SUMMIT HEALTHCARE ASSOCIATION (NPI# 1710143607) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710143607 |
| Entity Type | Organization |
| Organization Name | SUMMIT HEALTHCARE ASSOCIATION |
| Other Organization Name | SUMMIT HEALTHCARE SPECIALTY PHYSICIANS |
| Practice Address |
2200 E Show Low Lake Rd Show Low AZ 85901-7831 |
| Practice Telephone | 9285376399 |
| Practice Fax Number | 9285378839 |
| Mailing Telephone | 9285376399 |
| Mailing Fax Number | 9285378839 |
| Enumeration Date | 2008-07-31 |
| Last Update Date | 2008-07-31 |
| Authorized Official Name | KENNETH ROBERT ALLEN (CCO) |
| Authorized Official Telephone | 9285376399 |
| Is Organization Subpart | Y |
| Parent Organization Name | SUMMIT HEALTHCARE ASSOCIATION |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207L00000X | Anesthesiology | H0132 | AZ | Allopathic & Osteopathic Physicians |
| N | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
H0132 | AZ | Allopathic & Osteopathic Physicians |
| N | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
H0132 | AZ | Allopathic & Osteopathic Physicians |
| N | 2085R0001X |
Radiology Specialization: Radiation Oncology |
H0132 | AZ | Allopathic & Osteopathic Physicians |
| N | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
H0132 | AZ | Allopathic & Osteopathic Physicians |
| Y | 282N00000X | General Acute Care Hospital | H0132 | AZ | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 020016 | 05 |
| Other Name | Type Code |
|---|---|
| Summit Healthcare Specialty Physicians | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811468804 | Summit Healthcare Association | Pharmacy | 4951 South White Mountain Road, Bldg A., Suite 1500, Show Low, AZ 85901 | 2018-12-17 |
| 1477104552 | Summit Healthcare Association | Psychiatric Unit | 2200 E Show Low Lake Rd, Show Low, AZ 85901-7831 | 2019-09-20 |
| 1326549031 | Summit Healthcare Association | Non-Pharmacy Dispensing Site | 2352 Quarter Horse Trail, Overgaard, AZ 85933 | 2018-02-27 |
| 1083736128 | Summit Healthcare Association | Clinic/Center | 2500 E Hunt St, Suite H, Show Low, AZ 85901-7954 | 2007-04-06 |
| 1134199839 | Summit Healthcare Association | Home Health | 2200 E Show Low Lake Rd, Show Low, AZ 85901-7881 | 2006-01-25 |
| 1144209271 | Summit Healthcare Association | General Acute Care Hospital | 2200 E Show Low Lake Rd, Show Low, AZ 85901-7881 | 2006-01-17 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | SUMMIT HEALTHCARE ASSOCIATION | 2200 E Show Low Lake Rd, Show Low, AZ 85901-7831 |
| Street Address |
2200 E SHOW LOW LAKE RD |
| City | SHOW LOW |
| State | AZ |
| Zip Code | 85901-7831 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427054154 | David Kies | Anesthesiology | 2200 E Show Low Lake Rd, Show Low, AZ 85901-7881 | 2005-06-27 |
| 1568089787 | Austin Johnson | Physician Assistant | 2200 E Show Low Lake Rd, Show Low, AZ 85901-7831 | 2020-07-03 |
| 1477104552 | Summit Healthcare Association | Psychiatric Unit | 2200 E Show Low Lake Rd, Show Low, AZ 85901-7831 | 2019-09-20 |
| 1174187546 | Constance L Collman | Nurse Practitioner | 2200 E Show Low Lake Rd, Show Low, AZ 85901-7831 | 2019-04-30 |
| 1912463084 | Sophie Shizuyo Jessop | Physician Assistant | 2200 E Show Low Lake Rd, Show Low, AZ 85901-7831 | 2019-02-14 |
| 1851870919 | Mary Jane Wild Sorenson | Nurse Practitioner | 2200 E Show Low Lake Rd, Show Low, AZ 85901-7831 | 2018-08-09 |
| 1235641382 | Nicolette Broby | Nurse Practitioner | 2200 E Show Low Lake Rd, Show Low, AZ 85901-7831 | 2017-10-30 |
| 1689184616 | Chasen Kenneth Halcomb | Physician Assistant | 2200 E Show Low Lake Rd, Show Low, AZ 85901-7831 | 2017-10-04 |
| 1255859567 | Shane Mcbride Smith | Physician Assistant | 2200 E Show Low Lake Rd, Show Low, AZ 85901-7831 | 2017-09-07 |
| 1780109710 | Tina Jean Palone | Nurse Practitioner | 2200 E Show Low Lake Rd, Show Low, AZ 85901-7831 | 2017-08-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811468804 | Summit Healthcare Association | Pharmacy | 4951 South White Mountain Road, Bldg A., Suite 1500, Show Low, AZ 85901 | 2018-12-17 |
| 1821446386 | Ivy L Loney | Social Worker | 580 E. Old Linden Rd #6, Show Low, AZ 85901 | 2016-05-25 |
| 1750749214 | Summit Healthcare | General Acute Care Hospital | 181 East Sylvester, Show Low, AZ 85901 | 2016-01-29 |
| 1194153916 | Alpha & Omega Physical Therapy Acc | Physical Therapist | 861 E Cooley St # B, Show Low, AZ 85901 | 2013-10-15 |
| 1033454707 | North Country Healthcare, Inc. | Family Medicine | 2600 E. Show Low Lake Rd., Show Low, AZ 85901 | 2012-12-06 |
| 1073740098 | North Country Healthcare, Inc. | Clinic/Center | 2650 E. Show Low Lake Rd, Suite 1, Show Low, AZ 85901 | 2009-06-17 |
| 1215174768 | Coast To Coast Air Ambulance, LLC | Ambulance | 3151 Airport Loop Ste 2, Show Low, AZ 85901 | 2009-01-20 |
| 1487899712 | Akdhc, LLC | Internal Medicine | 2051 Evergreen Lane, Ste D, Your Family Practice Team, Show Low, AZ 85901 | 2008-12-16 |
| 1851553192 | Health Angels Companion Care, Inc. | Technician | 1001 E. Huning, Show Low, AZ 85901 | 2008-06-27 |
| 1528231586 | Peggy Johnson | Occupational Therapist | Cusd# 24 Hwy 191, Chinle, AZ 85901 | 2008-04-10 |
| Find all providers in zip 85901 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
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|---|---|---|---|---|
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| 1972139004 | Banner Health | General Acute Care Hospital | 1405 S Alma School Rd, Chandler, AZ 85286 | 2020-03-20 |
| 1851927669 | Northwest Sahuarita Hospital LLC | General Acute Care Hospital | 16260 S Rancho Sahuarita Blvd, Sahuarita, AZ 85629 | 2020-03-13 |
| 1265063010 | Honorhealth | General Acute Care Hospital | 33400 N 32nd Ave, Phoenix, AZ 85085-8876 | 2020-01-30 |
| 1447898622 | Vhs of Arrowhead, Inc. | General Acute Care Hospital | 16815 W. Bell Rd, Surprise, AZ 85374 | 2019-12-18 |
| 1699322925 | Valley Hospitalists Group Pllc | General Acute Care Hospital | 6227 E Juniper Ave, Scottsdale, AZ 85254-1314 | 2019-08-21 |
| 1255995361 | Vhs of Phoenix Inc | General Acute Care Hospital | 5750 E. Baseline Rd., Mesa, AZ 85206 | 2019-04-24 |
| 1487218509 | Smsj Tucson Holdings, LLC | General Acute Care Hospital | 5620 W Cortaro Farms Rd, Tucson, AZ 85742-9559 | 2019-04-24 |
| 1518409218 | Rachel Vaughn | General Acute Care Hospital | 2623 N 108th Dr, Avondale, AZ 85392-5806 | 2016-11-11 |
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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.