CHANGEPOINT INTEGRATED HEALTH (NPI# 1952891970) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952891970 |
| Entity Type | Organization |
| Organization Name | CHANGEPOINT INTEGRATED HEALTH |
| Other Organization Name | CHANGEPOINT INTEGRATED HEALTH SNOWFLAKE VISION CENTER |
| Practice Address |
537 S Main St Snowflake AZ 85937-5279 |
| Mailing Address |
1801 W Deuce of Clubs Ste 100 Show Low AZ 85901-2704 |
| Practice Telephone | 9285375315 |
| Practice Fax Number | 9288925828 |
| Mailing Telephone | 9285375315 |
| Mailing Fax Number | 9288925828 |
| Enumeration Date | 2018-05-15 |
| Last Update Date | 2018-06-16 |
| Authorized Official Name | MICHELE A HOSPODKA (BILLING AND CREDENTIALING SPECIALIS) |
| Authorized Official Telephone | 9285375315 |
| Is Organization Subpart | Y |
| Parent Organization Name | CHANGEPOINT INTEGRATED |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
OTC8913 | AZ | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| changePoint Integrated Health Snowflake Vision Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689212508 | Changepoint Integrated Health | Clinic/Center | 1500 S White Mountain Rd Bldg 3, Show Low, AZ 85901-7111 | 2019-12-11 |
| 1841836285 | Changepoint Integrated Health | Community/Behavioral Health | 1920 West Commerce Dr, Lakeside, AZ 85929 | 2019-11-20 |
| 1568821346 | Changepoint Integrated Health | Psychiatric Residential Treatment Facility | 447 S Woodland Ln, Pinetop, AZ 85935-7139 | 2016-02-22 |
| 1467783118 | Changepoint Integrated Health | Special Hospital | 1920 Commerce Drive, Lakeside, AZ 85929-7004 | 2010-01-20 |
| 1750525978 | Changepoint Integrated Health | Clinic/Center | 1015 E. Second St., Winslow, AZ 86047 | 2009-05-01 |
| 1205877610 | Changepoint Integrated Health | Clinic/Center | 103 N 1st Ave, Holbrook, AZ 86025-2817 | 2006-06-08 |
| 1518202100 | Changepoint Integrated Health | Community/Behavioral Health | 1801 W Deuce of Clubs, Suite 100, Show Low, AZ 85901-2705 | 2012-12-07 |
| 1184975500 | Changepoint Integrated Health | Clinic/Center | 423 S Main St, Snowflake, AZ 85937-5247 | 2012-09-25 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | CHANGEPOINT INTEGRATED HEALTH | 1801 W Deuce of Clubs #100, Show Low, AZ 85901-2704 |
| Street Address |
537 S MAIN ST |
| City | SNOWFLAKE |
| State | AZ |
| Zip Code | 85937-5279 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275990368 | Traumacare Institute, Pllc | Counselor | 61 West Center Street, Snowflake, AZ 85937 | 2016-01-21 |
| 1659736338 | Michael Shane Luck | Counselor | 61 West Center, Snowflake, AZ 85937 | 2015-12-22 |
| 1093128589 | Mark Porter Caldwell | Physical Therapist | 1788 Prairie Rd, Snowflake, AZ 85937 | 2014-06-03 |
| 1528329331 | Craig Reed West Dds PC | Dentist | 439 South Main, Snowflake, AZ 85937 | 2012-06-07 |
| 1295972651 | C and K Home Furnishings | Durable Medical Equipment & Medical Supplies | 1355 S. Main Street, Snowflake, AZ 85937 | 2009-01-07 |
| 1821274408 | Jackie C Blair | Counselor | 146 School Bus Lane, Snowflake, AZ 85937 | 2008-01-14 |
| 1164575650 | Snowflake Unified School District #5 | Local Education Agency (LEA) | 682 School Bus Lane, Snowflake, AZ 85937 | 2007-01-19 |
| 1225009608 | Larry W Nichols | Family Medicine | 590 S Main St, Snowflake, AZ 85937 | 2006-02-01 |
| 1326123720 | Snowflake School District | Local Education Agency (LEA) | 682 School Bus Lane, Snowflake School District, Snowflake, AZ 85937-0000 | 2006-10-25 |
| 1679710529 | White Mountain Eye Care Center PC | Optometrist | 176 N Main St, Snowflake, AZ 85937-5054 | 2009-01-14 |
| Find all providers in zip 85937 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184975500 | Changepoint Integrated Health | Clinic/Center | 423 S Main St, Snowflake, AZ 85937-5247 | 2012-09-25 |
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| 1730798562 | Healthier Ever After LLC | Clinic/Center | 65 S Sycamore Ste 2, Mesa, AZ 85202-1143 | 2020-07-28 |
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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.