Casa Grande Community Hospital

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

NCI-352 Issued in AZ

Legal business name

CASA GRANDE COMMUNITY HOSPITAL

Practice address

950 N Arizola Rd
Casa Grande, AZ 85222-6000

Phone

(520) 381-6650

NPI assigned

Nov 14, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. John Marty Dernier

Title

Ceo

Phone

(520) 381-6453

Specialties & licenses 1

Addresses

Other names 1

• Desert Pavilion Skilled Nursing Facility Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053483040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 N ARIZOLA RD",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "852226000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 N ARIZOLA RD",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "852226000",
            "telephone_number": "520-381-6650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASA GRANDE COMMUNITY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DERNIER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "MARTY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "520-381-6453",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "AZ",
            "license": "NCI-352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Desert Pavilion Skilled Nursing Facility",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Casa de Carmelita LLC
• Casa de Francis, LLC
• Casa Grand Vip & Shuttle LLC
• Casa Grande Anesthesia Services, Inc
• Casa Grande Community Acupuncture LLC
• Casa Grande Community Hospital
• Casa Grande Community Hospital
• Casa Grande Community Hospital
• Casa Grande Community Hospital
• Casa Grande Community Hospital

• Skilled Nursing Facility in Casa Grande, AZ
• Providers in Casa Grande, AZ by specialty
• Skilled Nursing Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.