COMMUNITY HEALTHCARE OF DOUGLAS INC (NPI# 1932300910) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932300910 |
| Entity Type | Organization |
| Organization Name | COMMUNITY HEALTHCARE OF DOUGLAS INC |
| Other Organization Name | SOUTHEAST ARIZONA MEDICAL CENTER |
| Practice Address |
2174 W Oak Ave Douglas AZ 85607-6003 |
| Practice Telephone | 5203647931 |
| Practice Fax Number | 5203642551 |
| Mailing Telephone | 5203647931 |
| Mailing Fax Number | 5203642551 |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MICHAEL J CARTER (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 5203647931 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 275N00000X | Medicare Defined Swing Bed Unit | H-0015 | AZ | Hospital Units |
| Other Name | Type Code |
|---|---|
| Southeast Arizona Medical Center | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033319512 | Community Healthcare of Douglas Inc | Clinic/Center | 1906 11th Street, Douglas, AZ 85607 | 2007-07-23 |
| 1437272283 | Community Healthcare of Douglas Inc | Clinic/Center | 2174 W Oak Ave, Douglas, AZ 85607-6003 | 2007-04-09 |
| 1760483994 | Community Healthcare of Douglas Inc | General Acute Care Hospital | 2174 W Oak Ave, Douglas, AZ 85607-6003 | 2005-08-10 |
| 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 |
| 1821386400 | Grand Canyon State Inpatient Services | Hospitalist | 2174 W Oak Ave, Douglas, AZ 85607-6003 | 2011-07-15 |
| 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 |
| 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 | 275N00000X |
| Grouping | Hospital Units |
| Classification | Medicare Defined Swing Bed Unit |
| A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit. |
| Notes: Source: Code of Federal Regulations #42, Section 482.66. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366974263 | Coffee Regional Medical Center, Inc | Medicare Defined Swing Bed Unit | 1101 Ocilla Rd, Douglas, GA 31533-2207 | 2017-03-30 |
| 1285643221 | Memorial Hospital of Converse County | Medicare Defined Swing Bed Unit | 111 S 5th St, Douglas, WY 82633-2434 | 2006-08-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649766981 | Phc-fort Mohave Inc | Medicare Defined Swing Bed Unit | 5330 S Highway 95, Fort Mohave, AZ 86426-9225 | 2018-07-10 |
| 1255707873 | Hch Tucson Holdings LLC | Medicare Defined Swing Bed Unit | 1171 W Target Range Rd, Nogales, AZ 85621-2415 | 2015-08-18 |
| 1114301017 | Banner Health | Medicare Defined Swing Bed Unit | 807 S Ponderosa St, Payson, AZ 85541-5542 | 2015-07-10 |
| 1598038093 | La Paz Regional Hospital Inc | Medicare Defined Swing Bed Unit | 1200 W Mohave Rd, Parker, AZ 85344-6349 | 2012-02-14 |
| 1922252949 | Cobre Valley Community Hospital | Medicare Defined Swing Bed Unit | 5880 S Hospital Dr, Globe, AZ 85501-9447 | 2008-11-05 |
| 1730333758 | Cobre Valley Regional Medical Center | Medicare Defined Swing Bed Unit | 5880 S Hospital Dr, Globe, AZ 85501-9447 | 2008-11-05 |
| 1427213479 | Tuba City Regional Health Care Corporation | Medicare Defined Swing Bed Unit | 167 North Main Street, Tuba City, AZ 86045-0600 | 2008-07-18 |
| 1366623225 | Gabrieel M. Gaoriye Md PC | Medicare Defined Swing Bed Unit | 2001 W. Orange Grove Rd., #612, Tucson, AZ 85704-0000 | 2007-11-20 |
| 1952599870 | Phc-fort Mohave Inc | Medicare Defined Swing Bed Unit | 5330 S Highway 95, Fort Mohave, AZ 86426-9225 | 2007-10-04 |
| 1285845800 | Mt Graham Regional Medical Center Inc | Medicare Defined Swing Bed Unit | 1600 S 20th Ave, Safford, AZ 85546-4011 | 2007-05-25 |
| Find all providers with the same taxonomy | ||||
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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.