NPIMap

Organization Active NPI

Community Partners Integrated Healthcare Inc.

  • Multi-Specialty Clinic/Center
  • Tucson, AZ
National Provider Identifier
1558020503
Registry record updated Dec 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 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
Last updated
Dec 16, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
COMMUNITY PARTNERS INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 16, 2021

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

Authorized official

Name
Rose M Lopez, MBA
Title
President and Ceo
Phone
(520) 721-1887

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

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 1

  • La Senda Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

Other NPIs on the same Medicare enrollment 10

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

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
03D2246286Cpih - la Senda Clinic5055 E Broadway Blvd Ste B100, Tucson, AZ 85711Certificate of waiverDec 21, 2027

National Provider Directory

National Provider Directory
Part of
Community Partners Inc

Locations

20046 N John Wayne Pkwy
Ste 102
Maricopa, AZ 85139
Phone (520) 381-0048

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

5055 E Broadway Blvd
Ste B100
Tucson, AZ 85711
Phone (520) 901-4676

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 56

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.

View all 56

NPI Registry JSON

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

{
    "created_epoch": "1639612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639612800000",
    "number": "1558020503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 86537",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857546537",
            "telephone_number": "520-721-1887",
            "fax_number": "520-372-7126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5055 E BROADWAY BLVD STE B100",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857113642",
            "telephone_number": "520-901-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY PARTNERS INTEGRATED HEALTHCARE INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COMMUNITY PARTNERS INC",
        "enumeration_date": "2021-12-16",
        "last_updated": "2021-12-16",
        "certification_date": "2021-12-15",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "ROSE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "520-721-1887",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "La Senda",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Dec 16, 2021; 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.