Organization
COMMUNITY INTERVENTION ASSOCIATES, INC.
Active
Organization
COMMUNITY INTERVENTION ASSOCIATES, INC.
Active
Parent organization
COMMUNITY INTERVENTION ASSOCIATES, INC.
Other names
Community Intervention Associates
Organization subpart
Yes
Provider details
NPI number
Legal business name
COMMUNITY INTERVENTION ASSOCIATES, INC.
Authorized official
MR. FRED R COGBURN (CEO)
(928) 376-0026
Entity
Organization
Contact information
Practice address
1326 HWY 92, SUITE J, BISBEE, AZ 85603-0000
(520) 366-3603
(520) 432-3678
Mailing address
2851 S AVENUE B, BLDG 4, YUMA, AZ 85364-7726
(928) 376-0026
(928) 782-2298
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
BH-3770
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
620609
—
AZ
Enumeration date
05/23/2011
Last updated
08/28/2013
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up