NPIMap

Organization Active NPI

Community Partners Integrated Healthcare, Inc.

  • Multi-Specialty Clinic/Center
  • Tucson, AZ
National Provider Identifier
1669897385
Registry record updated Apr 21, 2023
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
1021 E Palmdale St Ste 150-190
Tucson, AZ 85714-1857
Phone
(520) 333-4320
Fax
(520) 207-0542
NPI assigned
Mar 4, 2014
Last updated
Apr 21, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
COMMUNITY PARTNERS INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 21, 2023

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

Authorized official

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X OTC8060 AZ
Multi-Specialty Clinic/Center 261QM1300X NU Primary

Addresses

Primary practice location

1021 E Palmdale St Ste 150-190
Tucson, AZ 85714-1857

Mailing address

PO Box 86537
Tucson, AZ 85754-6537
Phone (520) 721-1887

Other practice location 1

3939 S Park Ave
Suite 150-190
Tucson, AZ 85714-1635
Phone (520) 333-4320

Other identifiers 2

IdentifierTypeStateIssuer
231825MedicaidAZ
OTC8060OtherAZADHS-BMFL LICENSE FOR INTEGRATED CARE

Other names 1

  • Assurance Health and Wellness Former legal business 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
Practice locations: Benson, AZ; Phoenix, AZ; Safford, AZ; Sierra Vista, AZ; Tucson, AZ; Yuma, AZ

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 10

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

National Provider Directory

National Provider Directory
Tax ID family
Cpih Desert Palm Mat7 organizations share this tax ID, including this one
Part of
Community Partners Inc

Other organizations with this tax ID 6

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

Locations

3939 S Park Ave
Ste 100
Tucson, AZ 85714

3939 S Park Ave
Ste 150190
Tucson, AZ 85714
Phone (520) 333-4320

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

Interoperability endpoints

  • Direct secure messaging: carrie.bowman-mmcommunitypih@contexture.medalliesmail.com
  • Direct secure messaging: ian.adams-mmcommunitypih@contexture.medalliesmail.com

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 89

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 89

NPI Registry JSON

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

{
    "created_epoch": "1393891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682035200000",
    "number": "1669897385",
    "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": "520-721-0069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 E PALMDALE ST STE 150-190",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857141857",
            "telephone_number": "520-333-4320",
            "fax_number": "520-207-0542"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3939 S Park Ave",
            "address_2": "Suite 150-190",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857141635",
            "country_code": "US",
            "telephone_number": "520-333-4320",
            "fax_number": "520-207-0542",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COMMUNITY PARTNERS INTEGRATED HEALTHCARE, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COMMUNITY PARTNERS INC.",
        "enumeration_date": "2014-03-04",
        "last_updated": "2023-04-21",
        "certification_date": "2023-04-21",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "ROSE",
        "authorized_official_middle_name": "MARY",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "520-721-1887",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "AZ",
            "license": "OTC8060",
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "231825",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADHS-BMFL LICENSE FOR INTEGRATED CARE",
            "identifier": "OTC8060",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Assurance Health and Wellness",
            "code": "4",
            "type": "Former Legal Business 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 Apr 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.