SUMMIT HEALTHCARE ASSOCIATION (NPI# 1144209271) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1144209271 |
Entity Type | Organization |
Organization Name | SUMMIT HEALTHCARE ASSOCIATION |
Other Organization Name | SUMMIT HEALTHCARE REGIONAL MEDICAL CENTER |
Practice Address |
2200 E Show Low Lake Rd Show Low AZ 85901-7881 |
Practice Telephone | 9285374375 |
Practice Fax Number | 9285378839 |
Mailing Telephone | 9285374375 |
Mailing Fax Number | 9285378839 |
Enumeration Date | 2006-01-17 |
Last Update Date | 2008-08-06 |
Authorized Official Name | KENNETH R ALLEN (COO) |
Authorized Official Telephone | 9285376399 |
Is Organization Subpart | Y |
Parent Organization Name | SUMMIT HEALTHCARE ASSOCIATION |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 282NR1301X |
General Acute Care Hospital Specialization: Rural |
H0132 | AZ | Hospitals |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AZ | 020016 | 05 |
Other Name | Type Code |
---|---|
Summit Healthcare Regional Medical Center | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811468804 | Summit Healthcare Association | Pharmacy | 4951 South White Mountain Road, Bldg A., Suite 1500, Show Low, AZ 85901 | 2018-12-17 |
1477104552 | Summit Healthcare Association | Psychiatric Unit | 2200 E Show Low Lake Rd, Show Low, AZ 85901-7831 | 2019-09-20 |
1326549031 | Summit Healthcare Association | Non-Pharmacy Dispensing Site | 2352 Quarter Horse Trail, Overgaard, AZ 85933 | 2018-02-27 |
1710143607 | Summit Healthcare Association | Anesthesiology | 2200 E Show Low Lake Rd, Show Low, AZ 85901-7831 | 2008-07-31 |
1083736128 | Summit Healthcare Association | Clinic/Center | 2500 E Hunt St, Suite H, Show Low, AZ 85901-7954 | 2007-04-06 |
1134199839 | Summit Healthcare Association | Home Health | 2200 E Show Low Lake Rd, Show Low, AZ 85901-7881 | 2006-01-25 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | SUMMIT HEALTHCARE ASSOCIATION | 2200 E Show Low Lake Rd, Show Low, AZ 85901-7831 |
Street Address |
2200 E SHOW LOW LAKE RD |
City | SHOW LOW |
State | AZ |
Zip Code | 85901-7881 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427054154 | David Kies | Anesthesiology | 2200 E Show Low Lake Rd, Show Low, AZ 85901-7881 | 2005-06-27 |
1568089787 | Austin Johnson | Physician Assistant | 2200 E Show Low Lake Rd, Show Low, AZ 85901-7831 | 2020-07-03 |
1477104552 | Summit Healthcare Association | Psychiatric Unit | 2200 E Show Low Lake Rd, Show Low, AZ 85901-7831 | 2019-09-20 |
1174187546 | Constance L Collman | Nurse Practitioner | 2200 E Show Low Lake Rd, Show Low, AZ 85901-7831 | 2019-04-30 |
1912463084 | Sophie Shizuyo Jessop | Physician Assistant | 2200 E Show Low Lake Rd, Show Low, AZ 85901-7831 | 2019-02-14 |
1851870919 | Mary Jane Wild Sorenson | Nurse Practitioner | 2200 E Show Low Lake Rd, Show Low, AZ 85901-7831 | 2018-08-09 |
1235641382 | Nicolette Broby | Nurse Practitioner | 2200 E Show Low Lake Rd, Show Low, AZ 85901-7831 | 2017-10-30 |
1689184616 | Chasen Kenneth Halcomb | Physician Assistant | 2200 E Show Low Lake Rd, Show Low, AZ 85901-7831 | 2017-10-04 |
1255859567 | Shane Mcbride Smith | Physician Assistant | 2200 E Show Low Lake Rd, Show Low, AZ 85901-7831 | 2017-09-07 |
1780109710 | Tina Jean Palone | Nurse Practitioner | 2200 E Show Low Lake Rd, Show Low, AZ 85901-7831 | 2017-08-10 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811468804 | Summit Healthcare Association | Pharmacy | 4951 South White Mountain Road, Bldg A., Suite 1500, Show Low, AZ 85901 | 2018-12-17 |
1821446386 | Ivy L Loney | Social Worker | 580 E. Old Linden Rd #6, Show Low, AZ 85901 | 2016-05-25 |
1750749214 | Summit Healthcare | General Acute Care Hospital | 181 East Sylvester, Show Low, AZ 85901 | 2016-01-29 |
1194153916 | Alpha & Omega Physical Therapy Acc | Physical Therapist | 861 E Cooley St # B, Show Low, AZ 85901 | 2013-10-15 |
1033454707 | North Country Healthcare, Inc. | Family Medicine | 2600 E. Show Low Lake Rd., Show Low, AZ 85901 | 2012-12-06 |
1073740098 | North Country Healthcare, Inc. | Clinic/Center | 2650 E. Show Low Lake Rd, Suite 1, Show Low, AZ 85901 | 2009-06-17 |
1215174768 | Coast To Coast Air Ambulance, LLC | Ambulance | 3151 Airport Loop Ste 2, Show Low, AZ 85901 | 2009-01-20 |
1487899712 | Akdhc, LLC | Internal Medicine | 2051 Evergreen Lane, Ste D, Your Family Practice Team, Show Low, AZ 85901 | 2008-12-16 |
1851553192 | Health Angels Companion Care, Inc. | Technician | 1001 E. Huning, Show Low, AZ 85901 | 2008-06-27 |
1528231586 | Peggy Johnson | Occupational Therapist | Cusd# 24 Hwy 191, Chinle, AZ 85901 | 2008-04-10 |
Find all providers in zip 85901 |
Taxonomy Code | 282NR1301X |
Grouping | Hospitals |
Classification | General Acute Care Hospital |
Specialization | Rural |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750749214 | Summit Healthcare | General Acute Care Hospital | 181 East Sylvester, Show Low, AZ 85901 | 2016-01-29 |
1326332966 | Summit Regional Medical Center | General Acute Care Hospital | 2200 E Show Low Lake Rd, Show Low, AZ 85901-7831 | 2011-05-31 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831637743 | Randi Riley | General Acute Care Hospital | 7520 S Malcolm Ave, Tucson, AZ 85746-2529 | 2017-02-11 |
1760920029 | Wendy Patton | General Acute Care Hospital | 10180 E King Manor Dr, Tucson, AZ 85730-4482 | 2017-02-07 |
1528445269 | Tania Thorne | General Acute Care Hospital | Hwy 86 Topowa Road, Sells, AZ 85642 | 2015-05-01 |
1952704173 | Wickenburg Community Hospital | General Acute Care Hospital | 12023 W Windrose Dr, El Mirage, AZ 85335-4323 | 2014-10-01 |
1285938456 | Gila River Health Care | General Acute Care Hospital | 483 W. Seed Farm, Sacaton, AZ 85147-0000 | 2011-01-03 |
1710204433 | Florence Hospital, LLC | General Acute Care Hospital | 450 W Adamsville Rd, Florence, AZ 85132 | 2010-04-21 |
1386633915 | Gila River Health Care Corporation | General Acute Care Hospital | 48203 W. Farrell Rd., Maricopa, AZ 85139-0038 | 2005-10-17 |
1366993636 | Fort Defiance Indian Hospital Board, Inc | General Acute Care Hospital | Corner of Route N12 and N7, Fort Defiance Indian Hospital Board, Inc, Fort Defiance, AZ 86504-0589 | 2016-10-20 |
1184171894 | Chinle Comprehensive Health Care Facility | General Acute Care Hospital | Highway 191, Hospital Turnoff, Chinle, AZ 86503 | 2016-09-10 |
1922455013 | Hopi Health Care Center | General Acute Care Hospital | Hwy 264, Mp 388, Polacca, AZ 86042 | 2016-05-18 |
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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.