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Contact Information

COMMUNITY HOSPITAL ASSOCIATION, INC.
26750B S. SANTA FE RD.
CONGRESS, AZ85332
 Phone: 928-668-5421
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinic Pharmacy

3336C0002X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for COMMUNITY HOSPITAL ASSOCIATION, INC.

NPI # 1154989168
LBN Legal business name COMMUNITY HOSPITAL ASSOCIATION, INC.
Authorized official CHERYL BROUMEL - (CLINIC RESOURCE MANAGER)
Entity Organization
Organization subpart 1 Yes
Enumeration date 06/04/2019
Last updated 06/04/2019 - About 7 years ago
Identifiers
AZ Medicaid 950240
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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