CREEK VALLEY HEALTH CLINIC (NPI# 1821652793) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821652793 |
| Entity Type | Organization |
| Organization Name | CREEK VALLEY HEALTH CLINIC |
| Other Organization Name | CREEK VALLEY HEALTH CENTER |
| Practice Address |
20 South Colvin Street Colorado City AZ 86021-0418 |
| Mailing Address |
Po Box 418 Colorado City AZ 86021-0418 |
| Practice Telephone | 8017930143 |
| Enumeration Date | 2019-04-26 |
| Last Update Date | 2020-02-25 |
| Authorized Official Name | MS. SHIRLEE DRAPER (BOARD PRESIDENT) |
| Authorized Official Telephone | 4356194547 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities | ||
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | STATE ENTITY ID - ARIZONA CORPORATION COMMISSION | 1929464 | 01 |
| Other Name | Type Code |
|---|---|
| Creek Valley Health Center | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | CREEK VALLEY HEALTH CLINIC | 20 Colvin St, Colorado City, AZ 86021 |
| Street Address |
20 SOUTH COLVIN STREET |
| City | COLORADO CITY |
| State | AZ |
| Zip Code | 86021-0418 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295066298 | Beth Darger Barlow | Hearing Instrument Specialist | 20 South Colvin Street, Colorado City, AZ 86021-0459 | 2010-01-15 |
| 1336536770 | Hildale Health Services LLC | Clinic/Center | 20 South Colvin Street, Colorado City, AZ 86021-0459 | 2015-04-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619504602 | Cherish Families | Voluntary or Charitable | 280 W. Township Ave, Colorado City, AZ 86021 | 2020-03-27 |
| 1003458332 | Bee's Marketplace Corporation | Pharmacy | 80 North Central Street Unit 6 #3323, Colorado City, AZ 86021 | 2019-10-08 |
| 1790326353 | Theil L Cooke Jr. | Registered Nurse | 20 S. Colvin St, Colorado City, AZ 86021 | 2019-10-04 |
| 1346721362 | Nathan Daniel Barlow | Physician Assistant | 20 S Colvin St, Colorado City, AZ 86021 | 2018-08-27 |
| 1467989947 | Encompass Health Services, Inc. | Community/Behavioral Health | 60 N. Central, Colorado City, AZ 86021 | 2017-05-16 |
| 1609010511 | Mohave County Dept. of Public Health | Public Health or Welfare | 20 South Colvin, Colorado City, AZ 86021 | 2009-04-22 |
| 1871775676 | Abram Owen Young | Speech-Language Pathologist | 225 N Cottonwood, Colorado City Unified School District #14, Colorado City, AZ 86021 | 2007-12-04 |
| 1790284545 | Colorado City Fire District | Ambulance | 40 South Pioneer St., Colorado City, AZ 86021-0248 | 2018-02-07 |
| 1790001204 | Colorado City Unified School District | Speech-Language Pathologist | 325 North Cottonwood Street, Colorado City, AZ 86021-0309 | 2010-04-09 |
| 1720260698 | Colorado City Unified School | Local Education Agency (LEA) | 255 N Cottonwood Street, Colorado City, AZ 86021-0309 | 2007-12-03 |
| Find all providers in zip 86021 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831730795 | El Rio Santa Cruz Neighborhood Health Center, Inc | Clinic/Center | 434 E University Blvd, Tucson, AZ 85705 | 2019-10-02 |
| 1710462593 | Chiricahua Community Health Centers, Inc | Clinic/Center | 310 Arizona St, Bisbee, AZ 85603-1502 | 2018-09-27 |
| 1811472665 | Chiricahua Community Health Centers, Inc | Clinic/Center | 1151 16th Street, Douglas, AZ 85607 | 2018-09-27 |
| 1194207878 | Valle Del Sol, Inc. | Clinic/Center | 1510 S 19th Dr, Phoenix, AZ 85009-6540 | 2018-08-30 |
| 1861970139 | Horizon Health and Wellness, Inc. | Clinic/Center | 374 W Alden Rd, Kearny, AZ 85137-1208 | 2018-07-30 |
| 1578059168 | Native Health | Clinic/Center | 6850 W Indian School Rd Ste Nh1, Phoenix, AZ 85033-3249 | 2018-07-06 |
| 1821582529 | Chiricahua Community Health Centers, Inc | Clinic/Center | 335 South Ocotillo Avenue, Benson, AZ 85602 | 2018-06-18 |
| 1881198992 | Valle Del Sol, Inc. | Clinic/Center | 334 W 10th Pl Ste 100, Mesa, AZ 85201-3499 | 2018-03-22 |
| 1841706785 | Circle The City | Clinic/Center | 206 S 12th Ave, Phoenix, AZ 85007 | 2017-12-14 |
| 1346755295 | Circle The City | Clinic/Center | 210 S 12th Ave, Phoenix, AZ 85007-3101 | 2017-12-13 |
| Find all providers with the same taxonomy | ||||
| City | COLORADO CITY |
| Zip Code | 86021 |
Please comment or provide details below to improve the information on CREEK VALLEY HEALTH CLINIC.
| 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.