RUDOLFO BRUCE CAMPOS (NPI# 1669540555) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669540555 |
| Entity Type | Individual |
| Full Name | RUDOLFO BRUCE CAMPOS |
| Practice Address |
114 Mccormick Canyon Clifton AZ 85533 |
| Practice Telephone | 9288653109 |
| Mailing Telephone | 9288653109 |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2007-07-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 385HR2055X |
Respite Care Specialization: Respite Care, Mental Illness, Child |
AZ | Respite Care Facility |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 758287 | 05 |
| Street Address |
114 MCCORMICK CANYON |
| City | CLIFTON |
| State | AZ |
| Zip Code | 85533 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134568660 | Canyonlands Community Health Care | Clinic/Center | 10 Ward Canyon Road, #a, Clifton, AZ 85533 | 2013-06-18 |
| 1851653125 | Jesse Barrown Hozey | Physician Assistant | 110 Hill St, Clifton, AZ 85533 | 2012-06-13 |
| 1568765899 | Community Partners Integrated Healthcare, Inc. | Community/Behavioral Health | 562 N. Coronado Blvd., Clifton, AZ 85533 | 2010-12-08 |
| 1538389465 | Steven Ralph Owens | Dentist | #1 N. Coronado Blvd., Suite C, Clifton, AZ 85533 | 2007-04-25 |
| 1336238260 | Barnet Dulaney Perkins Eye Center | Ophthalmology | 264858 Us Highway 198, Clifton, AZ 85533 | 2006-10-11 |
| 1902993470 | Southeastern Arizona Behavioral Health Services | Community/Behavioral Health | 10-a Ward Canyon Road, Room 2, Clifton, AZ 85533 | 2006-10-06 |
| 1730310046 | Greenlee County | Clinic/Center | 253 5th Street, Clifton, AZ 85533-0936 | 2009-08-04 |
| 1538251780 | Southeastern Arizona Behavorial Health Svc, Inc. | Public Health or Welfare | 430 N Coronado Blvd, Clifton, AZ 85533-8086 | 2006-09-28 |
| 1033428628 | Karri Rachelle Macri | Social Worker | 430 N Coronado Blvd, Clifton, AZ 85533-8086 | 2010-09-29 |
| 1487728622 | Kathleen A Oldfather | Nurse Practitioner | 430 N Coronado Blvd, Clifton, AZ 85533-8086 | 2006-11-20 |
| Find all providers in zip 85533 | ||||
| Taxonomy Code | 385HR2055X |
| Grouping | Respite Care Facility |
| Classification | Respite Care |
| Specialization | Respite Care, Mental Illness, Child |
| A facility or distinct part of a facility that provides short term, residential care to children, diagnosed with mental illness, as respite for the regular caregivers. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114539004 | Yvette I Haughton | Respite Care | 11275 N 99th Ave Lot 117, Peoria, AZ 85345-5479 | 2020-08-20 |
| 1700411576 | Jaquelina Andrea Reyes | Respite Care | 25279 W Centre Ave, Buckeye, AZ 85326-2468 | 2020-03-11 |
| 1740815497 | Jerome Alexander-terrell Jackson | Respite Care | 9680 W Northern Ave Unit 2311, Peoria, AZ 85345-4655 | 2020-03-03 |
| 1912539941 | Elizabeth Ann Mannel | Respite Care | 1225 W Panorama Rd, Tucson, AZ 85704-2834 | 2020-02-07 |
| 1093345498 | New Hope of Arizona, Inc. | Respite Care | 12545 W Woodland Ave, Avondale, AZ 85323-8025 | 2020-01-24 |
| 1033757877 | Jessica Annette Dixon-tatum | Respite Care | 401 N 6th St, Buckeye, AZ 85326-2415 | 2019-12-11 |
| 1700423902 | Randy Bland | Respite Care | 20731 W Stone Hill Road, Buckeye, AZ 85396 | 2019-12-06 |
| 1003459934 | Stephanie Denise Jackson | Respite Care | 22321 W Morning Glory St, Buckeye, AZ 85326-7181 | 2019-10-23 |
| 1285276345 | Charlyn Ponds | Respite Care | 235 E Ray Rd Apt 2035, Chandler, AZ 85225-3362 | 2019-10-10 |
| 1508416595 | Tyechia Webb | Respite Care | 21239 N 24th Ave Apt 214, Phoenix, AZ 85027-2524 | 2019-09-12 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on RUDOLFO BRUCE CAMPOS.
| 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.