Organization
COMMUNITY HEALTHCARE PARTNER, INC
Active
Other names
Colorado River Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVE KELLEY LOPEZ (CEO)
(760) 326-7160
Entity
Organization
Contact information
Practice address
1401 BAILEY AVENUE, NEEDLES, CA 92363
(760) 326-7160
(760) 326-7292
Mailing address
1401 BAILEY AVENUE, NEEDLES, CA 92363
(760) 326-7160
(760) 326-7292
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
—
—
282NC0060X
Critical Access Hospital
Primary
240000227
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
240000227
—
CA
05
—
330130
—
AZ
01
—
CA204896
MEDICARE OSCAR/CERTIFICATION
CA
Enumeration date
02/28/2008
Last updated
03/30/2016
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