NPIMap

Organization Active NPI

Hope Medical Clinic

  • Addiction Medicine (Internal Medicine) Physician
  • Casa Grande, AZ
National Provider Identifier
1639633068
Registry record updated Jun 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0401X
Legal business name
HOPE MEDICAL CLINIC
Practice address
500 N Florence St
Casa Grande, AZ 85122-4427
Phone
(623) 326-1055
NPI assigned
Jan 30, 2019
Last updated
Jun 26, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2019

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

Authorized official

Name
Ms. Adella Cordova
Title
Ceo
Phone
(520) 518-5900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Internal Medicine) Physician 207RA0401X NU Primary

Addresses

Primary practice location

500 N Florence St
Casa Grande, AZ 85122-4427

Mailing address

500 N Florence St
Casa Grande, AZ 85122-4427
Phone (520) 518-5900

National Provider Directory

National Provider Directory
Tax ID family
Hope Medical Clinic3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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": "1548806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561507200000",
    "number": "1639633068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 N FLORENCE ST",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851224427",
            "telephone_number": "520-518-5900",
            "fax_number": "520-518-5901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 N FLORENCE ST",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851224427",
            "telephone_number": "623-326-1055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOPE MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-30",
        "last_updated": "2019-06-26",
        "status": "A",
        "authorized_official_last_name": "CORDOVA",
        "authorized_official_first_name": "ADELLA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "520-518-5900",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207RA0401X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Casa Grande, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2019; 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.