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COPPER QUEEN COMMUNITY HOSPITAL
NPI 1720536915
General Acute Care Hospital - Critical Access in Douglas, AZ

Active since September 15, 2016CLIA 03D2124326 · Certificate of Compliance
100 E 5TH ST, DOUGLAS, AZ 85607(520) 432-5383(520) 432-8018 Get Directions Write a Review

NPPES record last updated: September 15, 2016. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Copper Queen Community Hospital NPPES

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

COPPER QUEEN COMMUNITY HOSPITAL (NPI 1720536915) is a healthcare organization registered as a critical access in Douglas, Arizona and active in the NPI registry since September 2016. The organization holds a CLIA Certificate of Compliance certificate valid through June 20, 2028 and lists James Ehasz, Cfo, as its authorized official.

NPPES Registry Identity

NPI1720536915
Entity TypeOrganization
Primary Taxonomy282NC0060X
Legal Business NameBISBEE HOSPITAL ASSOCIATION
Location Address100 E 5TH STDouglas, AZ 85607-2859
Mailing Address101 Cole AveBisbee, AZ 85603-1327 · (520) 432-5383 · Fax (520) 432-8018
Phone(520) 432-5383
Fax(520) 432-8018
Organization SubpartNo
Authorized OfficialJames EhaszCfo · (520) 432-6450
Enumeration DateSeptember 15, 2016
✔ NPI 1720536915 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral Acute Care Hospital · Critical AccessHospitals
Taxonomy Code282NC0060X
License✔ Licensed in AZ · RGH0098
100 E 5TH ST, Douglas, AZ 85607
Open in Google Maps ↗

Other Names 1

Doing Business AsCopper Queen Community Hospital

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter Health, Blue Cross Blue Shield of Arizona.Insurance ›

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 Compliance 03D2124326

Copper Queen Community Hospital Ed Department Douglas · Douglas, AZ
Active · expires Jun 20, 2028
CLIA Number03D2124326
Laboratory TypeFreestanding ER
Certificate Effective DateJune 21, 2026
Certificate Expiration DateJune 20, 2028
Laboratory DirectorMax Mirot
Laboratory Phone(520) 432-6587
Laboratory LocationCopper Queen Community Hospital Ed Department Douglas100 E 5th St, Douglas, AZ 85607
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 15

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

DR. EDWARD JOHN MILLER JR. D.O.
Obstetrics & Gynecology
100 E 5TH ST
DOUGLAS, AZ 85607
Cochise County (520) 364-7659
DR. SEAN MARSHALL SPURR D.O.
Internal Medicine
100 E 5TH ST
DOUGLAS, AZ 85607
Cochise County (520) 364-7659
DR. PANAYIOTIS A ELLINAS II MD, MPH
General Practice
100 E 5TH ST, CQCH BILLING DEPT
DOUGLAS, AZ 85607
Cochise County (520) 364-7659
AKDHC, LLC
Internal Medicine (Nephrology)
100 E 5TH ST
DOUGLAS, AZ 85607
Cochise County (520) 622-3569
PEARLIE WILSON-NATAL FNP
Nurse Practitioner (Family)
100 E 5TH ST
DOUGLAS, AZ 85607
Cochise County (520) 364-7659
JENNIFER CHAMNESS NP
Nurse Practitioner (Family)
100 E 5TH ST
DOUGLAS, AZ 85607
Cochise County (520) 364-7659
CARLOS ERNESTO PENA PA
Physician Assistant
100 E 5TH ST
DOUGLAS, AZ 85607
Cochise County (520) 364-7659
SONI ELIZABETH STAKE MD
General Practice
100 E 5TH ST
DOUGLAS, AZ 85607
Cochise County (520) 364-7659

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 Bisbee Hospital Association's NPI number?

The NPI number for Bisbee Hospital Association is 1720536915. It was assigned to this organization in the NPPES registry on September 15, 2016. The provider is doing business as Copper Queen Community Hospital.

Where is Bisbee Hospital Association located?

Bisbee Hospital Association is located at 100 E 5th St, Douglas, AZ 85607. The listed phone number is (520) 432-5383.

What is Bisbee Hospital Association's specialty?

The primary specialty registered for this NPI is General Acute Care Hospital, specializing in Critical Access, with taxonomy code 282NC0060X.

Does Bisbee Hospital Association hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 03D2124326) is associated with this NPI, valid through June 20, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Bisbee Hospital Association accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health and Blue Cross Blue Shield of Arizona list Bisbee Hospital Association 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 Bisbee Hospital Association was last updated on September 15, 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.