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COPPER QUEEN MEDICAL ASSOCIATES DOUGLAS
NPI 1942217088
Clinic/Center in Douglas, AZ

Active since August 02, 2006
100 E 5TH ST, DOUGLAS, AZ 85607(520) 364-7659(520) 364-8541 Get Directions Write a Review

NPPES record last updated: August 8, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Copper Queen Medical Associates Douglas NPPES

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

COPPER QUEEN MEDICAL ASSOCIATES DOUGLAS (NPI 1942217088) is a healthcare organization registered as a clinic/center in Douglas, Arizona and active in the NPI registry since August 2006. The organization lists Betty Jo Carrizoza, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1942217088
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameCOPPER QUEEN MEDICAL ASSOCIATES DOUGLAS
Location Address100 E 5TH STDouglas, AZ 85607-2859
Mailing Address100 E 5th StDouglas, AZ 85607-2859 · (520) 364-7659 · Fax (520) 364-8541
Phone(520) 364-7659
Fax(520) 364-8541
Organization SubpartNo
Authorized OfficialBetty Jo CarrizozaOffice Manager · (520) 364-7659
Enumeration DateAugust 2, 2006
Last NPPES UpdateAugust 8, 2008
✔ NPI 1942217088 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License✔ Licensed in AZ · OTC-3364
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
100 E 5TH ST, Douglas, AZ 85607
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Accepted Insurance

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

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 Copper Queen Medical Associates Douglas's NPI number?

The NPI number for Copper Queen Medical Associates Douglas is 1942217088. It was assigned to this organization in the NPPES registry on August 2, 2006.

Where is Copper Queen Medical Associates Douglas located?

Copper Queen Medical Associates Douglas is located at 100 E 5th St, Douglas, AZ 85607. The listed phone number is (520) 364-7659.

What is Copper Queen Medical Associates Douglas's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

What insurance does Copper Queen Medical Associates Douglas accept?

Health plans from Ambetter from Arizona Complete Health and Blue Cross Blue Shield of Arizona list Copper Queen Medical Associates Douglas 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 Copper Queen Medical Associates Douglas was last updated on August 8, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.