NPIMap

Organization Active NPI

Arizona Community Health Care LLC

  • Family Medicine Physician
  • Quartzsite, AZ
National Provider Identifier
1962689653
Registry record updated Oct 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
16098 Issued in AZ
Legal business name
ARIZONA COMMUNITY HEALTH CARE LLC
Practice address
255 N Central Blvd
Ste 4
Quartzsite, AZ 85346
Phone
(928) 927-4226
Fax
(928) 927-4231
NPI assigned
Jan 25, 2008
Last updated
Oct 5, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2010

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

Authorized official

Name
Edward H Kowaleski, MD
Title
Owner/Physician
Phone
(928) 927-4226

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 16098 AZ Primary

Addresses

Primary practice location

255 N Central Blvd
Ste 4
Quartzsite, AZ 85346

Mailing address

PO Box 2659
Quartzsite, AZ 85346-2659
Phone (928) 927-4226

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1201219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286236800000",
    "number": "1962689653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2659",
            "city": "QUARTZSITE",
            "state": "AZ",
            "postal_code": "853462659",
            "telephone_number": "928-927-4226",
            "fax_number": "928-927-4231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 N CENTRAL BLVD",
            "address_2": "STE 4",
            "city": "QUARTZSITE",
            "state": "AZ",
            "postal_code": "85346",
            "telephone_number": "928-927-4226",
            "fax_number": "928-927-4231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA COMMUNITY HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-25",
        "last_updated": "2010-10-05",
        "status": "A",
        "authorized_official_last_name": "KOWALESKI",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "928-927-4226",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "16098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Quartzsite, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2010; 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.