GILA RIVER HEALTH CARE (NPI# 1285938456) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1285938456 |
Entity Type | Organization |
Organization Name | GILA RIVER HEALTH CARE |
Practice Address |
483 W. Seed Farm Sacaton AZ 85147-0000 |
Mailing Address |
Po Box 38 Sacaton AZ 85147-0001 |
Practice Telephone | 6025287100 |
Practice Fax Number | 6025281314 |
Mailing Telephone | 6025287100 |
Mailing Fax Number | 6025281314 |
Enumeration Date | 2011-01-03 |
Last Update Date | 2011-01-03 |
Authorized Official Name | MR. STEVEN A. GREEN (EXEC. DIRECTOR) |
Authorized Official Telephone | 6025287100 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 282NR1301X |
General Acute Care Hospital Specialization: Rural |
101YP2500X | AZ | Hospitals |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AZ | 346214 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598021495 | Gila River Health Care | Community/Behavioral Health | 3850 N. 16th Street Suite #500, Laveen, AZ 85339 | 2012-04-04 |
1417237074 | Gila River Health Care | Community/Behavioral Health | 291 W Casa Blanca Rd, Sacaton, AZ 85147 | 2011-08-26 |
1730485822 | Gila River Health Care | Substance Abuse Rehabilitation Facility | 3850 North 16th Street, Laveen, AZ 85339 | 2011-02-07 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | GILA RIVER HEALTH CARE CORP | 483 W Seed Farm Rd, Sacaton, AZ 85147 |
Street Address |
483 W. SEED FARM |
City | SACATON |
State | AZ |
Zip Code | 85147-0000 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104452507 | Jeremy James Pumphrey | Counselor | 438 W Seed Farm Rd, Sacaton, AZ 85147 | 2020-03-17 |
1215563804 | Leo Oswaldo Merino | Counselor | 291 W. Casa Blanca Rd. Bldg. # 7, Sacaton, AZ 85147 | 2020-03-16 |
1588166896 | Stephanie Lashawn Brown | Social Worker | 483 West Seed Farm Rd., Sacaton, AZ 85147 | 2018-03-02 |
1255602447 | Joyce Mildred Villalobos | Counselor | Gila River Health Care Corp, 483 W Seed Farm Rd, Sacaton, AZ 85147 | 2012-01-19 |
1417237074 | Gila River Health Care | Community/Behavioral Health | 291 W Casa Blanca Rd, Sacaton, AZ 85147 | 2011-08-26 |
1750598322 | Kari Beth Harris | Social Worker | 198 South Skill Center Road, Sacaton, AZ 85147 | 2007-05-16 |
1740378694 | Vincent Anthony Berkley | Internal Medicine | 198 S. Skill Center Road, Sacaton, AZ 85147 | 2006-10-10 |
1568448801 | Wesley Neil Yamada | Podiatrist | 483 W Seed Farm Road, Sacaton, AZ 85147 | 2005-12-19 |
1376532515 | Frances Antone | Physician Assistant | 483 W Seed Farm Rd., Sacaton, AZ 85147 | 2005-10-20 |
1538167051 | Xuong Wilkinson | Family Medicine | 483 West Seed Farm Road, Sacaton, AZ 85147 | 2005-07-08 |
Find all providers in zip 85147 |
Taxonomy Code | 282NR1301X |
Grouping | Hospitals |
Classification | General Acute Care Hospital |
Specialization | Rural |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427231604 | Gila River Health Care Corporation | General Acute Care Hospital | 483 W. Seed Farm Rd., Sacaton, AZ 85147-0038 | 2007-12-11 |
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 |
1750749214 | Summit Healthcare | General Acute Care Hospital | 181 East Sylvester, Show Low, AZ 85901 | 2016-01-29 |
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 |
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 |
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.