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COMMUNITY PARTNERS INTEGRATED HEALTHCARE INC. NPI 1659674984


NPI Information

NPI: 1659674984
Provider Name: COMMUNITY PARTNERS INTEGRATED HEALTHCARE, INC.

Former Legal Business Name: ASSURANCE HEALTH AND WELLNESS

Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization

CLIA Number: 03D2125254

Address:
2039 E WILCOX DR
SUITE A & B
SIERRA VISTA, AZ
ZIP 85635
Phone: (520) 226-9002
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COMMUNITY PARTNERS INTEGRATED HEALTHCARE, INC. is a community behavioral health in Sierra Vista, AZ. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, 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. COMMUNITY PARTNERS INTEGRATED HEALTHCARE, INC. NPI is 1659674984. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Assurance Health And Wellness.

The provider's business location address is:

2039 E WILCOX DR
SUITE A & B
SIERRA VISTA, AZ
ZIP 85635-781
Phone: (520) 226-9002
Fax: (520) 459-0563

The provider's authorized official is Rose Mary Lopez .
The authorized official title is President And Ceo and has the following contact phone number (520) 721-1887.

The CLIA number assigned to this NPI record is 03D2125254 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/8/2010 and was last updated on 4/20/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261Q00000XClinic/CenterNo
2251S00000XCommunity/Behavioral HealthOTC8054ARIZONAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1OTC8054OTHERARIZONABUREAU OF MEDICAL FACILITIES LICENSING
2231924MEDICAIDARIZONA

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.