Community Hospital Association, Inc.
Organization Active NPI Clinic Pharmacy · Congress, AZ
NPI 1154989168 · NPPES record last updated Jun 4, 2019
Key facts
- NPI
- 1154989168
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinic Pharmacy 3336C0002X
- Legal business name
- COMMUNITY HOSPITAL ASSOCIATION, INC.
- Practice address
- 26750B S. Santa Fe Rd.
Congress, AZ 85332 - Phone
- (928) 668-5421
- NPI assigned
- Jun 4, 2019
- Organization subpart
- Yes
- Parent organization (as reported)
- COMMUNITY HOSPITAL ASSOCIATION, INC.
Authorized official
- Name
- Cheryl Anne Broumel
- Title
- Clinic Resource Manager
- Phone
- (928) 668-1845
Corporate family (same tax ID) 7
National Provider Directory
- Tax ID family
- Community Hospital Assoc
- Part of
- Community Hospital Assoc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic Pharmacy | 3336C0002X | Yes |
Addresses
Primary practice location
26750B S. Santa Fe Rd.
Congress, AZ 85332
Mailing address
520 Rose LN
Wickenburg, AZ 85390-1447
Phone (928) 668-5502
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 950240 | Medicaid | AZ |
Other names
- Congress Clinic Pharmacy
Other providers in Congress, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 4, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.