Organization Active NPI

Northern Cochise Community Hospital Inc

  • Nursing Facility/Intermediate Care Facility
  • Willcox, AZ
National Provider Identifier
1295992345
Registry record updated May 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
License
NCI-301 Issued in AZ
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, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
NORTHERN COCHISE COMMUNITY HOSPITAL INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 16, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
041179MedicaidAZ

National Provider Directory

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

Other organizations with this tax ID 4

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

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.

Verify at the official NPI Registry.