Active NPI
Northern Cochise Community Hospital Inc
- Nursing Facility/Intermediate Care Facility
- Willcox, AZ
National Provider Identifier
1295992345
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Facility/Intermediate Care Facility
- License
- NCI-301
- 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
- May 16, 2008
- Last updated
- May 16, 2008
- Organization subpart
- Yes
- Parent organization
- NORTHERN COCHISE COMMUNITY HOSPITAL INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Julie A Hilton
- Title
- Acting Administrator and Cno
- Phone
- (520) 384-3541
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Facility/Intermediate Care Facility | 313M00000X | NCI-301 | AZ | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 041179 | Medicaid | AZ |
National Provider Directory
National Provider Directory- Tax ID family
- Northern Cochise Comm Hosp
- Part of
- Northern Cochise Comm Hosp
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Organizations that report the same tax identification number in the National Provider Directory.
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-
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-
- Critical Access Hospital
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- NPI 1235383548
-
- Family Medicine Physician
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210896000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1210896000000",
"number": "1295992345",
"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": "YES",
"parent_organization_legal_business_name": "NORTHERN COCHISE COMMUNITY HOSPITAL INC",
"enumeration_date": "2008-05-16",
"last_updated": "2008-05-16",
"status": "A",
"authorized_official_last_name": "HILTON",
"authorized_official_first_name": "JULIE",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "ACTING ADMINISTRATOR AND CNO",
"authorized_official_telephone_number": "520-384-3541",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "313M00000X",
"taxonomy_group": "",
"desc": "Nursing Facility/Intermediate Care Facility",
"state": "AZ",
"license": "NCI-301",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "041179",
"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 May 16, 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.