Organization
COMMUNITY PARTNERS INTEGRATED HEALTHCARE, INC.
Active
Parent organization
COMMUNITY PARTNERS INC.
Other names
Assurance Health and Wellness
Organization subpart
Yes
Provider details
NPI number
Legal business name
COMMUNITY PARTNERS INC.
Authorized official
ROSE MARY LOPEZ MBA (PRESIDENT AND CEO)
(520) 721-1887
Entity
Organization
Contact information
Practice address
1515 E OSBORN RD, PHOENIX, AZ 85014-5309
(602) 604-0000
(602) 604-5863
Mailing address
PO BOX 86537, TUCSON, AZ 85754-6537
(520) 721-1887
(520) 721-0069
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
OTC8058
AZ
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
231888
—
AZ
01
—
OTC8058
STATE LICENSE FOR INTEGRATED CARE
AZ
Enumeration date
06/04/2015
Last updated
04/20/2020
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