice Telephone | 5203843541 |
| Mailing Telephone | 5203843541 |
| Enumeration Date | 2008-05-16 |
| Last Update Date | 2008-05-16 |
| Authorized Official Name | MRS. JULIE A HILTON (ACTING ADMINISTRATOR AND CNO) |
| Authorized Official Telephone | 5203843541 |
| Is Organization Subpart | Y |
| Parent Organization Name | NORTHERN COCHISE COMMUNITY HOSPITAL INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 313M00000X | Nursing Facility/Intermediate Care Facility | NCI-301 | AZ | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 041179 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235383548 | Northern Cochise Community Hospital Inc | General Acute Care Hospital | 901 W Rex Allen Dr, Willcox, AZ 85643-1009 | 2008-11-13 |
| 1013060367 | Northern Cochise Community Hospital Inc | General Acute Care Hospital | 901 W Rex Allen Dr, Willcox, AZ 85643-1009 | 2007-01-19 |
| Street Address |
901 W REX ALLEN DR |
| City | WILLCOX |
| State | AZ |
| Zip Code | 85643-1009 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306895909 | Stronghold Emergency Physicians | Emergency Medicine | 901 W Rex Allen Dr, Willcox, AZ 85643-1009 | 2006-05-09 |
| 1477153823 | Mary Balderston | Registered Nurse | 901 W Rex Allen Dr, Willcox, AZ 85643-1009 | 2020-10-27 |
| 1740827252 | Christopher Brogan | Family Medicine | 901 W Rex Allen Dr, Willcox, AZ 85643-1009 | 2019-12-03 |
| 1346802097 | Michael Payne | Physical Therapist | 901 W Rex Allen Dr, Willcox, AZ 85643-1009 | 2019-07-02 |
| 1861928749 | Stephanie Daniel Md Plc | Family Medicine | 901 W Rex Allen Dr, Willcox, AZ 85643-1009 | 2017-05-11 |
| 1437557642 | Northern Cochise Community Hospital | Family Medicine | 901 W Rex Allen Dr, Willcox, AZ 85643-1009 | 2014-12-22 |
| 1922333772 | Willard Randolph Vannostrand IIi | Emergency Medicine | 901 W Rex Allen Dr, Willcox, AZ 85643-1009 | 2009-10-13 |
| 1235383548 | Northern Cochise Community Hospital Inc | General Acute Care Hospital | 901 W Rex Allen Dr, Willcox, AZ 85643-1009 | 2008-11-13 |
| 1013060367 | Northern Cochise Community Hospital Inc | General Acute Care Hospital | 901 W Rex Allen Dr, Willcox, AZ 85643-1009 | 2007-01-19 |
| 1285785097 | Hisham Hamam | Internal Medicine | 901 W Rex Allen Dr, Willcox, AZ 85643-1009 | 2007-01-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023527363 | Martha Prendergast | Obstetrics & Gynecology | 24749 S Brookerson Rd, Willcox, AZ 85643 | 2017-09-28 |
| 1891097333 | Community Partners Integrated Healthcare, Inc. | Community/Behavioral Health | 114 S. Arizona Avenue, & 116, Willcox, AZ 85643 | 2010-12-02 |
| 1528392545 | Willcox Pharmacy, LLC | Pharmacy | 902 W Rex Allen Drive, Suite A, Willcox, AZ 85643 | 2009-09-23 |
| 1104977990 | Ronald J Nelson | Psychologist | 480 N. Bisbee Ave, Willcox, AZ 85643 | 2007-01-16 |
| 1144370149 | Bashas Inc | Pharmacy | 900 W Rex Allen Dr, Willcox, AZ 85643 | 2007-01-11 |
| 1366530859 | Ellen Bennett | Marriage & Family Therapist | 404 Rex Allen Drive, Willcox, AZ 85643 | 2006-10-10 |
| 1780610642 | Southwestern Eye Center Ltd | Durable Medical Equipment & Medical Supplies | 780 Rex Allen Dr., Willcox, AZ 85643 | 2006-06-23 |
| 1366440083 | Charles Wm. Leighton, Jr. Hospice, Inc. | Hospice Care, Community Based | 524 West Maley Place, Willcox, AZ 85643 | 2005-07-07 |
| 1427283175 | Janet Gayle Perry | Registered Nurse | Hwy 86 and Topawa Rd, Sells, AZ 85643 | 2009-05-26 |
| 1881829539 | Nicholas Anthony Quaglietta | Pharmacist | Hwy 86 and Topawa Rd, Sells, AZ 85643 | 2009-05-26 |
| Find all providers in zip 85643 | ||||
| Taxonomy Code | 313M00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Nursing Facility/Intermediate Care Facility |
| An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. |
| Notes: Source: Paraphrased from Section 1919 (a) of the Social Security Act. |
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|---|---|---|---|---|
| 1679184998 | True Care Assisted Home | Nursing Facility/Intermediate Care Facility | 453 W Sunset Cir, Mesa, AZ 85201-2561 | 2020-08-11 |
| 1740807270 | The Servant Group LLC | Nursing Facility/Intermediate Care Facility | 15278 W Bell Rd, Surprise, AZ 85374-3100 | 2020-06-30 |
| 1790320810 | Live Again Az LLC | Nursing Facility/Intermediate Care Facility | 6630 E Lincoln Dr, Paradise Valley, AZ 85253-4331 | 2019-11-12 |
| 1881256378 | Shannon Raquel Miles | Nursing Facility/Intermediate Care Facility | 12341 W Corrine Dr, El Mirage, AZ 85335-5224 | 2019-07-03 |
| 1447405717 | Sunquest Manor | Nursing Facility/Intermediate Care Facility | 10419 N 57th St, Paradise Valley, AZ 85253-1140 | 2008-11-29 |
| 1164677571 | Heritage At Carefree | Nursing Facility/Intermediate Care Facility | 36590 N. Pima Road, Carefree, AZ 85377-3481 | 2008-11-26 |
| 1760694863 | Bes Care, Inc. | Nursing Facility/Intermediate Care Facility | 720 W 41st St, Tucson, AZ 85713-5842 | 2007-05-03 |
| 1386633600 | Navajoland Nursing Homes, Inc. | Nursing Facility/Intermediate Care Facility | Hwy 191hospital Road, Chinle Nursing Home, Chinle, AZ 86503-0910 | 2005-10-19 |
| 1275521627 | Slo Ridgecrest LLC | Nursing Facility/Intermediate Care Facility | 16640 N 38th St, Phoenix, AZ 85032-2103 | 2005-10-10 |
| 1508213661 | Med Clinics LLC | Nursing Facility/Intermediate Care Facility | 7831 E Wrightstown Rd, Suite 103, Tucson, AZ 85715-4344 | 2016-05-18 |
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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.