COMMUNITY INTERVENTION ASSOCIATES (NPI# 1639567209) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639567209 |
| Entity Type | Organization |
| Organization Name | COMMUNITY INTERVENTION ASSOCIATES |
| Other Organization Name | COMMUNITY HEALTH ASSOCIATES |
| Practice Address |
1923 North Trekell Road Casa Grande AZ 85122 |
| Mailing Address |
2851 S Ave B Bldg 4 Yuma AZ 85364 |
| Practice Telephone | 9283760026 |
| Practice Fax Number | 5208365436 |
| Mailing Telephone | 9283760026 |
| Mailing Fax Number | 9287822298 |
| Enumeration Date | 2015-01-05 |
| Last Update Date | 2016-02-03 |
| Authorized Official Name | FRED COGBURN (CEO) |
| Authorized Official Telephone | 9283760026 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | OTC-6458 | AZ | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 014619 | 05 |
| Other Name | Type Code |
|---|---|
| Community Health Associates | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043504376 | Community Intervention Associates | Community/Behavioral Health | 32 Blvd Del Rey David, Nogales, AZ 85621 | 2011-06-03 |
| 1245523364 | Community Intervention Associates | Community/Behavioral Health | 1701 North Douglasave, Douglas, AZ 85607 | 2011-05-23 |
| 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 |
1923 NORTH TREKELL ROAD |
| City | CASA GRANDE |
| State | AZ |
| Zip Code | 85122 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043857097 | Karen M Garcia | Registered Nurse | 2631 N Brown Avenue, Casa Grande, AZ 85122 | 2019-12-09 |
| 1063060291 | Martha Bollin | Registered Nurse | 2631 N. Brown Ave., Casa Grande, AZ 85122 | 2019-08-30 |
| 1841846920 | Banner Imaging Services LLC | Radiology | 1828 E. Florence Blvd Bldg B Ste 118 & 128, Suite 118 and 128, Casa Grande, AZ 85122 | 2019-08-14 |
| 1629532692 | Kirk Lee Mackley | Physical Therapist | Vibrant Care, 1355 E Florence Blvd #137, Casa Grande, AZ 85122 | 2019-01-24 |
| 1205307436 | Natalie T Trujillo | Physician Assistant | 301 E Cottonwood Ln Ste 1&2, Casa Grande, AZ 85122 | 2018-12-16 |
| 1710455860 | Community Intervention Associates, Inc | Clinic/Center | 1667 N. Trekell Rd, Suite 101 & 102, Casa Grande, AZ 85122 | 2018-11-07 |
| 1245728302 | Jenkins Chiropractic LLC | Chiropractor | 1891 N Trekell Rd Ste 2, Casa Grande, AZ 85122 | 2018-04-24 |
| 1497242408 | Kelly Winnett | Naturopath | 1415 N Trekell Rd Ste 102, Casa Grande, AZ 85122 | 2018-04-16 |
| 1851895783 | Michael Brubaker Counseling | Community/Behavioral Health | 1927 N. Trekell Rd, Ste D, Casa Grande, AZ 85122 | 2018-03-23 |
| 1770095317 | Walmart Stores Inc. | Pharmacy | 1741 E. Florence Blvd, Casa Grande, AZ 85122 | 2017-11-03 |
| Find all providers in zip 85122 | ||||
| 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 |
|---|---|---|---|---|
| 1851895783 | Michael Brubaker Counseling | Community/Behavioral Health | 1927 N. Trekell Rd, Ste D, Casa Grande, AZ 85122 | 2018-03-23 |
| 1962915892 | Crisis Preparation and Recovery, Inc | Community/Behavioral Health | 1828 E Florence Blvd Ste 143, Casa Grande, AZ 85122-4783 | 2017-11-14 |
| 1003327594 | Intermountain Health Center, Inc. | Community/Behavioral Health | 1821 N. Trekell Road, Suite 1, Casa Grande, AZ 85122 | 2017-10-24 |
| 1730620634 | Community Provider of Enrichment Services Inc | Community/Behavioral Health | 609 W Cottonwood Ln Ste 4, Casa Grande, AZ 85122-2248 | 2017-03-13 |
| 1659827707 | Intermountain Centers for Human Development Inc. | Community/Behavioral Health | 1821 N Trekell Rd Ste 1, Casa Grande, AZ 85122-1705 | 2016-08-29 |
| 1104285964 | Grossman & Grossman Ltd | Community/Behavioral Health | 125 N Florence St, Casa Grande, AZ 85122-4418 | 2016-02-22 |
| 1831557818 | Grossman & Grossman Ltd | Community/Behavioral Health | 123 N Florence St, Casa Grande, AZ 85122-4418 | 2016-02-04 |
| 1114315470 | Rna Property, LLC | Community/Behavioral Health | 117 E 2nd St # 2, Casa Grande, AZ 85122-5477 | 2015-01-08 |
| 1407257595 | Mikid Mentally Ill Kids In Distress | Community/Behavioral Health | 901 E Cottonwood Ln Ste Ab, Casa Grande, AZ 85122-2221 | 2014-09-09 |
| 1588074496 | Helping Associates, Inc. | Community/Behavioral Health | 1929 N Trekell Rd, Casa Grande, AZ 85122-1706 | 2014-04-30 |
| Find all providers in CASA GRANDE | ||||
| City | CASA GRANDE |
| Zip Code | 85122 |
Please comment or provide details below to improve the information on COMMUNITY INTERVENTION ASSOCIATES.
| 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.