COPPER QUEEN COMMUNITY HOSPITAL
NPI 1720536915
General Acute Care Hospital - Critical Access in Douglas, AZ
NPI Status: Active since September 15, 2016
Contact Information
100 E 5TH ST
DOUGLAS, AZ
ZIP 85607
Phone: (520) 432-5383
Fax: (520) 432-8018
- Organization
- General Acute Care Hospital
- Critical Access
- Accepts Insurance
- CLIA Number: 03D2124326
- CLIA Cert. Type: Other - FREESTANDING ER
- CLIA Exp. Date: 06-20-2026
About COPPER QUEEN COMMUNITY HOSPITAL
This page provides the complete NPI Profile along with additional information for Copper Queen Community Hospital, a provider established in Douglas, Arizona operating as a General Acute Care Hospital, focusing in critical access . The healthcare provider is registered in the NPI registry with number 1720536915 assigned on September 2016. The practitioner's primary taxonomy code is 282NC0060X with license number RGH0098 (AZ). The provider is registered as an organization and their NPI record was last updated 10 years ago. The provider's is doing business as Copper Queen Community Hospital. The authorized official of this NPI record is James Ehasz (Cfo)
- NPI
- 1720536915
- Provider Legal Name
- BISBEE HOSPITAL ASSOCIATION
- Other Organization Name
- COPPER QUEEN COMMUNITY HOSPITAL
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 100 E 5TH ST DOUGLAS, AZ 85607
- Location Phone
- (520) 432-5383
- Location Fax
- (520) 432-8018
- Mailing Address
- 101 COLE AVE BISBEE, AZ 85603
- Mailing Phone
- (520) 432-5383
- Mailing Fax
- (520) 432-8018
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 09-15-2016
- Last Update Date
- 09-15-2016
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
General Acute Care Hospital Critical Access
- Taxonomy Code
- 282NC0060X
- Type
- Hospitals
- License No.
- RGH0098
- License State
- AZ
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- AZ Blue ACA StandardHealth Silver with Health Choice - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 03D2124326
- Facility Type
- Other - FREESTANDING ER
- Certificate Effective Date
- June 21, 2024
- Certificate Expiration Date
- June 20, 2026
- Laboratory Director
- MAX MIROT
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Copper Queen Community Hospital after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1720536915, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 55. The final step is to find the difference between that total and the next multiple of ten (60 - 55 = 5).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 55 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 15 providers are registered at the same or a nearby location.
DOUGLAS, AZ 85607
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1720536915, enumerated as an "organization" on September 15, 2016.
The provider is located at 100 E 5TH ST DOUGLAS, AZ 85607 and the phone number is (520) 432-5383.
General Acute Care Hospital with taxonomy code 282NC0060X and a focus in Critical Access.
The provider might be accepting Accepts: Blue Cross Blue Shield of Arizona. Please consult your insurance carrier or call the provider to verify.
