40 OASIS COURT
NPI 1346901956
Intermediate Care Facility, Intellectual Disabilities in Coolidge, AZ

Active since January 05, 2022CLIA 03D1074361 · Waiver
2800 N. HWY 87, COOLIDGE, AZ 85128(520) 723-2600(520) 723-7618 Get Directions Write a Review

NPPES record last updated: July 3, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 3, 2024, Jan 5, 2022 (2 updates tracked since 2022).

About 40 Oasis Court NPPES

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

40 OASIS COURT (NPI 1346901956) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Coolidge, Arizona and active in the NPI registry since January 2022. The organization holds a CLIA Waiver certificate valid through September 25, 2027 and lists Zane Garcia Ramadan, Assistant Director, as its authorized official.

NPPES Registry Identity

NPI1346901956
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NameARIZONA TRAINING PROGRAM @ COOLIDGE
Location Address2800 N. HWY 87Coolidge, AZ 85128
Mailing Address2800 N. Hwy 87Coolidge, AZ 85128 · (520) 723-2600 · Fax (520) 723-7618
Fax(520) 723-7618
Organization SubpartYesParent: State Of Arizona
Authorized OfficialZane Garcia RamadanAssistant Director · (480) 490-6538
Enumeration DateJanuary 5, 2022
Last NPPES UpdateJuly 3, 20242 updates tracked since enumeration
NPPES CertifiedJuly 3, 2024
NPI 1346901956 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyIntermediate Care Facility, Intellectual DisabilitiesNursing & Custodial Care Facilities
Taxonomy Code315P00000X
Definition
An intermediate care facility providing services for individuals with intellectual disabilities.
2800 N. HWY 87, Coolidge, AZ 85128

Other Names 1

Other Name40 Oasis Court

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 03D1074361

Arizona Training Program Coolidge · Coolidge, AZ
Active · expires Sep 25, 2027
CLIA Number03D1074361
Laboratory TypeOther
Certificate Effective DateSeptember 26, 2025
Certificate Expiration DateSeptember 25, 2027
Laboratory DirectorKatrine Atlung-Blair
Laboratory Phone(520) 723-2600
Laboratory LocationArizona Training Program Coolidge2800 North Highway 87, Coolidge, AZ 85128
CLIA data matches this NPI record on: Address Name Phone
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 Arizona Training Program @ Coolidge's NPI number?

The NPI number for Arizona Training Program @ Coolidge is 1346901956. It was assigned to this organization in the NPPES registry on January 5, 2022. The provider is also known as 40 Oasis Court.

Where is Arizona Training Program @ Coolidge located?

Arizona Training Program @ Coolidge is located at 2800 N. Hwy 87, Coolidge, AZ 85128. The listed phone number is (520) 723-2600.

What is Arizona Training Program @ Coolidge's specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

Does Arizona Training Program @ Coolidge hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D1074361) is associated with this NPI, valid through September 25, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Arizona Training Program @ Coolidge was last updated on July 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.