PINAL HISPANIC COUNCIL INCORPORATED
NPI 1104669720
Community/Behavioral Health in Bisbee, AZ
About Pinal Hispanic Council Incorporated NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PINAL HISPANIC COUNCIL INCORPORATED (NPI 1104669720), doing business as Community Health Associates, Inc., is a healthcare organization registered as a community/behavioral health in Bisbee, Arizona and active in the NPI registry since June 2024. The organization holds 2 active CLIA laboratory certificates and lists Rose M Lopez, President And Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Accepted Insurance
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)
Pinal Hispanic Council Incorporated is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by January 31, 2027
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.
Clinicians Billing Medicare Through This Organization
30Medicare enrollment records show 30 clinicians reassign Medicare billing to Pinal Hispanic Council Incorporated, which bills Medicare for the services they deliver. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 6
Nearest to this location (20)
See all 30Tucson, AZ 85711
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 2
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 03D2336606
Pinal Hispanic Council · Coolidge, AZCertificate of Waiver 03D2098233
Pinal Hispanic Council - Bisbee Op · Bisbee, AZFrequently 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 Pinal Hispanic Council Incorporated's NPI number?
The NPI number for Pinal Hispanic Council Incorporated is 1104669720. It was assigned to this organization in the NPPES registry on June 13, 2024. The provider was formerly known as Community Health Associates, Inc..
Where is Pinal Hispanic Council Incorporated located?
Pinal Hispanic Council Incorporated is located at 1326 W Highway 92 Ste J, Bisbee, AZ 85603. The listed phone number is (520) 366-3603.
What is Pinal Hispanic Council Incorporated's specialty?
The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.
Is Pinal Hispanic Council Incorporated enrolled in Medicare?
Yes. Pinal Hispanic Council Incorporated is registered in the Medicare PECOS enrollment system.
When is Pinal Hispanic Council Incorporated'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 January 31, 2027. 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 Pinal Hispanic Council Incorporated?
According to the CMS Revalidation Reassignment List (October 2026 release), 30 clinicians in 6 Medicare specialties reassign their Medicare billing to Pinal Hispanic Council Incorporated. 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 (21), Mental Health Counselor (5) and Clinical Social Worker (1). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Pinal Hispanic Council Incorporated hold CLIA laboratory certificates?
Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
What insurance does Pinal Hispanic Council Incorporated accept?
Health plans from Ambetter Health, Ambetter from Arizona Complete Health and Blue Cross Blue Shield of Arizona list Pinal Hispanic Council Incorporated as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Pinal Hispanic Council Incorporated was last updated on October 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.
# Pinal Hispanic Council Incorporated · NPI 1104669720
Community/Behavioral Health organization in Bisbee, Arizona. Organization record, active in the CMS NPPES registry since June 13, 2024.
## Identity
- **NPI:** 1104669720 (Entity type: Organization)
- **Enumerated:** June 13, 2024
- **Primary specialty:** Community/Behavioral Health · taxonomy 251S00000X
- **Also known as:** Community Health Associates, Inc. (Former Legal Business Name)
- **Organization subpart:** No
- **Authorized official:** Rose Lopez, PRESIDENT AND CEO
## Practice location
- **Address:** 1326 W HIGHWAY 92 STE J, Bisbee, AZ 85603-1151
- **Phone:** (520) 366-3603 · **Fax:** (520) 432-3678
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** January 31, 2027 (Non-DME Part B, Arizona, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 30 clinicians in 6 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (21), Mental Health Counselor (5), Clinical Social Worker (1); [full list](https://npiprofile.com/npi/1104669720/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 27, 2025
- **Other identifiers:** Other BH4287 (AZ)
- **CLIA laboratory certificates:** 2 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1104669720) · Data from the CMS NPPES public registry.