Organization Active NPI

Cochise Health and Wellness PLC

  • Primary Care Clinic/Center
  • Sierra Vista, AZ
National Provider Identifier
1699103713
Registry record updated Nov 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
COCHISE HEALTH AND WELLNESS PLC
Practice address
4669 N Commerce Dr
Suite 4
Sierra Vista, AZ 85635-2497
Phone
(520) 226-8316
Fax
(877) 303-6952
NPI assigned
Oct 29, 2013
Last updated
Nov 3, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2014

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

Authorized official

Name
Sarah Louise Bivens, FNP
Title
Owner
Phone
(520) 226-8316

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X AZ Primary

Addresses

Primary practice location

4669 N Commerce Dr
Suite 4
Sierra Vista, AZ 85635-2497

Mailing address

4669 N Commerce Dr
Suite 4
Sierra Vista, AZ 85635-2497
Phone (520) 226-8316

Other identifiers 1

IdentifierTypeStateIssuer
575425MedicaidAZ

National Provider Directory

National Provider Directory

Locations

4669 N Commerce Dr
#4
Sierra Vista, AZ 85635
Phone (520) 255-1421

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8473/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1383004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414972800000",
    "number": "1699103713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4669 N COMMERCE DR",
            "address_2": "SUITE 4",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856352497",
            "telephone_number": "520-226-8316",
            "fax_number": "877-303-6952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4669 N COMMERCE DR",
            "address_2": "SUITE 4",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856352497",
            "telephone_number": "520-226-8316",
            "fax_number": "877-303-6952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COCHISE HEALTH AND WELLNESS PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-29",
        "last_updated": "2014-11-03",
        "status": "A",
        "authorized_official_last_name": "BIVENS",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "520-226-8316",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "575425",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sierra Vista, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2014; 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.