NPIMap

Organization Active NPI

Northern Cochise Community Hospital Inc

  • Critical Access Hospital
  • Willcox, AZ
National Provider Identifier
1235383548
Registry record updated Nov 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
Legal business name
NORTHERN COCHISE COMMUNITY HOSPITAL INC
Practice address
901 W Rex Allen Dr
Willcox, AZ 85643-1009
Phone
(520) 384-3541
NPI assigned
Nov 13, 2008
Last updated
Nov 13, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2008

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

Authorized official

Name
Harley Smith
Title
Ceo
Phone
(520) 384-3541

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X Primary

Addresses

Primary practice location

901 W Rex Allen Dr
Willcox, AZ 85643-1009

Mailing address

901 W Rex Allen Dr
Willcox, AZ 85643-1009
Phone (520) 384-3541

Other identifiers 1

IdentifierTypeStateIssuer
192112MedicaidAZ

National Provider Directory

National Provider Directory
Tax ID family
Northern Cochise Comm Hosp5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Practitioners & affiliated clinicians

Practitioners 13

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 13

NPI Registry JSON

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

{
    "created_epoch": "1226534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226534400000",
    "number": "1235383548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 W REX ALLEN DR",
            "city": "WILLCOX",
            "state": "AZ",
            "postal_code": "856431009",
            "telephone_number": "520-384-3541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 W REX ALLEN DR",
            "city": "WILLCOX",
            "state": "AZ",
            "postal_code": "856431009",
            "telephone_number": "520-384-3541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN COCHISE COMMUNITY HOSPITAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-13",
        "last_updated": "2008-11-13",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "HARLEY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "520-384-3541"
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "192112",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Willcox, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2008; 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.