County of Yuma

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

OTC 0285 Issued in AZ

Legal business name

COUNTY OF YUMA

Practice address

2200 W 28TH St
Yuma, AZ 85364

Phone

(928) 317-4550

Fax

(928) 317-4591

NPI assigned

Sep 27, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Diana Gomez

Title

Director

Phone

(928) 317-4550

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• YUMA COUNTY PUBLIC HEALTH SERVICES DISTRICT Other name

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364169600000",
    "number": "1063503530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 W 28TH ST",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "85364",
            "telephone_number": "928-317-4550",
            "fax_number": "928-317-4591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 W 28TH ST",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "85364",
            "telephone_number": "928-317-4550",
            "fax_number": "928-317-4591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF YUMA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2013-03-25",
        "status": "A",
        "authorized_official_last_name": "GOMEZ",
        "authorized_official_first_name": "DIANA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "928-317-4550",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "AZ",
            "license": "OTC 0285",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "062894",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "YUMA COUNTY PUBLIC HEALTH SERVICES DISTRICT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Maria Corpus
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• Melanie Marie Coughenour, COTA/L
• Courageous Journeys Counseling and Consulting Services
• Cashina Cowan Rodriguez, M.A., CCC-SLP
• Christopher W Cox, M.S.CCC
• Nada Cox, LCSW
• Cradic Chiropractic PC

• Clinic/Center in Yuma, AZ
• Providers in Yuma, AZ by specialty
• Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.