RCHP-Sierra Vista Inc
Organization Active NPI Rural Health Clinic/Center · Tombstone, AZ
NPI 1508010471 · NPPES record last updated Nov 19, 2013
Key facts
- NPI
- 1508010471
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rural Health Clinic/Center 261QR1300X
- Legal business name
- RCHP-SIERRA VISTA INC
- Practice address
- 7 North San Diego Street
Tombstone, AZ 85638 - Phone
- (520) 417-3001
- Fax
- (520) 417-3297
- NPI assigned
- Nov 5, 2008
- Organization subpart
- No
Authorized official
- Name
- Stephen L Page
- Title
- Vice President
- Phone
- (615) 884-9849
Other NPIs on the same Medicare enrollment 2
Related certifications (CCN) 2
Affiliated clinicians 278
-
Jamil Ahmed, M.D.
-
Ubair Ahmed, M.D.
-
Nathan Dennis Anavy, M.D.
-
Ricardo A Aviles, MD
-
Peggy M Avina, MD
-
Joshua Balderman, M.D.
-
Archana Bansal, M.D.
-
Maureen Rita Bay, CNP
-
Cary Belen, D.O.
-
Adam Bevevino, M.D.
-
Peter Michael Bidon, FNP
-
Purba Biswas, MD
-
Kevin Michael Blume, D.O
-
Joseph Bonomolo III, M.D.
-
Bianca Shanell Bowles, FNP-C
-
Phillip David Boyer, D.O.
-
Dorlyne Michelle Brchan, M.D.
-
Peter J Burrows, M.D.
-
David Joseph Byron, M.D.
Medicare Care Compare: Hospital
- Listed as
- Canyon Vista Medical Center
- Overall star rating
- ★★☆☆☆ 2 of 5
- Type
- Acute Care Hospitals
- Ownership
- Voluntary non-profit - Other
- Medicare certification status
- Active
- Emergency services
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AZ
Hospital certification: CCN 030043
- Legal name
- RCHP-SIERRA VISTA INC
- Doing business as
- CANYON VISTA MEDICAL CENTER
- Certification status
- Active
- Provider type (POS)
- Hospital – Short-term
- Participating since
- Jul 1, 1966
- Last certification
- Oct 9, 2019
- Beds
- 100
- Ownership / control type
- Other
- Most recent change of ownership
- May 1, 2013 (1 total)
- Organization structure
- Corporation · Proprietary
- Incorporated
- Feb 27, 2013 in DE
- Enrollment address
- 5700 East Highway 90
Sierra Vista, AZ 85635-9110 - Hospital subgroups
- Acute care
All disclosed owners & managing parties 12
| Name | Role | Since | Share |
|---|---|---|---|
| DSB Acquisition LLC |
5% Or Greater Indirect Ownership Interest | Dec 3, 2015 | 100% |
| Lifepoint Health Inc |
5% Or Greater Indirect Ownership Interest | Nov 16, 2018 | 100% |
| Marcus B Poppell |
Corporate Officer |
Nov 16, 2018 | |
| William Ziesmer |
Corporate Officer |
Feb 12, 2024 | |
| Corporate Director | Feb 12, 2024 | ||
| RCHP-Sierra Vista Holding Inc |
5% Or Greater Direct Ownership Interest | May 1, 2013 | 100% |
| Charlotte E Lawrence |
Corporate Officer |
Apr 4, 2022 | |
| Regionalcare Hospital Partners LLC |
5% Or Greater Indirect Ownership Interest | Dec 13, 2019 | 100% |
| Samuel Robert Barrett |
Corporate Officer |
Feb 2, 2026 | |
| Elliott Brown |
Corporate Officer |
Apr 2, 2026 | |
| Scott Avery |
Contracted Managing Employee |
Aug 17, 2025 | |
| RCHP LLC |
5% Or Greater Indirect Ownership Interest | Dec 31, 2016 | 100% |
| Christopher J Monte |
Corporate Officer |
Nov 16, 2018 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130725000860 | AZ | Part a Provider - Hospital | 7618118126 |
2 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Sierra Vista, AZ |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rural Health Clinic/Center | 261QR1300X | Yes |
Addresses
Primary practice location
7 North San Diego Street
Tombstone, AZ 85638
Mailing address
300 El Camino Real
Sierra Vista, AZ 85635-2812
Phone (520) 417-3001
Other names
- Tombstone Family Health
Other providers in Tombstone, AZ
- Bisbee Hospital Association
- Ann Marie Bryan
- Christina K Heinemann
- Dwayne Allen Kruse
- Sharon Ileen Milligan
- Jonathan Adin Sinnott
- Iris H Surette
- Territorial Drug Co Inc
- Tombstone Unified School District #1
- Brenda Denise Trejo
All providers in Tombstone, AZ · Rural Health Clinic/Center in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 19, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.