NPIMap

Organization Active NPI

Gila River Health Care Corporation

Doing business as Komatke Health Center

  • Critical Access Hospital
  • Laveen, AZ
National Provider Identifier
1902189905
Registry record updated May 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
Legal business name
GILA RIVER HEALTH CARE CORPORATION
Doing business as
Komatke Health Center
Practice address
17487 S. Health Care Dr.
Laveen, AZ 85339-0038
Phone
(520) 550-6000
Fax
(520) 550-6027
NPI assigned
Sep 26, 2011
Last updated
May 31, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2017

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

Authorized official

Name
Scott Gemberling
Title
Ceo
Phone
(602) 528-1470

Specialties & licenses 1

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

Addresses

Primary practice location

17487 S. Health Care Dr.
Laveen, AZ 85339-0038

Mailing address

17487 S. Health Care Dr.
Laveen, AZ 85339-0038
Phone (520) 550-6000

Other identifiers 1

IdentifierTypeStateIssuer
TEZ055OtherAZMEDICARE GROUP PTAN

Other names 1

  • Komatke Health Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Huhukam Memorial Hospit23 organizations share this tax ID, including this one

Other organizations with this tax ID 22

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

View all 22

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": "1316995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1496188800000",
    "number": "1902189905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17487 S. HEALTH CARE DR.",
            "city": "LAVEEN",
            "state": "AZ",
            "postal_code": "853390038",
            "telephone_number": "520-550-6000",
            "fax_number": "520-550-6027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17487 S. HEALTH CARE DR.",
            "city": "LAVEEN",
            "state": "AZ",
            "postal_code": "853390038",
            "telephone_number": "520-550-6000",
            "fax_number": "520-550-6027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GILA RIVER HEALTH CARE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-26",
        "last_updated": "2017-05-31",
        "status": "A",
        "authorized_official_last_name": "GEMBERLING",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "602-528-1470"
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PTAN",
            "identifier": "TEZ055",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Komatke Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Laveen, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2017; 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.