NPIMap

Organization Active NPI

Exceptional Health Care Yuma LLC

Doing business as Yuma Community Hospital

  • Special Hospital
  • Yuma, AZ
National Provider Identifier
1346812864
Registry record updated Oct 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Special HospitalTaxonomy code 284300000X
Legal business name
EXCEPTIONAL HEALTH CARE YUMA LLC
Doing business as
Yuma Community Hospital
Practice address
2648 South Araby Road
Yuma, AZ 85365
Phone
(469) 341-7800
NPI assigned
Jul 14, 2021
Last updated
Oct 8, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2024

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

Authorized official

Name
Ronald Ivan Collins
Title
Financial Systems Advisor
Phone
(972) 888-7216

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Special Hospital 284300000X NU Primary

Addresses

Primary practice location

2648 South Araby Road
Yuma, AZ 85365

Mailing address

PO Box 191308
Dallas, TX 75219-8308
Phone (469) 341-7800

Other names 1

  • Yuma Community Hospital Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221102001769 AZ Part A Provider - Hospital 9638546732 Practice locations: Yuma, AZ

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1346812864. Details of each certification follow.

Hospital certification: CCN 030154

Legal name
EXCEPTIONAL HEALTH CARE YUMA LLC
Doing business as
YUMA COMMUNITY HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jan 19, 2023
Last certification
Jan 19, 2023
Beds
9
Ownership / control type
Private (for profit)
Organization structure
LLCProprietary
Incorporated
Jun 16, 2022 in TX
Enrollment address
2648 S Araby Rd
Yuma, AZ 85365-7236
Main/Primary Hospital Location
Hospital subgroups
Acute care

Care Compare: Hospital

Medicare Care Compare
Listed as
Exceptional Community Hospital YumaCCN 030154 · All quality measures
Type
Acute Care Hospitals
Ownership
Proprietary
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

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
03D2263261Exceptional Community Hospital - Yuma2648 S Araby Rd, Yuma, AZ 85365AccreditationJul 17, 2027

National Provider Directory

National Provider Directory

Locations

2648 S Araby Rd
Yuma, AZ 85365
Phone 4693417800100

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/excpthc-2d2e2991

Ownership & related parties

All disclosed owners & managing parties 6

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Gutes Gluck Enterprise, LLC Organization, Brownsville, TX LLC 5% Or Greater Direct Ownership Interest Jun 23, 2020
Munir Ahmad Individual 5% Or Greater Indirect Ownership Interest Aug 9, 2022 33%
Bruce McVeigh Individual Corporate OfficerChief Operating Officer Aug 9, 2022
W-2 Managing EmployeeChief Operating Officer Aug 9, 2022
Saeed Mahboubi Individual 5% Or Greater Indirect Ownership Interest Aug 9, 2022 43%
Corporate OfficerChief Executive Officer Aug 9, 2022 43%
Mahboubi Investments Organization, Dallas, TX Corporation 5% Or Greater Direct Ownership Interest Aug 9, 2022 43%
Ma Family Investments Organization, Dallas, TX LLC 5% Or Greater Direct Ownership Interest Aug 9, 2022 33%

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

  • Munir Ahmad
    • Hematology & Oncology Physician
    • Lufkin, TX
    • NPI 1881618957

    5% Or Greater Indirect Ownership Interest

    CMS ownership

Facilities with the same owner 2

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 2

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.

Affiliated clinicians 31

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 31

NPI Registry JSON

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

{
    "created_epoch": "1626220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728345600000",
    "number": "1346812864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 191308",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752198308",
            "telephone_number": "469-341-7800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2648 SOUTH ARABY ROAD",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "85365",
            "telephone_number": "469-341-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCEPTIONAL HEALTH CARE YUMA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-14",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-08",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "IVAN",
        "authorized_official_title_or_position": "FINANCIAL SYSTEMS ADVISOR",
        "authorized_official_telephone_number": "972-888-7216"
    },
    "taxonomies": [
        {
            "code": "284300000X",
            "taxonomy_group": "",
            "desc": "Special Hospital",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Yuma Community Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Yuma, AZ

Sources for this page

Verify at the official NPI Registry.