NPIMap

Organization Active NPI

Summit Healthcare Association

Doing business as Summit Healthcare Regional Medical Center

  • Rural Acute Care Hospital
  • Show Low, AZ
National Provider Identifier
1144209271
Registry record updated Sep 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Acute Care HospitalTaxonomy code 282NR1301X
License
H0132 Issued in AZ
Legal business name
SUMMIT HEALTHCARE ASSOCIATION
Doing business as
Summit Healthcare Regional Medical Center
Practice address
2200 E Show Low Lake Rd
Show Low, AZ 85901-7831
Phone
(928) 537-4375
Fax
(928) 537-8839
NPI assigned
Jan 17, 2006
Last updated
Sep 29, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
SUMMIT HEALTHCARE ASSOCIATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 29, 2026

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

Authorized official

Name
William Gardner
Title
Ceo
Phone
(928) 537-6399

Specialties & licenses 13

Specialty (taxonomy)CodeLicenseStatePrimary
Undersea and Hyperbaric Medicine (Emergency Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207PE0005X
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X
Clinical Cardiac Electrophysiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0001X
Critical Care Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0200X
Hematology & Oncology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RH0003X
Interventional Cardiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RI0011X
Pulmonary Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RP1001X
Neurology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084N0400X
Neurology with Special Qualifications in Child Neurology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084N0402X
Radiation Oncology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0001X
Rural Acute Care Hospital 282NR1301X H0132 AZ Primary
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X

Addresses

Primary practice location

2200 E Show Low Lake Rd
Show Low, AZ 85901-7831

Mailing address

2200 E Show Low Lake Rd
Show Low, AZ 85901-7831
Phone (928) 537-4375

Other names 1

  • Summit Healthcare Regional Medical Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, GA, TN, MD, MI, WA, OH, NC, SC, TX, NY, FL, CA, NV, WI, NJ, CO, OR, UT, AR, IL, NE, ID, MO, DE, PA, MA, IN, VA30 enrollments

Enrollment records 30

Enrollment IDStateProvider typePAC IDDetails
O20040623001125 AZ Part B Supplier - Clinic/Group Practice 3779568647 Receives reassigned benefits from 122 practitioners
3 other NPIs on this enrollment
Practice locations: Show Low, AZ; Snowflake, AZ; Scottsdale, AZ; Phoenix, AZ
O20090224000296 AZ Part A Provider - Hospital 3779568647 3 other NPIs on this enrollment
Practice locations: Show Low, AZ
O20240325001200 GA Part B Supplier - Clinic/Group Practice 3779568647 Receives reassigned benefits from 8 practitioners
Practice locations: Atlanta, GA
O20240506001183 TN Part B Supplier - Clinic/Group Practice 3779568647 Receives reassigned benefits from 6 practitioners
Practice locations: Farragut, TN
O20240509002762 MD Part B Supplier - Clinic/Group Practice 3779568647 Receives reassigned benefits from 5 practitioners
Practice locations: Baltimore, MD
O20240515001659 MI Part B Supplier - Clinic/Group Practice 3779568647 Receives reassigned benefits from 2 practitioners
Practice locations: Petoskey, MI
O20240605002553 WA Part B Supplier - Clinic/Group Practice 3779568647 Receives reassigned benefits from 2 practitioners
Practice locations: Olympia, WA
O20240606002344 OH Part B Supplier - Clinic/Group Practice 3779568647 Receives reassigned benefits from 3 practitioners
Practice locations: Columbus, OH
O20240611000382 NC Part B Supplier - Clinic/Group Practice 3779568647 Receives reassigned benefits from 5 practitioners
Practice locations: Clemmons, NC
O20240619002431 SC Part B Supplier - Clinic/Group Practice 3779568647 Receives reassigned benefits from 2 practitioners
Practice locations: Charleston, SC
O20240708003252 TX Part B Supplier - Clinic/Group Practice 3779568647 Receives reassigned benefits from 5 practitioners
Practice locations: Webster, TX
O20240726003183 NY Part B Supplier - Clinic/Group Practice 3779568647 Receives reassigned benefits from 6 practitioners
Practice locations: New York, NY
O20240812003504 FL Part B Supplier - Clinic/Group Practice 3779568647 Receives reassigned benefits from 9 practitioners
Practice locations: Miami, FL
O20240829002171 CA Part B Supplier - Clinic/Group Practice 3779568647 Receives reassigned benefits from 9 practitioners
Practice locations: Irvine, CA
O20240906003221 NV Part B Supplier - Clinic/Group Practice 3779568647 Receives reassigned benefits from 1 practitioner
Practice locations: Henderson, NV
O20240911000427 WI Part B Supplier - Clinic/Group Practice 3779568647 Receives reassigned benefits from 1 practitioner
Practice locations: Herbster, WI
O20240920002143 NJ Part B Supplier - Clinic/Group Practice 3779568647 Receives reassigned benefits from 2 practitioners
Practice locations: Madison, NJ
O20241001001030 CO Part B Supplier - Clinic/Group Practice 3779568647 Receives reassigned benefits from 6 practitioners
Practice locations: Centennial, CO
O20241008004117 OR Part B Supplier - Clinic/Group Practice 3779568647 Receives reassigned benefits from 1 practitioner
Practice locations: Corvallis, OR
O20241106000290 UT Part B Supplier - Clinic/Group Practice 3779568647 Receives reassigned benefits from 1 practitioner
Practice locations: Sandy, UT
O20250130000015 AR Part B Supplier - Clinic/Group Practice 3779568647 Receives reassigned benefits from 1 practitioner
Practice locations: Little Rock, AR
O20250404002252 IL Part B Supplier - Clinic/Group Practice 3779568647 Receives reassigned benefits from 2 practitioners
Practice locations: Chicago, IL
O20250422003580 NE Part B Supplier - Clinic/Group Practice 3779568647 Receives reassigned benefits from 1 practitioner
Practice locations: Omaha, NE
O20250627000292 ID Part B Supplier - Clinic/Group Practice 3779568647 Receives reassigned benefits from 1 practitioner
Practice locations: Idaho Falls, ID
O20250822000718 MO Part B Supplier - Clinic/Group Practice 3779568647 Receives reassigned benefits from 2 practitioners
Practice locations: Saint Louis, MO
O20250829004468 DE Part B Supplier - Clinic/Group Practice 3779568647 Receives reassigned benefits from 1 practitioner
Practice locations: Milton, DE
O20250903001960 PA Part B Supplier - Clinic/Group Practice 3779568647 Receives reassigned benefits from 2 practitioners
Practice locations: Philadelphia, PA
O20251022000777 MA Part B Supplier - Clinic/Group Practice 3779568647 Receives reassigned benefits from 1 practitioner
Practice locations: Wellesley, MA
O20251124002217 IN Part B Supplier - Clinic/Group Practice 3779568647 Receives reassigned benefits from 1 practitioner
Practice locations: Carmel, IN
O20260410001935 VA Part B Supplier - Clinic/Group Practice 3779568647 Receives reassigned benefits from 1 practitioner
Practice locations: Crozet, VA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1144209271. Details of each certification follow.

Hospital certification: CCN 030062

Legal name
SUMMIT HEALTHCARE ASSOCIATION
Doing business as
SUMMIT HEALTHCARE REGIONAL MEDICAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Dec 14, 1970
Last certification
Jul 29, 2024
Beds
101
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Feb 25, 1976 in AZ
Enrollment address
2200 E Show Low Lake Rd
Show Low, AZ 85901-7831
Main/Primary Hospital Location
Hospital subgroups
Acute care

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Summit Healthcare Regional Medical CenterCCN 030062 · All quality measures
Overall star rating
4 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Summit Healthcare Assoc6 organizations share this tax ID, including this one
Part of
Summit Healthcare Assoc

Other organizations with this tax ID 5

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

Locations

2450 E Show Low Lake Rd
Ste 1
Show Low, AZ 85901
Phone (847) 868-4751

2500 E Hunt Dr
Ste Hj
Show Low, AZ 85901
Phone (928) 537-6937

2500 E Hunt Dr
Ste I
Show Low, AZ 85901
Phone (928) 537-6937

3401 S White Mountain Rd
Ste 1
Show Low, AZ 85901
Phone (928) 537-5437

5171 S Cub Lake Rd
Ste B280
Show Low, AZ 85901
Phone (928) 532-7719

Interoperability endpoints

  • Direct secure messaging: aarondone@shrmcshma.allscriptsdirect.net
  • Direct secure messaging: allisonpeters@shrmcshma.allscriptsdirect.net
  • Direct secure messaging: amberradel@shrmcshma.allscriptsdirect.net
  • Direct secure messaging: andrewjones@shrmcshma.allscriptsdirect.net
  • Direct secure messaging: andrewsacks@shrmcshma.allscriptsdirect.net
  • Direct secure messaging: arunpatil@shrmcshma.allscriptsdirect.net
  • Direct secure messaging: benjaminrichardson@shrmcshma.allscriptsdirect.net
  • Direct secure messaging: bonifasiyossennyamantono@shrmcshma.allscriptsdirect.net
  • Direct secure messaging: bradymannett@shrmcshma.allscriptsdirect.net
  • Direct secure messaging: brandiegriffin@shrmcshma.allscriptsdirect.net
  • Direct secure messaging: brettbrewer@shrmcshma.allscriptsdirect.net
  • Direct secure messaging: briangoodman@shrmcshma.allscriptsdirect.net
  • Direct secure messaging: brianparonto@shrmcshma.allscriptsdirect.net
  • Direct secure messaging: burkedelange@shrmcshma.allscriptsdirect.net
  • Direct secure messaging: camerontregaskes@shrmcshma.allscriptsdirect.net
  • Direct secure messaging: caraquade@shrmcshma.allscriptsdirect.net
  • Direct secure messaging: chadbrimhall@shrmcshma.allscriptsdirect.net
  • Direct secure messaging: constancecollman@shrmcshma.allscriptsdirect.net
  • Direct secure messaging: courtneymackinnon@shrmcshma.allscriptsdirect.net
  • Direct secure messaging: craigbrady@shrmcshma.allscriptsdirect.net

Ownership & related parties

All disclosed owners & managing parties 9

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Neil Traver Individual Corporate DirectorBoard Member Jan 23, 2020
Paul Watson Individual Corporate DirectorBoard Member Jan 1, 2003
Wayne Wielgus Individual Corporate DirectorBoard Member Aug 22, 2024
David W Rothenberger Individual Corporate OfficerChief Financial Officer May 30, 2017
W-2 Managing EmployeeChief Financial Officer May 30, 2017
Dawnafe Whitesinger Individual Corporate DirectorBoard Member Aug 22, 2024
Becky a Thompson Individual Corporate DirectorBoard Member Sep 2, 2010
John Corder Individual Corporate DirectorBoard Member Sep 13, 2007
Douglas a Wright Individual Corporate DirectorBoard Member Feb 6, 2015
William Comer Individual W-2 Managing EmployeeChief Executive Officer Nov 13, 2023
Operational/Managerial ControlChief Executive Officer Nov 13, 2023

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 6

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Summit Healthcare AssociationShow Low, AZ, CCN 037027 Home health agency Operational/Managerial Control (100%) Feb 25, 1976
Summit Healthcare PediatricsShow Low, AZ, CCN 033841 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Apr 23, 2014
Apr 23, 2014
Summit Healthcare Family Medicine at Bison RanchOvergaard, AZ, CCN 033840 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Apr 23, 2014
Apr 23, 2014
Summit Healthcare Family Medicine St JohnsSaint Johns, AZ, CCN 033854 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Apr 23, 2014
Summit Healthcare Snowflake Medical CenterSnowflake, AZ, CCN 033853 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Apr 23, 2014
Apr 23, 2014
Summit Healthcare Family Medicine Snowflake TaylorSnowflake, AZ, CCN 033852 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Apr 23, 2014
Apr 23, 2014

Owned or controlled facilities with NPI records 6

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 305

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 305

Affiliated clinicians 331

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 331

NPI Registry JSON

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

{
    "created_epoch": "1137456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790640000000",
    "number": "1144209271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 E SHOW LOW LAKE RD",
            "city": "SHOW LOW",
            "state": "AZ",
            "postal_code": "859017831",
            "telephone_number": "928-537-4375",
            "fax_number": "928-537-8839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 E SHOW LOW LAKE RD",
            "city": "SHOW LOW",
            "state": "AZ",
            "postal_code": "859017831",
            "telephone_number": "928-537-4375",
            "fax_number": "928-537-8839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT HEALTHCARE ASSOCIATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SUMMIT HEALTHCARE ASSOCIATION",
        "enumeration_date": "2006-01-17",
        "last_updated": "2026-09-29",
        "certification_date": "2026-09-29",
        "status": "A",
        "authorized_official_last_name": "GARDNER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "928-537-6399"
    },
    "taxonomies": [
        {
            "code": "207PE0005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine, Undersea and Hyperbaric Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0402X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "282NR1301X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Rural",
            "state": "AZ",
            "license": "H0132",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Summit Healthcare Regional Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Show Low, AZ

Sources for this page

Verify at the official NPI Registry.