Community Partners Integrated Healthcare Inc.
Organization Active NPI Multi-Specialty Clinic/Center · Tucson, AZ
NPI 1558020503 · NPPES record last updated Dec 16, 2021
Key facts
- NPI
- 1558020503
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Multi-Specialty Clinic/Center 261QM1300X
- Legal business name
- COMMUNITY PARTNERS INTEGRATED HEALTHCARE INC.
- Practice address
- 5055 E Broadway Blvd Ste B100
Tucson, AZ 85711-3642 - Phone
- (520) 901-4800
- NPI assigned
- Dec 16, 2021
- Organization subpart
- Yes
- Parent organization (as reported)
- COMMUNITY PARTNERS INC
Authorized official
- Name
- Rose M Lopez, MBA
- Title
- President and Ceo
- Phone
- (520) 721-1887
Parent organization (reported in NPPES) 1
Other NPIs on the same Medicare enrollment 10
Practitioners 56
-
Casandra A Albert, LPC
-
Philip Bohn, PMHNP
-
Carrie Kay Bowman, P-MHNP
-
Pamela Sue Conn, ANP-C
-
Gybrielle Demaree, LPC
-
Kimberly Ann Draper, LPC
-
Andrea Marie Edwards, LMFT
-
Miriam Espinoza, DNP, RN, PMHNP-BC
-
Scott Gilman, PMHNP
-
Comfort Impraim, FNP-C
-
Kathy Ann Jacobson, PMHNP-BC
-
Shakuntala Jain, M.D.
-
Christi Layton, LPC
-
Greta Liz Lopez, DNP, AGPCNP-BC,PMHNP
-
Alaina Martinez, MD
-
Johanna Ombrello, LCSW
-
Robin Laune Ross, M.D.
-
Vanessa Elke Schlauderaff, FNP-C
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 03D2246286 | Cpih - la Senda Clinic | Certificate of waiver | Dec 21, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AZ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140716002626 | AZ | Part B Supplier - Clinic/Group Practice | 7315163938 |
Receives reassigned benefits from 48 practitioners 13 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Benson, AZ; Phoenix, AZ; Safford, AZ; Sierra Vista, AZ; Tucson, AZ; Yuma, AZ |
National Provider Directory
- Part of
- Community Partners Inc
Locations
500 S Highway 80
Ste A
Benson, AZ 85602
Phone (520) 720-0290
20046 N John Wayne Pkwy
Ste 102
Maricopa, AZ 85139
Phone (520) 381-0048
2273 E Wilcox Dr
Sierra Vista, AZ 85635
Phone (520) 226-0560
3939 S Park Ave
Ste 150
Tucson, AZ 85714
Phone (520) 333-4320
1010 E Palmdale St
Ste 150
Tucson, AZ 85714
Phone (520) 333-4320
2502 N Dodge Blvd
Ste 100
Tucson, AZ 85716
Phone (520) 901-4701
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Multi-Specialty Clinic/Center | 261QM1300X | Yes |
Addresses
Primary practice location
5055 E Broadway Blvd Ste B100
Tucson, AZ 85711-3642
Mailing address
PO Box 86537
Tucson, AZ 85754-6537
Phone (520) 721-1887
Other names
- La Senda
Other providers in Tucson, AZ
- Community Medical Services Arizona-Private, LLC
- Community Medical Services Arizona-Private, LLC
- Community Network Fellowship, Inc.
- Community Options, Inc.
- Community Partners Inc
- Community Partners Integrated Healthcare, Inc.
- Community Partners Integrated Healthcare, Inc.
- Community Partners Integrated Healthcare, Inc.
- Community Partners Integrated Healthcare, Inc.
- Community Partners Integrated Healthcare, Inc.
All providers in Tucson, AZ · Multi-Specialty 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 Dec 16, 2021. 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.
- 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.