| Community Partners Integrated Healthcare, Inc. | |
|
2545 S Arizona Ave Bldg A-d Yuma AZ 85364-7364 | |
| (928) 376-0220 | |
| (928) 344-2861 |
| Full Name | Community Partners Integrated Healthcare, Inc. |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 2545 S Arizona Ave, Yuma, 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. 2545 S Arizona Ave Bldg A-d Yuma AZ 85364-7364 Ph: (928) 376-0220 |
| NPI Number | 1457459091 |
|---|---|
| Provider Enumeration Date | 09/20/2006 |
| Last Update Date | 04/20/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457459091 | NPI | - | NPPES |
| 231843 | Medicaid | AZ | |
| OTC8057 | Other | AZ | BUREAU OF MEDICAL FACILITIES LICENSING |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | OTC8057 (Arizona) | Secondary |
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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