COMMUNITY INTERVENTION ASSOCIATES, INC (NPI# 1851651079) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851651079 |
| Entity Type | Organization |
| Organization Name | COMMUNITY INTERVENTION ASSOCIATES, INC |
| Other Organization Name | COMMUNITY HEALTH ASSOCIATES |
| Practice Address |
2851 S. Ave B Suite 2901 Yuma AZ 85364 |
| Mailing Address |
2851 S. Ave B Bldg 4 Yuma AZ 85364 |
| Practice Telephone | 9283047729 |
| Practice Fax Number | 9283445577 |
| Mailing Telephone | 9283760026 |
| Mailing Fax Number | 9287822298 |
| Enumeration Date | 2012-05-22 |
| Last Update Date | 2016-06-02 |
| Authorized Official Name | MR. FRED COGBURN (CEO) |
| Authorized Official Telephone | 9283760026 |
| Is Organization Subpart | Y |
| Parent Organization Name | COMMUNITY INTERVENTION ASSOCIATES, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities | ||
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
OTC-6468 | AZ | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 741893 | 05 |
| Other Name | Type Code |
|---|---|
| Community Health Associates | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710455860 | Community Intervention Associates, Inc | Clinic/Center | 1667 N. Trekell Rd, Suite 101 & 102, Casa Grande, AZ 85122 | 2018-11-07 |
| 1194223941 | Community Intervention Associates, Inc | Community/Behavioral Health | 410 S. Maiden Lane, Yuma, AZ 85364 | 2018-01-26 |
| 1205289162 | Community Intervention Associates, Inc | Community/Behavioral Health | 1779 W Saint Marys Rd, Tucson, AZ 85745-2620 | 2016-07-15 |
| 1356791701 | Community Intervention Associates, Inc | Community/Behavioral Health | 275 W Continental Rd, Suites 133a, B, C, D and 141, Green Valley, AZ 85622-3624 | 2016-06-16 |
| Street Address |
2851 S. AVE B SUITE 2901 |
| City | YUMA |
| State | AZ |
| Zip Code | 85364 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093315939 | Smile Straight Orthodontics-yuma Pllc | Dentist | 2283 W 24th Street, Suite 120, Yuma, AZ 85364 | 2020-10-29 |
| 1013515204 | Jason John Lujan | Behavior Technician | 8361, S Apache Lane, Yuma, AZ 85364 | 2020-10-12 |
| 1417573742 | Shanti Auto Injury and Accident, Pllc | Clinic/Center | 1695 W 24h St, Suite C, Yuma, AZ 85364 | 2020-06-23 |
| 1144846999 | Surur Nader Sharif | Student in an Organized Health Care Education/Training Program | Yuma Regional Medical Center 2400 Avenue A, Yuma, AZ 85364 | 2020-06-17 |
| 1710533211 | Erika White | Specialist/Technologist | 3150 S Ave A, Yuma, AZ 85364 | 2019-08-12 |
| 1851950281 | Yuma Advanced Surgical Suites LLC | Clinic/Center | 1030 W 24th Street Suite H, Yuma, AZ 85364 | 2019-06-10 |
| 1558846139 | West Genevieve Home Care | Home Health | 1545 S 14th Ave, Com1, Yuma, AZ 85364 | 2018-09-28 |
| 1801375597 | Rebecca L Conover | Occupational Therapy Assistant | Yuma Elementary School District One, 450 S. 6th Street, Yuma, AZ 85364 | 2018-08-13 |
| 1861984791 | Thomas Francisco Burrell | Pharmacist | 1150 W 8th Street, Yuma, AZ 85364 | 2018-06-06 |
| 1356833834 | Elizabeth Schlenner | Nurse Practitioner | 2637 S 34th Ave, Yuma, AZ 85364 | 2018-05-31 |
| Find all providers in zip 85364 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639650898 | The Amistad Clinic, Pllc | Clinic/Center | 100 E 24th St Ste 3a, Yuma, AZ 85364-8619 | 2018-08-27 |
| 1174877708 | Advance Pediatrics | Clinic/Center | 1025 W 24th Street, Suite 25, Yuma, AZ 85364 | 2012-11-05 |
| 1639635022 | Leigh Ann Howell LLC | Clinic/Center | 11242 S Foothills Blvd Ste 18, Yuma, AZ 85367-7712 | 2019-02-11 |
| 1174062517 | Yuma Regional Medical Center | Clinic/Center | 2851 S Avenue B Bldg 25, Yuma, AZ 85364-7726 | 2017-02-17 |
| 1770962466 | Horizon Health and Wellness, Inc. | Clinic/Center | 791 S 4th Ave, Ste. B, Yuma, AZ 85364-3067 | 2015-05-27 |
| 1609255488 | Horizon Health and Wellness, Inc. | Clinic/Center | 3180 E 40th St, Yuma, AZ 85365-7772 | 2015-05-26 |
| 1265740278 | Henry W. Florez | Clinic/Center | 2730 S Avenue B, Yuma, AZ 85364 | 2010-09-24 |
| 1588893366 | Advanced Medical Clinic Pllc | Clinic/Center | 1001 W 16th St, Yuma, AZ 85364-4547 | 2009-07-14 |
| 1629252945 | Replogle Medical Clinic, Inc. | Clinic/Center | 11871 S Fortuna Rd, Yuma, AZ 85367-7686 | 2007-12-21 |
| 1356548085 | Karen A. Watts, N.p., Plc | Clinic/Center | 3970 W 24th St Ste 214, Yuma, AZ 85364-9263 | 2007-06-27 |
| Find all providers in YUMA | ||||
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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.