Community Partners Integrated Healthcare, Inc. | |
1021 E Palmdale St Ste 150-190 Tucson AZ 85714-1857 | |
(520) 333-4320 | |
(520) 207-0542 |
Full Name | Community Partners Integrated Healthcare, Inc. |
---|---|
Speciality | Clinic/Center |
Location | 1021 E Palmdale St Ste 150-190, Tucson, Arizona |
Authorized Official Name and Position | Rose Mary Lopez (PRESIDENT AND CEO) |
Authorized Official Contact | 5207211887 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Community Partners Integrated Healthcare, Inc. Po Box 86537 Tucson AZ 85754-6537 Ph: (520) 721-1887 | Community Partners Integrated Healthcare, Inc. 1021 E Palmdale St Ste 150-190 Tucson AZ 85714-1857 Ph: (520) 333-4320 |
NPI Number | 1669897385 |
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Provider Enumeration Date | 03/04/2014 |
Last Update Date | 04/21/2023 |
Medicare PECOS PAC ID | 7315163938 |
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Medicare Enrollment ID | O20140716002626 |
Identifier | Type | State | Issuer |
---|---|---|---|
1669897385 | NPI | - | NPPES |
OTC8060 | Other | AZ | ADHS-BMFL LICENSE FOR INTEGRATED CARE |
231825 | Medicaid | AZ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | OTC8060 (Arizona) | Secondary |
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
Provider Name | Shakuntala Jain |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1629157771 PECOS PAC ID: 1557357324 Enrollment ID: I20040426000618 |
Provider Name | Justine R Confino |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881781847 PECOS PAC ID: 2062485675 Enrollment ID: I20040812001330 |
Provider Name | Melanie V Romo |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134216104 PECOS PAC ID: 7012012537 Enrollment ID: I20070411000475 |
Provider Name | Frederick S Mittleman |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1649293515 PECOS PAC ID: 4587755442 Enrollment ID: I20070807000197 |
Provider Name | Rebecca Jean Yates |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1538223755 PECOS PAC ID: 4587721857 Enrollment ID: I20090401000193 |
Provider Name | Roderick C Sanchez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1891947818 PECOS PAC ID: 4385768498 Enrollment ID: I20100826000278 |
Provider Name | Stacy L Underwood |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1043325541 PECOS PAC ID: 5597948851 Enrollment ID: I20110323000722 |
Provider Name | Lynn M Klimo |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1184669921 PECOS PAC ID: 4385531623 Enrollment ID: I20120919000862 |
Provider Name | Alys M Oxentenko |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1750785168 PECOS PAC ID: 3072837798 Enrollment ID: I20150128000792 |
Provider Name | Laura Thompson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1861893646 PECOS PAC ID: 7416274741 Enrollment ID: I20150326000791 |
Provider Name | Christina Arredondo |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1629377916 PECOS PAC ID: 2769702422 Enrollment ID: I20150708003300 |
Provider Name | Comfort D Impraim |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1144610239 PECOS PAC ID: 8820306533 Enrollment ID: I20150930000241 |
Provider Name | Carrie K Bowman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1053691980 PECOS PAC ID: 9830358423 Enrollment ID: I20151118002667 |
Provider Name | Kelly L Mullins |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1083092100 PECOS PAC ID: 8325349285 Enrollment ID: I20151217002268 |
Provider Name | Diana G Verdugo |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1003288945 PECOS PAC ID: 0345545877 Enrollment ID: I20160222002043 |
Provider Name | Phillip Plemons |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1871840199 PECOS PAC ID: 8921321043 Enrollment ID: I20160608000339 |
Provider Name | Tonya L Johnson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1679825152 PECOS PAC ID: 7214152206 Enrollment ID: I20160725001700 |
Provider Name | Ian Adams |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1417402280 PECOS PAC ID: 8820374911 Enrollment ID: I20170403002154 |
Provider Name | Vanessa E Schlauderaff |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1336685080 PECOS PAC ID: 8123304193 Enrollment ID: I20170406001730 |
Provider Name | Erkan Caygoz |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1356868160 PECOS PAC ID: 0547528218 Enrollment ID: I20171229002261 |
Provider Name | Cicili Arockiaraj |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1730567801 PECOS PAC ID: 9537421706 Enrollment ID: I20180328000996 |
Provider Name | Patricia I Herrera |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1902304801 PECOS PAC ID: 3779848932 Enrollment ID: I20180711003677 |
Provider Name | Lisa Grine |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1710496799 PECOS PAC ID: 6608134440 Enrollment ID: I20181008002201 |
Provider Name | Loretta Rose Kramer |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1386700441 PECOS PAC ID: 2769720143 Enrollment ID: I20190209000095 |
Provider Name | Angel M Rivers |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1730605890 PECOS PAC ID: 7416214465 Enrollment ID: I20190808000893 |
Provider Name | Devin L Wengert |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1346709557 PECOS PAC ID: 4284064197 Enrollment ID: I20200416002507 |
Provider Name | Brijeshaben U Patel |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1538787072 PECOS PAC ID: 1759797053 Enrollment ID: I20210311001342 |
Provider Name | Stacy Kit Johns Caligiuri |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1275140972 PECOS PAC ID: 7911307863 Enrollment ID: I20210614003194 |
Provider Name | Mahlon Roun |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1871529446 PECOS PAC ID: 0345658035 Enrollment ID: I20210625001684 |
Provider Name | Christine M Reynolds |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1659443810 PECOS PAC ID: 5890030712 Enrollment ID: I20210810001952 |
Provider Name | Miriam Elizabeth Espinoza |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1073915633 PECOS PAC ID: 3577748003 Enrollment ID: I20210902003182 |
Provider Name | William H Ruby |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1003149691 PECOS PAC ID: 5597806893 Enrollment ID: I20211029001373 |
Provider Name | Toyin O. Marcus |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942831425 PECOS PAC ID: 5395137939 Enrollment ID: I20220112000000 |
Provider Name | Scott Christopher Gilman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1700547353 PECOS PAC ID: 1850785395 Enrollment ID: I20220228001704 |
Provider Name | Monica L Wooldridge |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1578898383 PECOS PAC ID: 1658523022 Enrollment ID: I20220930000283 |
Provider Name | Jennifer Plenty |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1437878659 PECOS PAC ID: 6406223262 Enrollment ID: I20221108000633 |
Provider Name | Monica Christine Arriaga |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1942948153 PECOS PAC ID: 1850769191 Enrollment ID: I20221117002660 |
Provider Name | Kathy Ann Jacobson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1982361127 PECOS PAC ID: 1153795596 Enrollment ID: I20230324002664 |
Provider Name | Pamela Schreurs |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1336866748 PECOS PAC ID: 7911371398 Enrollment ID: I20230327001067 |
Provider Name | Ashley D Tsonetokoy |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1821777608 PECOS PAC ID: 5890141527 Enrollment ID: I20231031003652 |
Provider Name | Joy-anne Simone James |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1205381498 PECOS PAC ID: 2567742380 Enrollment ID: I20240229003657 |
Provider Name | Abigail Lindsay |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1902548456 PECOS PAC ID: 9234574997 Enrollment ID: I20240305000599 |
Provider Name | Martin Romeo Tamou |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1114785953 PECOS PAC ID: 1456791748 Enrollment ID: I20240503001093 |
Provider Name | Jovan Martiza Ramirez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1144796152 PECOS PAC ID: 0446691489 Enrollment ID: I20240508003141 |
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One Medical Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8616 E Broadway Blvd, Tucson, AZ 85710 Phone: 520-468-4809 Fax: 520-254-6016 | |
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Omo Ije's'a Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7309 E 28th St, Tucson, AZ 85710 Phone: 510-345-8981 Fax: 520-253-7229 | |
James R Boyed Md Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6548 E Carondelet Dr Bldg E, Tucson, AZ 85710 Phone: 520-298-2319 Fax: 520-298-7811 | |
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