COMMUNITY CARE MANAGEMENT LLC


Address: 7701 E Gray Rd # 107, Scottsdale, AZ 85260-6958
Phone: 6024686337

COMMUNITY CARE MANAGEMENT LLC (NPI# 1063737187) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1063737187
Entity Type Organization
Organization Name COMMUNITY CARE MANAGEMENT LLC
Other Organization Name SAQUARO PAIN MANAGEMENT
Practice Address 7701 E Gray Rd # 107
Scottsdale
AZ 85260-6958
Practice Telephone 6024686337
Mailing Telephone 6024686337
Enumeration Date 2010-03-31
Last Update Date 2010-03-31
Authorized Official Name LISA SPARKS (MEDICAL DIRECTOR)
Authorized Official Telephone 6024686337
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QP2300X Clinic/Center
Specialization: Primary Care
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Saquaro Pain Management Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1518342872 Community Care Management LLC Case Management 1250 Broadway, 22nd Fl., New York, NY 10001-3701 2015-07-28

Office Location

Street Address 7701 E GRAY RD # 107
City SCOTTSDALE
State AZ
Zip Code 85260-6958

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Taxonomy Information

Taxonomy Code 261QP2300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Primary Care

Taxonomy Definition

Definition to come...

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Competitor

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City SCOTTSDALE
Zip Code 85260

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Dataset Information

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.

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