| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 03/04/2014 |
| Last Update Date | 04/21/2023 |
| Medicare PECOS PAC ID | 7315163938 |
|---|---|
| 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 | 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 | 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 | 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 |
Ironwood Gastroenterology Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 395 N Silverbell Rd, Suite 255, Tucson, AZ 85745 Phone: 520-722-3777 Fax: 520-296-6224 | |
Sparcc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5199 E Farness Dr, Ste 101, Tucson, AZ 85712 Phone: 520-548-4847 Fax: 520-300-7156 | |
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 | |
Total Care Health Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 941 N 11th Ave, Tucson, AZ 85705 Phone: 517-294-1835 | |
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 | |
Northwest Allied Physicians Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2055 W Hospital Dr, Suite 205, Tucson, AZ 85704 Phone: 520-229-2563 Fax: 520-229-2561 |