COMMUNITY PARTNERS INTEGRATED HEALTHCARE, INC. (NPI# 1669897385) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669897385 |
| Entity Type | Organization |
| Organization Name | COMMUNITY PARTNERS INTEGRATED HEALTHCARE, INC. |
| Other Organization Name | ASSURANCE HEALTH AND WELLNESS |
| Practice Address |
3939 S Park Ave Suite 150-190 Tucson AZ 85714-1635 |
| Mailing Address |
Po Box 86537 Tucson AZ 85754-6537 |
| Practice Telephone | 5203334320 |
| Practice Fax Number | 5202070542 |
| Mailing Telephone | 5207211887 |
| Mailing Fax Number | 5207210069 |
| Enumeration Date | 2014-03-04 |
| Last Update Date | 2020-04-20 |
| Authorized Official Name | ROSE MARY LOPEZ (PRESIDENT AND CEO) |
| Authorized Official Telephone | 5207211887 |
| Authorized Official Credential | MBA |
| Is Organization Subpart | Y |
| Parent Organization Name | COMMUNITY PARTNERS INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261Q00000X | Clinic/Center | OTC8060 | AZ | Ambulatory Health Care Facilities |
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | ADHS-BMFL LICENSE FOR INTEGRATED CARE | OTC8060 | 01 |
| AZ | 231825 | 05 |
| Other Name | Type Code |
|---|---|
| Assurance Health and Wellness | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245787043 | Community Partners Integrated Healthcare, Inc. | Community Based Residential Treatment Facility, Mental Illness | 2502 N Dodge Blvd Ste 190-west, Tucson, AZ 85716-2671 | 2016-09-08 |
| 1093189805 | Community Partners Integrated Healthcare, Inc. | Clinic/Center | 20046 N John Wayne Parkway, Ste 102, Maricopa, AZ 85139 | 2015-11-17 |
| 1093183535 | Community Partners Integrated Healthcare, Inc. | Clinic/Center | 1010 E Palmdale St, Suite 150, Tucson, AZ 85714-3308 | 2015-09-14 |
| 1346620358 | Community Partners Integrated Healthcare, Inc. | Clinic/Center | 1515 E Osborn Rd, Phoenix, AZ 85014-5309 | 2015-06-04 |
| 1578964516 | Community Partners Integrated Healthcare, Inc. | Clinic/Center | 20046 N. John Wayne Parkway, Ste. 106-a, Maricopa, AZ 85139 | 2014-09-09 |
| 1952745531 | Community Partners Integrated Healthcare, Inc. | Community/Behavioral Health | 120b N Arizona Blvd., Ste. F, Coolidge, AZ 85128 | 2013-04-25 |
| 1619221553 | Community Partners Integrated Healthcare, Inc. | Community/Behavioral Health | 24 Howell Avenue, Bisbee, AZ 85603 | 2012-10-30 |
| 1548546039 | Community Partners Integrated Healthcare, Inc. | Community/Behavioral Health | 13100 S. Sunland Gin Road., Suite 1-3, Arizona City, AZ 85123 | 2011-10-27 |
| 1659674984 | Community Partners Integrated Healthcare, Inc. | Clinic/Center | 2039 E Wilcox Dr, Suite A & B, Sierra Vista, AZ 85635-2781 | 2010-12-08 |
| 1568765899 | Community Partners Integrated Healthcare, Inc. | Community/Behavioral Health | 562 N. Coronado Blvd., Clifton, AZ 85533 | 2010-12-08 |
| Street Address |
3939 S PARK AVE SUITE 150-190 |
| City | TUCSON |
| State | AZ |
| Zip Code | 85714-1635 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871577205 | Amber Deforest | Family Medicine | 3939 S Park Ave, #150, Tucson, AZ 85714-1635 | 2005-11-30 |
| 1366052201 | Adan N Duarte | Counselor | 3939 S Park Ave, Tucson, AZ 85714-1635 | 2020-08-05 |
| 1467847822 | Misty Autumn Mcgillem | Registered Nurse | 3939 S Park Ave, Tucson, AZ 85714-1635 | 2015-04-02 |
| 1497166268 | Christine Wells | Psychologist | 3939 S Park Ave, Suite 150, Tucson, AZ 85714-1635 | 2014-05-15 |
| 1437327640 | Kristine L. Moran | Family Medicine | 3939 S Park Ave, Suite 150, Tucson, AZ 85714-1635 | 2008-02-11 |
| 1104004191 | Camelia Gembala | Nurse Practitioner | 3939 S Park Ave, Suite 150, Tucson, AZ 85714-1635 | 2008-02-01 |
| 1770519308 | Tonilyn Skater | Counselor | 3939 S Park Ave, Tucson, AZ 85714-1635 | 2006-06-24 |
| 1306806229 | Nicole Scovis | Pharmacist | 3939 S Park Ave, Tucson, AZ 85714-1635 | 2006-03-24 |
| 1528047958 | Diana R Comaduran | Nurse Practitioner | 3939 S Park Ave, #150, Tucson, AZ 85714-1635 | 2006-01-13 |
| 1083693444 | Maria E Johnston | Nurse Practitioner | 3939 S Park Ave, #150, Tucson, AZ 85714-1635 | 2006-01-13 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093270035 | El Rio Santa Cruz Neighborhood Health Center Inc | Pharmacy | 101 W Irvington Rd Bldg # 10, Tucson, AZ 85714 | 2019-02-04 |
| 1558868422 | Southern Arizona Urgent Care, LLC | Clinic/Center | 1218 W. Irvington Rd., Ste. 150, Tucson, AZ 85714 | 2018-04-09 |
| 1629525415 | Kayla Iwahashi | Physician Assistant | 2900 E Milber St, Tucson, AZ 85714 | 2016-09-08 |
| 1356790158 | Banner Umc Dpec | Nutritionist | 3950 S Country Club Road, Suite 130, Tucson, AZ 85714 | 2016-06-13 |
| 1811305634 | Johannes Kieding | Social Worker | 3939 S Park Ave Ste 150, Tucson, AZ 85714 | 2014-07-24 |
| 1982962221 | Orthomed, LLC | Clinic/Center | 1010 E. Palmdale St, Suite 130, Tucson, AZ 85714 | 2012-04-24 |
| 1588952089 | Crisis Response Network of Southern Arizona, Inc. | Community/Behavioral Health | 2802 East District Street, Tucson, AZ 85714 | 2011-07-18 |
| 1780904805 | Ana E Araiza Rojas | Dietitian, Registered | 3939 S. Park Ave, Suite 150 Cmg Southwest, Tucson, AZ 85714 | 2010-06-11 |
| 1710117668 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 1210 E Pennsylvania St, Tucson, AZ 85714 | 2009-07-24 |
| 1639319049 | Ronnie C William | Internal Medicine | 3950 South Country Club Road, Ste 200, Tucson, AZ 85714 | 2009-02-25 |
| Find all providers in zip 85714 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
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|---|---|---|---|---|
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| 1205497476 | Desert Medical Offices LLC | Clinic/Center | 5981 E Grant Rd Ste 115, Tucson, AZ 85712-2363 | 2019-06-27 |
| 1043758816 | B--umg Integrated Health Clinic, LLC | Clinic/Center | 535 N Wilmot Rd Fl 2, Tucson, AZ 85711-2600 | 2017-02-01 |
| 1932708328 | Banner -- University Medical Group | Clinic/Center | 535 N Wilmot Rd Ste 101, Tucson, AZ 85711-2683 | 2020-10-18 |
| 1982210118 | Vasco Healthcare Inc | Clinic/Center | 3900 E Broadway Blvd, Tucson, AZ 85711-3453 | 2020-09-22 |
| 1972119105 | Vasco Healthcare Inc | Clinic/Center | 2120 W Ina Rd Ste 100, Tucson, AZ 85741-5501 | 2020-09-22 |
| 1942763081 | Casabona Chiropractic PC | Clinic/Center | 7562 N La Cholla Blvd, Tucson, AZ 85741-2307 | 2019-04-06 |
| 1376000786 | Children's Clinics for Rehabilitative Services | Clinic/Center | 2600 N Wyatt Dr, Tucson, AZ 85712-6106 | 2019-02-22 |
| 1487178505 | B--umg Tucson Ap Physicians LLC | Clinic/Center | 1501 N Campbell Ave, Tucson, AZ 85724-0001 | 2017-07-31 |
| Find all providers in TUCSON | ||||
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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.