National Provider Identifier Database

CHIRICAHUA COMMUNITY HEALTH CENTERS INC
Federally Qualified Health Center (FQHC)

A Federally Qualified Health Center (FQHC) is a community-based organization that provides comprehensive primary care and preventive care, including health, oral, and mental health/substance abuse services to persons of all ages, regardless of their ability to pay or health insurance status.


Contact Information

CHIRICAHUA COMMUNITY HEALTH CENTERS, INC
155 CALLE PORTAL
SUITE 300
SIERRA VISTA, AZ85635-2900
Phone: 520-459-3011
Fax: 520-364-4261
Website:
Specialty Taxonomy Code
* Federally Qualified Health Center (FQHC) 261QF0400X

* Indicates primary specialty

NPI Profile & details for CHIRICAHUA COMMUNITY HEALTH CENTERS, INC

NPI Number 1417331711
Legal business name
LBN
CHIRICAHUA COMMUNITY HEALTH CENTERS, INC
Authorized official JONATHAN MELK - (CEO)
Entity Organization
Organization subpart No
Enumeration date 07/16/2015
Last updated 09/01/2021 - About 5 years ago
Sole proprietor1 Not specified
Identifiers
  • AZ License #: OTC7227
  • AZ Medicaid: 043871

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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