COMMUNITY HEALTH CARE OF DOUGLAS; NPI #1205164688

Contact Information

COMMUNITY HEALTH CARE OF DOUGLAS

2174 W OAK AVE
DOUGLAS, AZ 85607

Phone: 520-805-5813
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Diagnostic Radiology	2085R0202X	30	Physician/Diagnostic Radiology

Indicates primary specialty

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NPI Profile & details for COMMUNITY HEALTH CARE OF DOUGLAS

NPI Number 1205164688

LBN Legal business name COMMUNITY HEALTH CARE OF DOUGLAS

Authorized official BRIAN BICKELL - (CEO)

Entity Organization

Organization subpart ¹ No

Enumeration date 11/24/2009

Last updated 11/24/2009 - About 17 years ago

Identifiers

Medicaid

55843901

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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COMMUNITY HEALTH CARE OF DOUGLAS

Contact Information

Specialty

Diagnostic Radiology

NPI Profile & details for COMMUNITY HEALTH CARE OF DOUGLAS

Reviews for COMMUNITY HEALTH CARE OF DOUGLAS