Arizona Community Health Care LLC

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

Organization subpart

No

Name

Edward H Kowaleski, MD

Title

Owner/Physician

Phone

(928) 927-4226

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 5, 2010.

{
    "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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "451839",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• 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.