KOMATKE HEALTH CENTER
NPI 1902189905
General Acute Care Hospital - Critical Access in Laveen, AZ

Active since September 26, 2011CLIA 03D1093003 · Accreditation
17487 S. HEALTH CARE DR., LAVEEN, AZ 85339(520) 550-6000(520) 550-6027 Get Directions Write a Review

NPPES record last updated: May 31, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Komatke Health Center NPPES

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

KOMATKE HEALTH CENTER (NPI 1902189905) is a healthcare organization registered as a critical access in Laveen, Arizona and active in the NPI registry since September 2011. The organization holds an CLIA Accreditation certificate valid through October 26, 2027 and lists Scott Gemberling, Ceo, as its authorized official.

NPPES Registry Identity

NPI1902189905
Entity TypeOrganization
Primary Taxonomy282NC0060X
Legal Business NameGILA RIVER HEALTH CARE CORPORATION
Location Address17487 S. HEALTH CARE DR.Laveen, AZ 85339-0038
Mailing Address17487 S. Health Care Dr.Laveen, AZ 85339-0038 · (520) 550-6000 · Fax (520) 550-6027
Fax(520) 550-6027
Organization SubpartNo
Authorized OfficialScott GemberlingCeo · (602) 528-1470
Enumeration DateSeptember 26, 2011
Last NPPES UpdateMay 31, 2017
NPI 1902189905 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code282NC0060X
17487 S. HEALTH CARE DR., Laveen, AZ 85339

Other Names 1

Doing Business AsKomatke Health Center

Other Identifiers 1

OtherTEZ055AZ · Medicare Group Ptan

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 Accreditation 03D1093003

Komatke Health Center · Laveen, AZ
Active · expires Oct 26, 2027
CLIA Number03D1093003
Laboratory TypeRural Health Clinic
Certificate Effective DateOctober 27, 2025
Certificate Expiration DateOctober 26, 2027
Laboratory DirectorGeorge Corcoran
Laboratory Phone(520) 550-6016
Laboratory LocationKomatke Health Center17487 S Health Care Dr, Laveen, AZ 85339
CLIA data matches this NPI record on: Address Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES

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

General Acute Care Hospital (Critical Access)
17487 S. HEALTH CARE DR.
LAVEEN, AZ 85339

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 Gila River Health Care Corporation's NPI number?

The NPI number for Gila River Health Care Corporation is 1902189905. It was assigned to this organization in the NPPES registry on September 26, 2011. The provider is doing business as Komatke Health Center.

Where is Gila River Health Care Corporation located?

Gila River Health Care Corporation is located at 17487 S. Health Care Dr., Laveen, AZ 85339. The listed phone number is (520) 550-6000.

What is Gila River Health Care Corporation's specialty?

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

Does Gila River Health Care Corporation hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 03D1093003) is associated with this NPI, valid through October 26, 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 Gila River Health Care Corporation was last updated on May 31, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.