BISBEE HOSPITAL ASSOCIATION (NPI# 1508137209) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508137209 |
| Entity Type | Organization |
| Organization Name | BISBEE HOSPITAL ASSOCIATION |
| Other Organization Name | COPPER QUEEN MEDICAL ASSOCIATES |
| Practice Address |
7 Bisbee Rd Bisbee AZ 85603-1140 |
| Mailing Address |
101 Cole Ave Bisbee AZ 85603-1327 |
| Practice Telephone | 5204322042 |
| Mailing Telephone | 5204322042 |
| Enumeration Date | 2012-01-26 |
| Last Update Date | 2019-09-23 |
| Authorized Official Name | MR. ROBERT SEAMON (CEO) |
| Authorized Official Telephone | 5204326400 |
| Is Organization Subpart | Y |
| Parent Organization Name | BISBEE HOSPITAL ASSOCIATION COPPER QUEEN COMMUNITY HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305S00000X | Point of Service | H0098 | AZ | Managed Care Organizations |
| Other Name | Type Code |
|---|---|
| Copper Queen Medical Associates | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568471696 | Bisbee Hospital Association | Clinic/Center | 7 Bisbee Rd, Bisbee, AZ 85603-1140 | 2006-08-07 |
| 1720536915 | Bisbee Hospital Association | General Acute Care Hospital | 100 E 5th St, Douglas, AZ 85607-2859 | 2016-09-15 |
| 1790182871 | Bisbee Hospital Association | Clinic/Center | 100 E 5th St, Douglas, AZ 85607-2859 | 2014-12-04 |
| 1225438104 | Bisbee Hospital Association | Clinic/Center | 10524 E Highway 92, Hereford, AZ 85615-8371 | 2014-08-28 |
| 1306021993 | Bisbee Hospital Association | Clinic/Center | 101 Cole Ave, Bisbee, AZ 85603-1327 | 2008-01-02 |
| 1518968767 | Bisbee Hospital Association | General Acute Care Hospital | 101 Cole Ave, Bisbee, AZ 85603-1327 | 2005-08-09 |
| Street Address |
7 BISBEE RD |
| City | BISBEE |
| State | AZ |
| Zip Code | 85603-1140 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568471696 | Bisbee Hospital Association | Clinic/Center | 7 Bisbee Rd, Bisbee, AZ 85603-1140 | 2006-08-07 |
| 1073846317 | Speak With Us, Inc. | Speech-Language Pathologist | 7 Bisbee Rd, Unit J, Bisbee, AZ 85603-1140 | 2009-09-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619221553 | Community Partners Integrated Healthcare, Inc. | Community/Behavioral Health | 24 Howell Avenue, Bisbee, AZ 85603 | 2012-10-30 |
| 1144525080 | Denice Maylene Gaddie | Acupuncturist | 125 Bisbee Rd., Bisbee, AZ 85603 | 2011-01-25 |
| 1295038529 | Arizona Counseling & Treatment Services, L.L.C. | Community/Behavioral Health | #24 Howell St., Bisbee, AZ 85603 | 2010-12-08 |
| 1467753673 | Robert W. Luigs | Counselor | 229a Tombstone Canyon, Bisbee, AZ 85603 | 2010-11-04 |
| 1245544162 | Ernestina S Buck | Counselor | 33 Subway St, Bisbee, AZ 85603 | 2010-08-03 |
| 1558588558 | Juliet Elizabeth Caudle Kihl | Registered Nurse | 519 Melody Ln, Bisbee, AZ 85603 | 2007-04-19 |
| 1003032194 | Candace Lynne Quibell | Social Worker | 907 B Tombstone Canyon, Bisbee, AZ 85603 | 2007-04-17 |
| 1902924806 | Faye Chapman Hoese | Counselor | 24 Howell Ave., Box 544, Bisbee, AZ 85603 | 2007-03-27 |
| 1831214493 | Pamela Rose Blunt | Social Worker | 43 Howell Avenue, Bisbee, AZ 85603 | 2007-03-20 |
| 1578625091 | Derrick Thor Johnston | Dentist | 2 Naco Rd, Bisbee, AZ 85603 | 2006-12-14 |
| Find all providers in zip 85603 | ||||
| Taxonomy Code | 305S00000X |
| Grouping | Managed Care Organizations |
| Classification | Point of Service |
| This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 62 |
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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.