GILA RIVER HEALTH CARE CORPORATION (NPI# 1902189905) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902189905 |
| Entity Type | Organization |
| Organization Name | GILA RIVER HEALTH CARE CORPORATION |
| Other Organization Name | KOMATKE HEALTH CENTER |
| Practice Address |
17487 S. Health Care Dr. Laveen AZ 85339-0038 |
| Practice Telephone | 5205506000 |
| Practice Fax Number | 5205506027 |
| Mailing Telephone | 5205506000 |
| Mailing Fax Number | 5205506027 |
| Enumeration Date | 2011-09-26 |
| Last Update Date | 2017-05-31 |
| Authorized Official Name | SCOTT GEMBERLING (CEO) |
| Authorized Official Telephone | 6025281470 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
AZ | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | MEDICARE GROUP PTAN | TEZ055 | 01 |
| Other Name | Type Code |
|---|---|
| Komatke Health Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568850329 | Gila River Health Care Corporation | Community Based Residential Treatment Facility, Mental Illness | 142226 S 53rd Ave, Laveen, AZ 85339 | 2015-01-02 |
| 1144359852 | Gila River Health Care Corporation | Pharmacy | 17487 S Healthcare Dr, Laveen, AZ 85339-8500 | 2007-03-06 |
| 1891776902 | Gila River Health Care Corporation | Clinic/Center | 565 W. Seed Farm Rd, Sacaton, AZ 85247 | 2005-11-07 |
| 1386633915 | Gila River Health Care Corporation | General Acute Care Hospital | 48203 W. Farrell Rd., Maricopa, AZ 85139-0038 | 2005-10-17 |
| 1376538231 | Gila River Health Care Corporation | General Acute Care Hospital | 17487 S. Health Care Dr., Laveen, AZ 85339-0038 | 2005-09-16 |
| 1629579230 | Gila River Health Care Corporation | Case Management | 3042 W. Queen Creek Road, Chandler, AZ 85286 | 2018-02-28 |
| 1821599424 | Gila River Health Care Corporation | Community/Behavioral Health | 3042 W. Queen Creek Road, Chandler, AZ 85286 | 2018-02-28 |
| 1437664182 | Gila River Health Care Corporation | General Acute Care Hospital | 3042 W. Queen Creek Road, Chandler, AZ 85286 | 2017-12-04 |
| 1114430147 | Gila River Health Care Corporation | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 3042 W. Queen Creek Road, Chandler, AZ 85286 | 2017-11-13 |
| 1851600191 | Gila River Health Care Corporation | Community/Behavioral Health | 483 W. Seed Farm Road, Sacaton, AZ 85147-0001 | 2010-10-05 |
| Street Address |
17487 S. HEALTH CARE DR. |
| City | LAVEEN |
| State | AZ |
| Zip Code | 85339-0038 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376538231 | Gila River Health Care Corporation | General Acute Care Hospital | 17487 S. Health Care Dr., Laveen, AZ 85339-0038 | 2005-09-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093351611 | Nationwide Vision Center, LLC | Technician/Technologist | 7650 S 59th Ave, Suite 101, Laveen, AZ 85339 | 2019-11-19 |
| 1164074282 | Alvis Lee Robertson | Counselor | 3850 N. 16th St. E. Beltline Rd., Laveen, AZ 85339 | 2019-07-09 |
| 1912493933 | Kristine Robles | Specialist/Technologist | 6501 W Alta Vista Rd, Laveen, AZ 85339 | 2018-07-02 |
| 1366968521 | Care Line, LLC | Home Health | 5818 West Pedro Lane, Laveen, AZ 85339 | 2017-08-19 |
| 1881119550 | Calvary Home Care Services Inc | Day Training, Developmentally Disabled Services | 4360 W. Alta Vista Rd, Laveen, AZ 85339 | 2017-08-03 |
| 1295284354 | Brian Hiapo Jr. | Assistant, Podiatric | 6170 S 51st Ave Ste 103, Laveen, AZ 85339 | 2016-09-29 |
| 1962850073 | Laveen Pediatric Dental Partners, LLP | Dentist | 5235 W. Baseline Rd, Ste 187, Laveen, AZ 85339 | 2016-05-31 |
| 1619353992 | Tiffany Lee | Specialist/Technologist | 7034 S. 64ave, Laveen, AZ 85339 | 2015-08-10 |
| 1558759068 | Makoto Wakamori | Counselor | 3850 North 16th Street Laveen Az 85339, Laveen, AZ 85339 | 2015-01-06 |
| 1568850329 | Gila River Health Care Corporation | Community Based Residential Treatment Facility, Mental Illness | 142226 S 53rd Ave, Laveen, AZ 85339 | 2015-01-02 |
| Find all providers in zip 85339 | ||||
| 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 |
|---|---|---|---|---|
| 1376538231 | Gila River Health Care Corporation | General Acute Care Hospital | 17487 S. Health Care Dr., Laveen, AZ 85339-0038 | 2005-09-16 |
| 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 |
| 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 |
| 1063923340 | Banner Health | General Acute Care Hospital | 807 S Ponderosa St, Payson, AZ 85541-5542 | 2017-10-13 |
| Find all providers with the same taxonomy | ||||
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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.