NPIMap

Organization Active NPI

Community Intervention Assciates, Inc

Doing business as Community Health Associates

  • Community/Behavioral Health Agency
  • Tucson, AZ
National Provider Identifier
1447919048
Registry record updated Feb 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
COMMUNITY INTERVENTION ASSCIATES, INC
Doing business as
Community Health Associates
Practice address
2375 N Wyatt Dr Ste 103
Tucson, AZ 85712-2152
Phone
(520) 622-8357
NPI assigned
Dec 10, 2021
Last updated
Feb 7, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2022

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

Authorized official

Name
Allison Sue Nicol
Title
Director of Licensing/Credentialing
Phone
(928) 376-0026

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

2375 N Wyatt Dr Ste 103
Tucson, AZ 85712-2152

Mailing address

2851 S Avenue B BLDG 4
Yuma, AZ 85364-7726
Phone (928) 376-0026

Other names 1

  • Community Health Associates Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120201000213 AZ Part B Supplier - Clinic/Group Practice 4880851971 Receives reassigned benefits from 34 practitioners
14 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Yuma, AZ; Tucson, AZ; San Luis, AZ; Parker, AZ; Nogales, AZ; Green Valley, AZ; Douglas, AZ; Casa Grande, AZ…

Other NPIs on the same Medicare enrollment 14

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 14

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
03D2252418Community Health Associates2375 N Wyatt Dr Ste 103, Tucson, AZ 85712Certificate of waiverFeb 9, 2028

National Provider Directory

National Provider Directory
Tax ID family
Community Health Associates19 organizations share this tax ID, including this one

Other organizations with this tax ID 18

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

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1639094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644192000000",
    "number": "1447919048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2851 S AVENUE B BLDG 4",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853647726",
            "telephone_number": "928-376-0026",
            "fax_number": "928-782-2298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2375 N WYATT DR STE 103",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857122152",
            "telephone_number": "520-622-8357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY INTERVENTION ASSCIATES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-10",
        "last_updated": "2022-02-07",
        "certification_date": "2022-02-07",
        "status": "A",
        "authorized_official_last_name": "NICOL",
        "authorized_official_first_name": "ALLISON",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "DIRECTOR OF LICENSING/CREDENTIALING",
        "authorized_official_telephone_number": "928-376-0026"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Health Associates",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Community Health Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2022; 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.