Active NPI
Healthcare Innovations Inc.
- Land Ambulance
- Benson, AZ
National Provider Identifier
1346272887
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- CON 103
- 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, 2012
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040630000112 | AZ | Part B Supplier - Ambulance Service Supplier | 9234116195 | Practice locations: Saint David, AZ; Willcox, AZ; Benson, AZ |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 03D1031481 | Healthcare Innovations, Inc | Certificate of waiver | Sep 29, 2026 |
National Provider Directory
National Provider DirectoryLocations
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.