NPIMap

Organization Active NPI

Bisbee Hospital Association

Doing business as Copper Queen Community Hospital

  • Critical Access Hospital
  • Douglas, AZ
National Provider Identifier
1720536915
Registry record updated Sep 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
RGH0098 Issued in AZ
Legal business name
BISBEE HOSPITAL ASSOCIATION
Doing business as
Copper Queen Community Hospital
Practice address
100 E 5TH St
Douglas, AZ 85607-2859
Phone
(520) 432-5383
Fax
(520) 432-8018
NPI assigned
Sep 15, 2016
Last updated
Sep 15, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2016

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

Authorized official

Name
James Ehasz
Title
Cfo
Phone
(520) 432-6450

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X RGH0098 AZ Primary

Addresses

Primary practice location

100 E 5TH St
Douglas, AZ 85607-2859

Mailing address

101 Cole Ave
Bisbee, AZ 85603-1327
Phone (520) 432-5383

Other names 1

  • Copper Queen Community Hospital Doing business as

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
03D2124326Copper Queen Community Hospital100 E 5TH St, Douglas, AZ 85607ComplianceJun 20, 2026

National Provider Directory

National Provider Directory
Tax ID family
Copper Queen Hospital8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

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": "1473897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473897600000",
    "number": "1720536915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 COLE AVE",
            "city": "BISBEE",
            "state": "AZ",
            "postal_code": "856031327",
            "telephone_number": "520-432-5383",
            "fax_number": "520-432-8018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E 5TH ST",
            "city": "DOUGLAS",
            "state": "AZ",
            "postal_code": "856072859",
            "telephone_number": "520-432-5383",
            "fax_number": "520-432-8018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BISBEE HOSPITAL ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-15",
        "last_updated": "2016-09-15",
        "status": "A",
        "authorized_official_last_name": "EHASZ",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "520-432-6450"
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "AZ",
            "license": "RGH0098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Copper Queen Community Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Douglas, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.