Organization
COMMUNITY HOSPITAL ASSOCIATION, INC.
Active
Organization
COMMUNITY HOSPITAL ASSOCIATION, INC.
Active
Other names
Community Hospital Clinic - Wickenburg
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES TAVARY (CEO)
(928) 684-5421
Entity
Organization
Contact information
Practice address
523 ROSE LN, WICKENBURG, AZ 85390-1448
(928) 668-1833
(928) 684-7457
Mailing address
523 ROSE LN, WICKENBURG, AZ 85390-1448
(928) 668-1833
(928) 684-7457
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
OTC4928
AZ
282NC0060X
Critical Access Hospital
RGH3505
AZ
Other
Enumeration date
12/23/2008
Last updated
04/29/2019
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