NPIMap

Organization Active NPI

Southwestern Palliative Care Associates PLC

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Yuma, AZ
National Provider Identifier
1699104307
Registry record updated Mar 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Family Medicine) PhysicianTaxonomy code 207QH0002X
Legal business name
SOUTHWESTERN PALLIATIVE CARE ASSOCIATES PLC
Practice address
1950 W 3Rd St
Yuma, AZ 85364-1812
Phone
(928) 276-4477
Fax
(928) 276-4481
NPI assigned
Nov 3, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2020

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

Authorized official

Name
Frances Eileen Davison, FNP-BCNPI 1336476621
Title
Owner/Manager
Phone
(928) 246-5137

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Family Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QH0002X Primary
Community Based Hospice Care Agency 251G00000X
Primary Care Clinic/Center 261QP2300X

Addresses

Primary practice location

1950 W 3Rd St
Yuma, AZ 85364-1812

Mailing address

1950 W 3Rd St
Yuma, AZ 85364-1812
Phone (928) 276-4477

Other identifiers 1

IdentifierTypeStateIssuer
031669OtherAZNGS HOSPICE

Other names 1

  • Southwestern Palliative Care Associates and Hospice Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140416001233 AZ Part B Supplier - Clinic/Group Practice 6103058615 Receives reassigned benefits from 6 practitioners
Practice locations: Yuma, AZ

National Provider Directory

National Provider Directory

Locations

291 S Main St
Yuma, AZ 85364

291 S Main St
Ste C
Yuma, AZ 85364
Phone (928) 276-4477

291 S Main St
Ste H
Yuma, AZ 85364
Phone (928) 276-4477

Ownership & related parties

Change-of-ownership history 1

DateEventCounterparty
Dec 1, 2023 Change of OwnershipThis provider was the seller Southwestern Palliative Care and HospiceCCN 031669, AZ, NPI 1578342622

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1383436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583712000000",
    "number": "1699104307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 W 3RD ST",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853641812",
            "telephone_number": "928-276-4477",
            "fax_number": "928-276-4481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 W 3RD ST",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853641812",
            "telephone_number": "928-276-4477",
            "fax_number": "928-276-4481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWESTERN PALLIATIVE CARE ASSOCIATES PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-03",
        "last_updated": "2020-03-09",
        "certification_date": "2020-03-09",
        "status": "A",
        "authorized_official_last_name": "DAVISON",
        "authorized_official_first_name": "FRANCES",
        "authorized_official_middle_name": "EILEEN",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "928-246-5137",
        "authorized_official_credential": "FNP-BC"
    },
    "taxonomies": [
        {
            "code": "207QH0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NGS HOSPICE",
            "identifier": "031669",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southwestern Palliative Care Associates and Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Yuma, AZ

Sources for this page

Verify at the official NPI Registry.