Organization Active NPI

Healthcare Innovations Inc.

  • Land Ambulance
  • Benson, AZ
National Provider Identifier
1346272887
Registry record updated Mar 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
CON 103 Issued in AZ
Legal business name
HEALTHCARE INNOVATIONS INC.
Practice address
440 S Ocotillo Ave
Benson, AZ 85602-6403
Phone
(520) 586-7617
Fax
(520) 586-2689
NPI assigned
Jul 7, 2006
Last updated
Mar 22, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2012

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

Authorized official

Name
Jim Broome
Title
Ceo/President
Phone
(520) 586-7617

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X CON 103 AZ Primary

Addresses

Primary practice location

440 S Ocotillo Ave
Benson, AZ 85602-6403

Mailing address

PO Box 1348
Benson, AZ 85602-1348
Phone (520) 586-7617

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040630000112 AZ Part B Supplier - Ambulance Service Supplier 9234116195 Practice locations: Saint David, AZ; Willcox, AZ; Benson, AZ

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D1031481Healthcare Innovations, Inc440 S Ocotillo St, Benson, AZ 85602Certificate of waiverSep 29, 2026

National Provider Directory

National Provider Directory

Locations

440 S Ocotillo St
Benson, AZ 85602
Phone (520) 586-1796

675 E First Ave
Saint David, AZ 85630
Phone (520) 586-7617

450 W Maley St
Willcox, AZ 85643
Phone (520) 586-7617

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332374400000",
    "number": "1346272887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1348",
            "city": "BENSON",
            "state": "AZ",
            "postal_code": "856021348",
            "telephone_number": "520-586-7617",
            "fax_number": "520-586-2689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 S OCOTILLO AVE",
            "city": "BENSON",
            "state": "AZ",
            "postal_code": "856026403",
            "telephone_number": "520-586-7617",
            "fax_number": "520-586-2689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHCARE INNOVATIONS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-07",
        "last_updated": "2012-03-22",
        "status": "A",
        "authorized_official_last_name": "BROOME",
        "authorized_official_first_name": "JIM",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "520-586-7617"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "AZ",
            "license": "CON 103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Benson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.