SOUTHEAST ARIZONA MEDICAL CENTER – NPI #1760483994
General Acute Care Hospital

SOUTHEAST ARIZONA MEDICAL CENTER is a general acute care hospital located in DOUGLAS, AZ. NPPES has assigned the NPI number 1760483994 to SOUTHEAST ARIZONA MEDICAL CENTER on August 10, 2005. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “SOUTHEAST ARIZONA MEDICAL CENTER” is a dba name, the actual legal business name for this organization is COMMUNITY HEALTHCARE OF DOUGLAS INC. The primary taxonomy selected by this provider is 282NC0060X from the Health Care Provider Taxonomy code set, which is classified as General Acute Care Hospital, specializing in Critical Access

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SOUTHEAST ARIZONA MEDICAL CENTER below.

NPI Profile for
COMMUNITY HEALTHCARE OF DOUGLAS INC

NPI Number
1760483994
Enumeration Date

(about 21 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
COMMUNITY HEALTHCARE OF DOUGLAS INC
Doing Business As (dba): SOUTHEAST ARIZONA MEDICAL CENTER
Primary location
2174 W OAK AVE
DOUGLAS, AZ 85607-6003
Phone: (520) 364-7931 Fax: (520) 364-2551
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
ANNIE BENSON
COO
Phone: (520) 364-7931
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
282NC0060X
- General Acute Care Hospital / Critical Access (Primary)
AZ H0015

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.