NPIMap

Organization Active NPI

Community Intervention Associates, Inc.

Doing business as Community Health Associates

  • Primary Care Clinic/Center
  • Yuma, AZ
National Provider Identifier
1851651079
Registry record updated Jul 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
OTC-6468 Issued in AZ
Legal business name
COMMUNITY INTERVENTION ASSOCIATES, INC.
Doing business as
Community Health Associates
Practice address
2851 S. Ave B
BLDG 29a Suite 2902
Yuma, AZ 85364
Phone
(928) 304-7729
Fax
(928) 344-5577
NPI assigned
May 22, 2012
Last updated
Jul 31, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
COMMUNITY INTERVENTION ASSOCIATES, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 31, 2024

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

Authorized official

Name
Mr. Allison S Nicol
Title
Ceo
Phone
(928) 376-0026

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X NU
Primary Care Clinic/Center 261QP2300X OTC-6468 AZ Primary

Addresses

Primary practice location

2851 S. Ave B
BLDG 29a Suite 2902
Yuma, AZ 85364

Mailing address

2851 S. Ave B
BLDG 4
Yuma, AZ 85364
Phone (928) 376-0026

Other identifiers 1

IdentifierTypeStateIssuer
156246MedicaidAZ

Other names 1

  • Community Health Associates Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120201000213 AZ Part B Supplier - Clinic/Group Practice 4880851971 Receives reassigned benefits from 34 practitioners
14 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Yuma, AZ; Tucson, AZ; San Luis, AZ; Parker, AZ; Nogales, AZ; Green Valley, AZ; Douglas, AZ; Casa Grande, AZ…

Other NPIs on the same Medicare enrollment 14

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

View all 14

National Provider Directory

National Provider Directory
Tax ID family
Cha19 organizations share this tax ID, including this one
Part of
Cha

Other organizations with this tax ID 18

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

View all 18

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

1701 N Douglas Ave
Douglas, AZ 85607
Phone (520) 364-1286

2851 S Avenue B
Bldg 29
Yuma, AZ 85364

2851 S Avenue B
Bldg 29A
Yuma, AZ 85364
Phone (928) 304-7729

2851 S Avenue B
Ste 1102
Yuma, AZ 85364
Phone (928) 318-6153

2851 S Avenue B
Ste 2902
Yuma, AZ 85364

Practitioners & affiliated clinicians

Practitioners 21

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 21

NPI Registry JSON

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

{
    "created_epoch": "1337644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722384000000",
    "number": "1851651079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2851 S. AVE B",
            "address_2": "BLDG 4",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "85364",
            "telephone_number": "928-376-0026",
            "fax_number": "928-782-2298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2851 S. AVE B",
            "address_2": "BLDG 29A SUITE 2902",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "85364",
            "telephone_number": "928-304-7729",
            "fax_number": "928-344-5577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY INTERVENTION ASSOCIATES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COMMUNITY INTERVENTION ASSOCIATES, INC",
        "enumeration_date": "2012-05-22",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-31",
        "status": "A",
        "authorized_official_last_name": "NICOL",
        "authorized_official_first_name": "ALLISON",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "928-376-0026",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "AZ",
            "license": "OTC-6468",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "156246",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Health Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Yuma, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2024; 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.