COMMUNITY HEALTH ASSOCIATES
NPI 1043504376
Community/Behavioral Health in Nogales, AZ

Active since June 03, 2011CLIA 03D2145164 · Waiver
32 BLVD DEL REY DAVID, NOGALES, AZ 85621(520) 394-7400(520) 377-9596 Get Directions Write a Review

NPPES record last updated: February 12, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Community Health Associates NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COMMUNITY HEALTH ASSOCIATES (NPI 1043504376) is a healthcare organization registered as a community/behavioral health in Nogales, Arizona and active in the NPI registry since June 2011. The organization holds a CLIA Waiver certificate valid through March 1, 2028 and lists Fred R Cogburn, Ceo, as its authorized official.

NPPES Registry Identity

NPI1043504376
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameCOMMUNITY INTERVENTION ASSOCIATES
Location Address32 BLVD DEL REY DAVIDNogales, AZ 85621
Mailing Address2851 S Ave B, Bldg 4Yuma, AZ 85364-7726 · (928) 376-0026 · Fax (928) 782-2298
Fax(520) 377-9596
Organization SubpartNo
Authorized OfficialFred R CogburnCeo · (928) 376-0026
Enumeration DateJune 3, 2011
Last NPPES UpdateFebruary 12, 2016
✔ NPI 1043504376 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Licenses✔ Licensed in AZ · BH-3771✔ Licensed in AZ · B-3771
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
32 BLVD DEL REY DAVID, Nogales, AZ 85621

Other Names 1

Doing Business AsCommunity Health Associates

Other Identifiers 3

Medicare UPINZ153915AZ
Medicare UPINZ150156AZ
Medicaid603657AZ

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Community Health Associates is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateArizonaEnrollment IDO20120201000213Non-DME Part B · Clinic/Group PracticeDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

34

Medicare enrollment records show 34 clinicians reassign Medicare billing to Community Health Associates, which bills Medicare for the services they deliver. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 4

Nurse Practitioner27
Mental Health Counselor3
Psychiatry3
Clinical Social Worker1

Nearest to this location (20)

See all 34
Nurse Practitioner
NPI 1467047308
1260 S CAMPBELL AVE
Green Valley, AZ 85614
(520) 407-5600
✔ PECOS✔ Accepts Medicare31 mi
Nurse Practitioner
NPI 1801299078
210 W CONTINENTAL RD STE 244A
Green Valley, AZ 85622
(928) 852-0002
✔ PECOS✔ Accepts Medicare31 mi
Nurse Practitioner
NPI 1174937379
1384 E WALKER SPRINGS PL
Sahuarita, AZ 85629
(518) 538-4072
✔ PECOS✔ Accepts Medicare32 mi
Psychiatry
NPI 1629101217
1501 W COMMERCE CT
Tucson, AZ 85746
(520) 741-3180
✔ PECOS✔ Accepts Medicare50 mi
Clinical Social Worker
NPI 1023181377
6390 E BROADWAY BLVD
Tucson, AZ 85710
(520) 284-7949
✔ PECOS✔ Accepts Medicare56 mi
Nurse Practitioner
NPI 1356789226
2480 N SILVERBELL RD STE 100
Tucson, AZ 85745
(480) 677-8282
✔ PECOS✔ Accepts Medicare58 mi
Nurse Practitioner
NPI 1730605890
4601 E FORT LOWELL RD
Tucson, AZ 85712
(520) 396-4413
✔ PECOS59 mi
Nurse Practitioner
NPI 1518316983
6911 N BDI BLVD
Douglas, AZ 85607
(520) 364-7521
✔ PECOS✔ Accepts Medicare81 mi
Mental Health Counselor
NPI 1609279108
2100 E 8TH
Douglas, AZ 85607
(520) 266-3304
✔ PECOS85 mi
Mental Health Counselor
NPI 1154080125
1100 N F AVE
Douglas, AZ 85607
(520) 364-3285
✔ PECOS✔ Accepts Medicare89 mi
Psychiatry
NPI 1053467571
3540 E BASELINE RD STE 150
Phoenix, AZ 85042
(602) 323-3000
✔ PECOS149 mi
Nurse Practitioner
NPI 1245796069
6380 E THOMAS RD STE 100
Scottsdale, AZ 85251
(602) 419-6549
✔ PECOS✔ Accepts Medicare154 mi
Nurse Practitioner
NPI 1578945572
1424 S 7TH AVE BUILDING B
Phoenix, AZ 85007
(602) 257-8970
✔ PECOS✔ Accepts Medicare154 mi
Nurse Practitioner
NPI 1396817862
202 E EARLL DR SUITE 200
Phoenix, AZ 85012
(602) 230-7373
✔ PECOS✔ Accepts Medicare157 mi
Nurse Practitioner
NPI 1477983229
2415 E CAMELBACK RD STE 700
Phoenix, AZ 85016
(855) 828-7226
✔ PECOS158 mi
Nurse Practitioner
NPI 1588830749
4041 N CENTRAL AVE BLDG C
Phoenix, AZ 85012
(602) 279-5262
✔ PECOS✔ Accepts Medicare158 mi
Mental Health Counselor
NPI 1871355784
2851 S AVENUE B BLDG 4
Yuma, AZ 85364
(928) 376-0026
✔ PECOS✔ Accepts Medicare232 mi
Nurse Practitioner
NPI 1093171456
888 W 16TH ST
Yuma, AZ 85364
(928) 550-7000
✔ PECOS✔ Accepts Medicare233 mi
Nurse Practitioner
NPI 1558914507
1390 W 16TH ST
Yuma, AZ 85364
(928) 363-3600
✔ PECOS✔ Accepts Medicare233 mi
Psychiatry
NPI 1679884928
15405 LANSDOWNE RD
Tustin, CA 92782
(925) 997-9093
✔ PECOS✔ Accepts Medicare431 mi
See all 34 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 03D2145164

Community Health Associates · Yuma, AZ
Active · expires Mar 1, 2028
CLIA Number03D2145164
Laboratory TypeCommunity Clinic
Certificate Effective DateMarch 2, 2026
Certificate Expiration DateMarch 1, 2028
Laboratory DirectorRobin Ross
Laboratory Phone(928) 248-8282
Laboratory LocationCommunity Health Associates410 S Maiden, Yuma, AZ 85364
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Community Intervention Associates's NPI number?

The NPI number for Community Intervention Associates is 1043504376. It was assigned to this organization in the NPPES registry on June 3, 2011. The provider is doing business as Community Health Associates.

Where is Community Intervention Associates located?

Community Intervention Associates is located at 32 Blvd Del Rey David, Nogales, AZ 85621. The listed phone number is (520) 394-7400.

What is Community Intervention Associates's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Is Community Intervention Associates enrolled in Medicare?

Yes. Community Intervention Associates is registered in the Medicare PECOS enrollment system.

When is Community Intervention Associates's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Arizona, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Community Intervention Associates?

According to the CMS Revalidation Reassignment List (October 2026 release), 34 clinicians in 4 Medicare specialties reassign their Medicare billing to Community Intervention Associates. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (27), Mental Health Counselor (3) and Psychiatry (3). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Community Intervention Associates hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D2145164) is associated with this NPI, valid through March 1, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Community Intervention Associates was last updated on February 12, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.