Community Health Associates

LBN: Community Intervention Associates
Community Health Associates is an health care organization with primary practice located at 1938 E Juan Sanchez Blvd Suite 4, San Luis AZ 85349. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Community Intervention Associates can be contacted via phone (928) 376-0026, or through Cogburn, Fred R via phone (928) 376-0026.

Contact Information

Primary practice address
1938 E Juan Sanchez Blvd Suite 4 San Luis AZ 85349
Phone: (928) 376-0026
Fax: (928) 782-2298
Website:
Map and Directions
Authorized official contact:
Name: Cogburn, Fred R
Phone: (928) 376-0026

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X BH3479 Arizona
Agencies / Community/Behavioral Health 251S00000X BH-3479 Arizona

Profile Details

NPI number 1013239136
LBN Legal business name Community Intervention Associates
DBA Doing business as Community Health Associates
Authorized official Cogburn, Fred R
Entity Organization
Organization subpart 1 No
Enumeration date Feb 16th, 2010
Last updated Feb 10th, 2016 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013239136 NPPES
Arizona MEDICAID 849596
Arizona MEDICAID 496988

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