SOUTHEAST ARIZONA MEDICAL CENTER
NPI 1205164688
Radiology - Diagnostic Radiology in Douglas, AZ

Active since November 24, 2009
2174 W OAK AVE, DOUGLAS, AZ 85607(520) 805-5813 Get Directions Write a Review

NPPES record last updated: November 24, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Southeast Arizona Medical Center NPPES

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

SOUTHEAST ARIZONA MEDICAL CENTER (NPI 1205164688) is a healthcare organization registered as a diagnostic radiology in Douglas, Arizona and active in the NPI registry since November 2009. The organization lists Brian Bickell, Ceo, as its authorized official.

NPPES Registry Identity

NPI1205164688
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NameCOMMUNITY HEALTH CARE OF DOUGLAS
Location Address2174 W OAK AVEDouglas, AZ 85607
Mailing Address2174 W Oak AveDouglas, AZ 85607-6003 · (520) 805-5813
Organization SubpartNo
Authorized OfficialBrian BickellCeo · (520) 805-5940
Enumeration DateNovember 24, 2009
NPI 1205164688 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
2174 W OAK AVE, Douglas, AZ 85607

Other Names 1

Doing Business AsSoutheast Arizona Medical Center

Other Identifiers 2

Medicaid55843901AZ
Medicare PINZ64950AZ

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Emergency Medicine
2174 W OAK AVE
DOUGLAS, AZ 85607
Nurse Anesthetist, Certified Registered
2174 W OAK AVE, SOUTHEAST AZ MEDICAL CENTER
DOUGLAS, AZ 85607
General Acute Care Hospital
2174 W OAK AVE
DOUGLAS, AZ 85607
Clinical Medical Laboratory
2174 W OAK AVE
DOUGLAS, AZ 85607
Internal Medicine (Infectious Disease)
2174 W OAK AVE
DOUGLAS, AZ 85607
Family Medicine
2174 W OAK AVE
DOUGLAS, AZ 85607
Emergency Medicine
2174 W OAK AVE
DOUGLAS, AZ 85607
General Acute Care Hospital (Critical Access)
2174 W OAK AVE
DOUGLAS, AZ 85607

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 Health Care Of Douglas's NPI number?

The NPI number for Community Health Care Of Douglas is 1205164688. It was assigned to this organization in the NPPES registry on November 24, 2009. The provider is doing business as Southeast Arizona Medical Center.

Where is Community Health Care Of Douglas located?

Community Health Care Of Douglas is located at 2174 W Oak Ave, Douglas, AZ 85607. The listed phone number is (520) 805-5813.

What is Community Health Care Of Douglas's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

When was this NPI record last updated?

The NPPES record for Community Health Care Of Douglas was last updated on November 24, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.