COMMUNITY PARTNERS INTEGRATED HEALTHCARE, INC.


Address: 24 Howell Avenue, Bisbee, AZ 85603
Phone: 5203668720

COMMUNITY PARTNERS INTEGRATED HEALTHCARE, INC. (NPI# 1619221553) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1619221553
Entity Type Organization
Organization Name COMMUNITY PARTNERS INTEGRATED HEALTHCARE, INC.
Other Organization Name ASSURANCE HEALTH AND WELLNESS
Practice Address 24 Howell Avenue
Bisbee
AZ 85603
Mailing Address 4575 E Broadway Blvd
Tucson
AZ 85711-3509
Practice Telephone 5203668720
Practice Fax Number 5204325926
Mailing Telephone 5203254268
Mailing Fax Number 5203186935
Enumeration Date 2012-10-30
Last Update Date 2018-06-29
Authorized Official Name MRS. VANESSA SEANEY (PRESIDENT/CHIEF EXECUTIVE OFFICER)
Authorized Official Telephone 5203254268
Authorized Official Credential LCSW
Is Organization Subpart Y
Parent Organization Name COMMUNITY PARTNERS INC.

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251S00000X Community/Behavioral Health OTC8047 AZ Agencies

Other Provider Identifier

State Issuer Identifier Type Code
AZ STATE LICENSE OTC8047 01
AZ 232031 05

Other Provider/Organization Names

Other Name Type Code
Arizona Counseling & Treatment Services Doing Business As Name - Organization
Assurance Health and Wellness Former Legal Business Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1245787043 Community Partners Integrated Healthcare, Inc. Community Based Residential Treatment Facility, Mental Illness 2502 N Dodge Blvd Ste 190-west, Tucson, AZ 85716-2671 2016-09-08
1093189805 Community Partners Integrated Healthcare, Inc. Clinic/Center 20046 N John Wayne Parkway, Ste 102, Maricopa, AZ 85139 2015-11-17
1093183535 Community Partners Integrated Healthcare, Inc. Clinic/Center 1010 E Palmdale St, Suite 150, Tucson, AZ 85714-3308 2015-09-14
1346620358 Community Partners Integrated Healthcare, Inc. Clinic/Center 1515 E Osborn Rd, Phoenix, AZ 85014-5309 2015-06-04
1578964516 Community Partners Integrated Healthcare, Inc. Clinic/Center 20046 N. John Wayne Parkway, Ste. 106-a, Maricopa, AZ 85139 2014-09-09
1952745531 Community Partners Integrated Healthcare, Inc. Community/Behavioral Health 120b N Arizona Blvd., Ste. F, Coolidge, AZ 85128 2013-04-25
1548546039 Community Partners Integrated Healthcare, Inc. Community/Behavioral Health 13100 S. Sunland Gin Road., Suite 1-3, Arizona City, AZ 85123 2011-10-27
1659674984 Community Partners Integrated Healthcare, Inc. Clinic/Center 2039 E Wilcox Dr, Suite A & B, Sierra Vista, AZ 85635-2781 2010-12-08
1568765899 Community Partners Integrated Healthcare, Inc. Community/Behavioral Health 562 N. Coronado Blvd., Clifton, AZ 85533 2010-12-08
1821390360 Community Partners Integrated Healthcare, Inc. Clinic/Center 500 S Highway 80, Suite A, Benson, AZ 85602-7067 2010-12-02

Office Location

Street Address 24 HOWELL AVENUE
City BISBEE
State AZ
Zip Code 85603

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
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
1407928351 Women's Transition Project, Inc. Substance Abuse Rehabilitation Facility 240 O'hara Avenue, Bisbee, AZ 85603 2006-11-15
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Taxonomy Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1427354315 Arizona Counseling & Treatment Services, L.L.C. Community/Behavioral Health 400 Arizona St, Bisbee, AZ 85603-1504 2011-02-10
1295038529 Arizona Counseling & Treatment Services, L.L.C. Community/Behavioral Health #24 Howell St., Bisbee, AZ 85603 2010-12-08
1518250620 Community Intervention Associates, Inc. Community/Behavioral Health 1326 Hwy 92, Suite J, Bisbee, AZ 85603-0000 2011-05-23

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1932700929 True Wellness Support Services Community/Behavioral Health 8936 W Villa Rita Dr, Peoria, AZ 85382-3021 2020-11-05
1447851837 Laws of Mindful Healing Community/Behavioral Health 3717 S Chaparral Rd, Apache Junction, AZ 85119-3608 2020-11-03
1790384030 Great Xpectations LLC Community/Behavioral Health 4014 W Christy Dr, Phoenix, AZ 85029-3958 2020-10-19
1710586144 Brighter Tomorrow's Family Services, LLC Community/Behavioral Health 644 N Country Club Dr Ste D, Mesa, AZ 85201-4983 2020-10-16
1386242295 Mercy Cares LLC Community/Behavioral Health 2644 E Paradise Ln Apt D, Phoenix, AZ 85032-2945 2020-10-13
1124626080 Beia's Families Community/Behavioral Health 3230 E Broadway Rd Ste C-235, Phoenix, AZ 85040-2873 2020-10-13
1558968099 Seed Sower LLC Community/Behavioral Health 11526 W Bloomfield Rd, El Mirage, AZ 85335-3916 2020-10-07
1306443171 Essential Health Services, LLC Community/Behavioral Health 2112 E Sanoque Ct, Gilbert, AZ 85298-6117 2020-10-05
1518564442 Infinity Groups Homes LLC Community/Behavioral Health 3523 E Everett Dr, Phoenix, AZ 85032-5136 2020-10-05
1013524230 Civara Behavioral Health LLC Community/Behavioral Health 4010 W Cactus Rd, Phoenix, AZ 85029-2905 2020-10-01
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Competitor

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City BISBEE
Zip Code 85603

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Dataset Information

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.

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