GILA RIVER HEALTH CARE CORPORATION NPI 1376538231

NPI Information

NPI: 1376538231
Provider Name: GILA RIVER HEALTH CARE CORPORATION

Doing Business As: KOMATKE HEALTH CENTER

Classification: General Acute Care Hospital - 282NC0060X
Entity Type: Organization

Specialization: Critical Access

Address:
17487 S. HEALTH CARE DR.
LAVEEN, AZ
ZIP 85339
Phone: (520) 550-6000
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GILA RIVER HEALTH CARE CORPORATION is a critical access general acute care hospital in Laveen, AZ. GILA RIVER HEALTH CARE CORPORATION NPI is 1376538231. The provider is registered as an organization entity type.
The provider Is Doing Business As Komatke Health Center.

The provider's business location address is:

17487 S. HEALTH CARE DR.
LAVEEN, AZ
ZIP 85339-038
Phone: (520) 550-6000
Fax: (520) 550-6027

The provider's authorized official is Scott Gemberling .
The authorized official title is Ceo and has the following contact phone number (602) 528-1427.

The CLIA number assigned to this NPI record is 03D1093003 - rural health clinic with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 9/16/2005 and was last updated on 5/31/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	282NC0060X	General Acute Care Hospital	Critical Access		ARIZONA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	334582	MEDICAID	ARIZONA
2	031308	MEDICARE OSCAR/CERTIFICATION	ARIZONA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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