NPIMap

Organization Active NPI

Northern Cochise Community Hospital

Doing business as Sunsites Medical Clinic

  • Family Nurse Practitioner
  • Willcox, AZ
National Provider Identifier
1437557642
Registry record updated Dec 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
NORTHERN COCHISE COMMUNITY HOSPITAL
Doing business as
Sunsites Medical Clinic
Practice address
901 W Rex Allen Dr
Willcox, AZ 85643-1009
Phone
(520) 384-3541
NPI assigned
Dec 22, 2014
Last updated
Dec 22, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2014

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

Authorized official

Name
Roland Knox
Title
Ceo
Phone
(520) 384-3541

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X Primary
Family Medicine Physician 207Q00000X

Addresses

Primary practice location

901 W Rex Allen Dr
Willcox, AZ 85643-1009

Mailing address

223 N Frontage Rd
Pearce, AZ 85625
Phone (520) 826-1088

Other names 1

  • Sunsites Medical Clinic Doing business as

National Provider Directory

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

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": "1419206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419206400000",
    "number": "1437557642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 N FRONTAGE RD",
            "city": "PEARCE",
            "state": "AZ",
            "postal_code": "85625",
            "telephone_number": "520-826-1088"
        },
        {
            "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",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-22",
        "last_updated": "2014-12-22",
        "status": "A",
        "authorized_official_last_name": "KNOX",
        "authorized_official_first_name": "ROLAND",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "520-384-3541"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunsites Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 22, 2014; 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.