Organization
COMMUNITY INTERVENTION ASSOCIATES, INC.
Active
Parent organization
COMMUNITY INTERVENTION ASSOCIATES, INC
Other names
Community Health Associates
Organization subpart
Yes
Provider details
NPI number
Legal business name
COMMUNITY INTERVENTION ASSOCIATES, INC
Authorized official
MR. ALLISON S NICOL (CEO)
(928) 376-0026
Entity
Organization
Contact information
Practice address
2851 S. AVE B, BLDG 29A SUITE 2902, YUMA, AZ 85364
(928) 304-7729
(928) 344-5577
Mailing address
2851 S. AVE B, BLDG 4, YUMA, AZ 85364
(928) 376-0026
(928) 782-2298
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
OTC-6468
AZ
261QP2300X
Primary Care Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
156246
—
AZ
Enumeration date
05/22/2012
Last updated
07/31/2024
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