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COMMUNITY PARTNERS INTEGRATED HEALTHCARE INC. NPI 1821390360


NPI Information

NPI: 1821390360
Provider Name: COMMUNITY PARTNERS INTEGRATED HEALTHCARE, INC.

Former Legal Business Name: ASSURANCE HEALTH AND WELLNESS

Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

CLIA Number: 03D2132573

Address:
500 S HIGHWAY 80
SUITE A
BENSON, AZ
ZIP 85602
Phone: (520) 790-0290
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COMMUNITY PARTNERS INTEGRATED HEALTHCARE, INC. is a multi-specialty clinic center in Benson, AZ. COMMUNITY PARTNERS INTEGRATED HEALTHCARE, INC. NPI is 1821390360. 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:

500 S HIGHWAY 80
SUITE A
BENSON, AZ
ZIP 85602-067
Phone: (520) 790-0290
Fax: (520) 586-4644

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 03D2132573 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/2/2010 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
2261QM1300XClinic/CenterMulti-SpecialtyYes

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
1232022MEDICAIDARIZONA
2OTC9372OTHERARIZONAADHS/BMFL

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: 11/14/2023

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.