SUMMIT HEALTHCARE ASSOCIATION (NPI# 1477104552) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477104552 |
| Entity Type | Organization |
| Organization Name | SUMMIT HEALTHCARE ASSOCIATION |
| Practice Address |
2200 E Show Low Lake Rd Show Low AZ 85901-7831 |
| Practice Telephone | 9285376393 |
| Practice Fax Number | 9285322131 |
| Mailing Telephone | 9285376393 |
| Mailing Fax Number | 9285322131 |
| Enumeration Date | 2019-09-20 |
| Last Update Date | 2019-09-20 |
| Authorized Official Name | JILL BLUSE (HEALTH PLAN CREDENTIALING COORDINAT) |
| Authorized Official Telephone | 9285376393 |
| Is Organization Subpart | Y |
| Parent Organization Name | SUMMIT HEALTHCARE ASSOCIATION |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 273R00000X | Psychiatric Unit | Hospital Units |
| 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 |
| 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 |
| 1144209271 | Summit Healthcare Association | General Acute Care Hospital | 2200 E Show Low Lake Rd, Show Low, AZ 85901-7881 | 2006-01-17 |
| 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 | 85901-7831 |
| 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 |
| 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 |
| 1982133542 | Lisa A Young Do Pllc | Family Medicine | 2200 E Show Low Lake Rd, Show Low, AZ 85901-7831 | 2017-06-07 |
| 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 | 273R00000X |
| Grouping | Hospital Units |
| Classification | Psychiatric Unit |
| In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent persons; (2) For Medicare, a distinct part of a general acute care hospital admitting only patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis contained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The unit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of the degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate inpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning. |
| Notes: Source: (1) AHA Annual Survey p. A10 1996 AHA Guide; (2) Code of Federal Regulations #42, Section 412.27. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831702513 | Terri Collins | Psychiatric Unit | 456 E Taylor Trl, San Tan Valley, AZ 85143-5599 | 2020-08-24 |
| 1356802912 | Talas Harbor At Bullhead City | Psychiatric Unit | 831 Landon Drive, Bullhead City, AZ 86429 | 2019-03-27 |
| 1952471518 | Mohave Mental Health Clinic Inc | Psychiatric Unit | 1741 Sycamore Avenue, Kingman, AZ 86409 | 2006-11-09 |
| 1417032145 | Carondelet Health Network | Psychiatric Unit | 1601 West St Mary's Road, Tucson, AZ 85745-2623 | 2006-10-25 |
| 1609957141 | Carondelet Health Network | Psychiatric Unit | 1601 W St Mary's Road, Tucson, AZ 85745-2623 | 2006-10-18 |
| 1750462107 | Carondelet Health Network | Psychiatric Unit | 1802 West St. Mary's Road, Tucson, AZ 85745-2623 | 2006-10-18 |
| 1073614905 | Lafrontera Center Inc. | Psychiatric Unit | 1601 E. Apache Park Place, Tucson, AZ 85714 | 2006-09-25 |
| 1578071809 | Southwest Behavioral Health Services,inc. | Psychiatric Unit | 2042 N 35th Ave, Phoenix, AZ 85009-2353 | 2018-01-22 |
| 1720454341 | Smsj Tucson Holdings LLC | Psychiatric Unit | 1601 W Saint Marys Rd, Tucson, AZ 85745-2623 | 2015-08-18 |
| 1801262423 | Smsj Tucson Holdings LLC | Psychiatric Unit | 350 N Wilmot Rd, Tucson, AZ 85711-2602 | 2015-08-18 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on SUMMIT HEALTHCARE ASSOCIATION.
| 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.