NPIMap

Organization Active NPI

Community Healthcare Partner, Inc.

  • Critical Access Hospital
  • Needles, CA
National Provider Identifier
1104294479
Registry record updated Sep 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
240000227 Issued in CA
Legal business name
COMMUNITY HEALTHCARE PARTNER, INC.
Practice address
1401 Bailey Avenue
Building a
Needles, CA 92363-3103
Phone
(760) 326-7160
Fax
(760) 326-7292
NPI assigned
Sep 3, 2015
Organization subpart
Yes
Parent organization
COMMUNITY HEALTHCARE PARTNER, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 3, 2015

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

Authorized official

Name
Mr. Steve Kelley Lopez
Title
Ceo
Phone
(760) 326-7160

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207P00000X
Critical Access Hospital 282NC0060X 240000227 CA Primary

Addresses

Primary practice location

1401 Bailey Avenue
Building a
Needles, CA 92363-3103

Mailing address

1401 Bailey Avenue
Building a
Needles, CA 92363-3103
Phone (760) 326-7160

Other identifiers 2

IdentifierTypeStateIssuer
240000227MedicaidCA
330130MedicaidAZ

Other names 1

  • Colorado River Medical Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Community Healthcare Partner Inc5 organizations share this tax ID, including this one
Part of
Community Healthcare Partner Inc

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1441238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441238400000",
    "number": "1104294479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 BAILEY AVENUE",
            "address_2": "BUILDING A",
            "city": "NEEDLES",
            "state": "CA",
            "postal_code": "923633103",
            "telephone_number": "760-326-7160",
            "fax_number": "760-326-7292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 BAILEY AVENUE",
            "address_2": "BUILDING A",
            "city": "NEEDLES",
            "state": "CA",
            "postal_code": "923633103",
            "telephone_number": "760-326-7160",
            "fax_number": "760-326-7292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY HEALTHCARE PARTNER, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COMMUNITY HEALTHCARE PARTNER, INC",
        "enumeration_date": "2015-09-03",
        "last_updated": "2015-09-03",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "STEVE",
        "authorized_official_middle_name": "KELLEY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "760-326-7160",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "CA",
            "license": "240000227",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "240000227",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "330130",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Colorado River Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Needles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2015; 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.