GRAND CANYON STATE INPATIENT SERVICES (NPI# 1821386400) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821386400 |
| Entity Type | Organization |
| Organization Name | GRAND CANYON STATE INPATIENT SERVICES |
| Practice Address |
2174 W Oak Ave Douglas AZ 85607-6003 |
| Mailing Address |
815 S Palafox St Suite 300 Pensacola FL 32502-5960 |
| Practice Telephone | 8004447009 |
| Practice Fax Number | 8003053233 |
| Mailing Telephone | 8004447009 |
| Mailing Fax Number | 8003053233 |
| Enumeration Date | 2011-07-15 |
| Last Update Date | 2011-07-15 |
| Authorized Official Name | JOSEPH W TAYLOR (EXEC. VP, EPP, GENERAL PARTNER) |
| Authorized Official Telephone | 8004447009 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208M00000X | Hospitalist | Allopathic & Osteopathic Physicians |
| Street Address |
2174 W OAK AVE |
| City | DOUGLAS |
| State | AZ |
| Zip Code | 85607-6003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467452623 | Arizona Ambulance of Douglas, Inc. | Ambulance | 2174 W Oak Ave, Douglas, AZ 85607-6003 | 2005-07-28 |
| 1073923066 | Douglas Community Hospital, Inc. | General Acute Care Hospital | 2174 W Oak Ave, Douglas, AZ 85607-6003 | 2014-04-30 |
| 1992127716 | Douglas Community Hospital | General Acute Care Hospital | 2174 W Oak Ave, Douglas, AZ 85607 | 2014-01-14 |
| 1891070520 | Arizona Em-i Medical Services | Nurse Practitioner | 2174 W Oak Ave, Douglas, AZ 85607-6003 | 2011-10-13 |
| 1083932784 | Community Healthcare of Douglas Inc. | Clinical Medical Laboratory | 2174 W Oak Ave, Douglas, AZ 85607-6003 | 2010-05-06 |
| 1205164688 | Community Health Care of Douglas | Radiology | 2174 W Oak Ave, Douglas, AZ 85607 | 2009-11-24 |
| 1740514207 | Ciara Jane Aparicio | Nurse Practitioner | 2174 W Oak Ave, Douglas, AZ 85607-6003 | 2009-09-30 |
| 1023342342 | Saddle Gap Emergency Physicians LLC | Emergency Medicine | 2174 W Oak Ave, Douglas, AZ 85607-6003 | 2009-09-21 |
| 1427228212 | Community Healthcare of Douglas | General Acute Care Hospital | 2174 W Oak Ave, Douglas, AZ 85607-6003 | 2008-03-07 |
| 1932300910 | Community Healthcare of Douglas Inc | Medicare Defined Swing Bed Unit | 2174 W Oak Ave, Douglas, AZ 85607-6003 | 2007-05-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811472665 | Chiricahua Community Health Centers, Inc | Clinic/Center | 1151 16th Street, Douglas, AZ 85607 | 2018-09-27 |
| 1457758609 | Angela Leah Overturf | Nurse Practitioner | 100 East 5th Street, Douglas, AZ 85607 | 2014-12-02 |
| 1609279108 | Walter Tucker | Counselor | 2100 E 8th, Douglas, AZ 85607 | 2014-09-29 |
| 1851700488 | Gerardo Grijalva | Non-emergency Medical Transport (VAN) | 2714 E 6th St, Douglas, AZ 85607 | 2014-08-07 |
| 1174933246 | Caring Connections for Special Needs, LLC | Community/Behavioral Health | 1019 F Ave, Douglas, AZ 85607 | 2014-04-29 |
| 1831473164 | Cheryl Lynn Mcneeley | Speech-Language Pathologist | 815 E. 15th Street, Douglas, AZ 85607 | 2011-10-05 |
| 1245523364 | Community Intervention Associates | Community/Behavioral Health | 1701 North Douglasave, Douglas, AZ 85607 | 2011-05-23 |
| 1174820898 | Chiricahua Community Health Centers, Inc | Clinic/Center | 815 15th Street, Douglas, AZ 85607 | 2011-02-15 |
| 1033319512 | Community Healthcare of Douglas Inc | Clinic/Center | 1906 11th Street, Douglas, AZ 85607 | 2007-07-23 |
| 1538360888 | Jay Daniel Zamora | Chiropractor | 1915 E 10th St, Douglas, AZ 85607 | 2007-05-31 |
| Find all providers in zip 85607 | ||||
| Taxonomy Code | 208M00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Hospitalist |
| Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. |
| Notes: Source: American Society of Hospital Medicine, 2007. http://www.hospitalmedicine.org/ [7/1/2009: definition aded] Additional Resources: Hospitalist is a recognized fellowship specialty program offered by many medical institutions. There is no board certification for the specialty at this point. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679051171 | Supai LLC | Hospitalist | 13350 N 94th Dr Ste A101, Peoria, AZ 85381-4826 | 2018-08-06 |
| 1033622626 | Agave Medical Group Pllc | Hospitalist | 1301 S. Crimaon Rd, Mesa, AZ 85209-2737 | 2017-11-06 |
| 1356853691 | Leading Health Care, Pllc | Hospitalist | 22922 N 40th Pl, Phoenix, AZ 85050-8742 | 2017-10-26 |
| 1124530647 | Arizona Primary Care Associates LLC | Hospitalist | 130 S 63rd St Ste 120, Mesa, AZ 85206-1604 | 2017-10-25 |
| 1811421852 | Alex Shen | Hospitalist | 4426 W Oraibi Dr, Glendale, AZ 85308-7320 | 2017-04-17 |
| 1154860674 | Arizona Acute Medical Services 1 PC | Hospitalist | 5750 E Baseline Rd, Mesa, AZ 85206-4806 | 2017-02-16 |
| 1942749619 | Bh Hospital Specialists, LLC | Hospitalist | 25437 N Moon Blossum Ln, Phoenix, AZ 85083-1676 | 2017-02-14 |
| 1851746440 | Jonmark Moorington | Hospitalist | 1919 E Thomas Rd., Phoenix Children's Hospital, Phoenix, AZ 85016 | 2016-05-02 |
| 1629432190 | Mina Albadri | Hospitalist | 350 W Thomas Rd Ste 900a, Phoenix, AZ 85013-4409 | 2016-04-11 |
| 1396117933 | Jr Healthcare Consultants LLC | Hospitalist | 807 W Colter St Apt 88, Phoenix, AZ 85013-2296 | 2015-10-22 |
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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.