COMMUNITY INTERVENTION ASSOCIATES INC NPI 1851651079

NPI Information

NPI: 1851651079
Provider Name: COMMUNITY INTERVENTION ASSOCIATES, INC

Doing Business As: COMMUNITY HEALTH ASSOCIATES

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 03D2098233

Address:
2851 S. AVE B
SUITE 2901
YUMA, AZ
ZIP 85364
Phone: (928) 304-7729
Get Directions

COMMUNITY INTERVENTION ASSOCIATES, INC is a primary care clinic center in Yuma, AZ. COMMUNITY INTERVENTION ASSOCIATES, INC NPI is 1851651079. The provider is registered as an organization entity type.
The provider Is Doing Business As Community Health Associates.

The provider's business location address is:

2851 S. AVE B
SUITE 2901
YUMA, AZ
ZIP 85364
Phone: (928) 304-7729
Fax: (928) 344-5577

The provider's authorized official is Fred Cogburn .
The authorized official title is Ceo and has the following contact phone number (928) 376-0026.

The CLIA number assigned to this NPI record is 03D2098233 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/22/2012 and was last updated on 6/2/2016.

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	261QP2300X	Clinic/Center	Primary Care			No
2	261QP2300X	Clinic/Center	Primary Care	OTC-6468	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	741893	MEDICAID	ARIZONA
2	290572	MEDICARE UPIN	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: 11/14/2023

NPI Synchronization or Removal

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