CHIRICAHUA COMMUNITY HEALTH CENTERS, INC; NPI #1821582529

Contact Information

CHIRICAHUA COMMUNITY HEALTH CENTERS, INC

335 SOUTH OCOTILLO AVENUE
BENSON, AZ 85602

Phone: 520-364-1429
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Federally Qualified Health Center (FQHC)	261QF0400X	B4[14]	Federally Qualified Health Center

Indicates primary specialty

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NPI Profile & details for CHIRICAHUA COMMUNITY HEALTH CENTERS, INC

NPI # 1821582529

LBN Legal business name CHIRICAHUA COMMUNITY HEALTH CENTERS, INC

Authorized official JONATHAN MELK - (CEO)

Entity Organization

Organization subpart ¹ No

Enumeration date 06/18/2018

Last updated 09/01/2021 - About 5 years ago

Identifiers

AZ	License #	OTC8971
AZ	Medicaid	396154

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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