COMMUNITY HEALTHCARE OF DOUGLAS (NPI# 1427228212) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427228212 |
| Entity Type | Organization |
| Organization Name | COMMUNITY HEALTHCARE OF DOUGLAS |
| 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 | 2008-03-07 |
| Last Update Date | 2008-03-07 |
| Authorized Official Name | MR. MICHAEL J CARTER (CHIEF EXECTUIVE OFFICER) |
| Authorized Official Telephone | 5203647931 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
H-0015 | AZ | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 562498 | 05 |
| Other Name | Type Code |
|---|---|
| Southeast Arizona Medical Center | Doing Business As Name - Organization |
| 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 |
| 1932300910 | Community Healthcare of Douglas Inc | Medicare Defined Swing Bed Unit | 2174 W Oak Ave, Douglas, AZ 85607-6003 | 2007-05-29 |
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| 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 | 282NC0060X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Critical Access |
| Definition to come. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720536915 | Bisbee Hospital Association | General Acute Care Hospital | 100 E 5th St, Douglas, AZ 85607-2859 | 2016-09-15 |
| 1992127716 | Douglas Community Hospital | General Acute Care Hospital | 2174 W Oak Ave, Douglas, AZ 85607 | 2014-01-14 |
| 1326085408 | Memorial Hospital of Converse County | General Acute Care Hospital | 111 S 5th St, Douglas, WY 82633-2434 | 2006-05-31 |
| 1760483994 | Community Healthcare of Douglas Inc | General Acute Care Hospital | 2174 W Oak Ave, Douglas, AZ 85607-6003 | 2005-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306287644 | University of Arizona Medical Center | General Acute Care Hospital | 4561 W Plantation St, Tucson, AZ 85741-4036 | 2013-07-16 |
| 1548591720 | Cobre Valley Regional Medical Center | General Acute Care Hospital | 5880 S Hospital Drive, Globe, AZ 85501-9447 | 2010-01-27 |
| 1225274210 | Community Hospital Association, Inc. | General Acute Care Hospital | 523 Rose Ln, Wickenburg, AZ 85390-1448 | 2008-12-23 |
| 1962669929 | University Medical Center Corp | General Acute Care Hospital | 3015 N Mountain Ave, # 1, Tucson, AZ 85719-2637 | 2008-05-19 |
| 1578515789 | Page Hospital | General Acute Care Hospital | 501 North Navajo, Page, AZ 86040 | 2006-05-16 |
| 1376538231 | Gila River Health Care Corporation | General Acute Care Hospital | 17487 S. Health Care Dr., Laveen, AZ 85339-0038 | 2005-09-16 |
| 1841282852 | Community Hospital Association, Inc. | General Acute Care Hospital | 520 Rose Ln, Wickenburg, AZ 85390-1447 | 2005-08-16 |
| 1023632973 | Benson Hospital Corporation | General Acute Care Hospital | 890 W 4th St, Benson, AZ 85602-6437 | 2020-06-05 |
| 1205327582 | Benson Hospital Corporation | General Acute Care Hospital | 688 W 4th St Ste B, Benson, AZ 85602 | 2018-05-23 |
| 1437664182 | Gila River Health Care Corporation | General Acute Care Hospital | 3042 W. Queen Creek Road, Chandler, AZ 85286 | 2017-12-04 |
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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.