Community Partners Integrated Healthcare, Inc. | |
2039 E Wilcox Dr Suite A & B Sierra Vista AZ 85635-2781 | |
(520) 226-9002 | |
(520) 459-0563 |
Full Name | Community Partners Integrated Healthcare, Inc. |
---|---|
Speciality | Community/behavioral Health |
Location | 2039 E Wilcox Dr, Sierra Vista, Arizona |
Authorized Official Name and Position | Rose Mary Lopez (PRESIDENT AND CEO) |
Authorized Official Contact | 5207211887 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Community Partners Integrated Healthcare, Inc. Po Box 86537 Tucson AZ 85754-6537 Ph: (520) 721-1887 | Community Partners Integrated Healthcare, Inc. 2039 E Wilcox Dr Suite A & B Sierra Vista AZ 85635-2781 Ph: (520) 226-9002 |
NPI Number | 1659674984 |
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Provider Enumeration Date | 12/08/2010 |
Last Update Date | 04/20/2020 |
Certification Date | 04/20/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1659674984 | NPI | - | NPPES |
231924 | Medicaid | AZ | |
OTC8054 | Other | AZ | BUREAU OF MEDICAL FACILITIES LICENSING |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | OTC8054 (Arizona) | Primary |
261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
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