NPIMap

Organization Active NPI

Community Health and Immunization Services

  • Community Health Worker
  • Greenville, SC
National Provider Identifier
1184037434
Registry record updated Sep 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
License
MMD.7722 Issued in SC
Legal business name
COMMUNITY HEALTH AND IMMUNIZATION SERVICES
Practice address
37 Villa Rd Ste 301
Greenville, SC 29615-3038
Phone
(864) 451-7943
NPI assigned
Jun 4, 2014
Last updated
Sep 29, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2021

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

Authorized official

Name
Rebekah Suazo
Title
Director of Community Development
Phone
(480) 646-9099

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 172V00000X MMD.7722 SC Primary

Addresses

Primary practice location

37 Villa Rd Ste 301
Greenville, SC 29615-3038

Mailing address

668 N 44TH St Ste 100W
Phoenix, AZ 85008-6507
Phone (877) 358-3733

National Provider Directory

National Provider Directory
Tax ID family
Community Health and Immunization Services LLC32 organizations share this tax ID, including this one

Other organizations with this tax ID 31

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

View all 31

Locations

37 Villa Rd
Ste 301
Greenville, SC 29615
Phone (864) 451-7943

38 Boland Ct
#B
Greenville, SC 29615

NPI Registry JSON

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

{
    "created_epoch": "1401840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632873600000",
    "number": "1184037434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "668 N 44TH ST STE 100W",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850086507",
            "telephone_number": "877-358-3733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 VILLA RD STE 301",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296153038",
            "telephone_number": "864-451-7943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY HEALTH AND IMMUNIZATION SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-04",
        "last_updated": "2021-09-29",
        "certification_date": "2021-09-29",
        "status": "A",
        "authorized_official_last_name": "SUAZO",
        "authorized_official_first_name": "REBEKAH",
        "authorized_official_title_or_position": "DIRECTOR OF COMMUNITY DEVELOPMENT",
        "authorized_official_telephone_number": "480-646-9099"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Community Health Worker",
            "state": "SC",
            "license": "MMD.7722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2021; 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.