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
1100 F AVE
DOUGLAS, AZ85607-1919
Phone: 520-364-3285
Fax: 520-364-3378
Website:
Specialty Taxonomy Code
* Federally Qualified Health Center (FQHC) 261QF0400X

* Indicates primary specialty

NPI Profile & details for CHIRICAHUA COMMUNITY HEALTH CENTERS, INC

NPI Number 1801821970
Legal business name
LBN
CHIRICAHUA COMMUNITY HEALTH CENTERS, INC
Authorized official JONATHAN MELK - (CEO)
Entity Organization
Organization subpart No
Enumeration date 07/11/2006
Last updated 09/01/2021 - About 5 years ago
Sole proprietor1 Not specified
Identifiers
  • AZ License #: OTC3057
  • AZ Medicaid: 945132

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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