National Provider Identifier Database

COMMUNITY HEALTHCARE OF DOUGLAS INC
Rural Health


Contact Information

COMMUNITY HEALTHCARE OF DOUGLAS INC
2174 W OAK AVE
DOUGLAS, AZ85607-6003
Phone: 520-364-7931
Fax: 520-364-2551
Website:
Specialty Taxonomy Code
* Rural Health 261QR1300X

* Indicates primary specialty

NPI Profile & details for COMMUNITY HEALTHCARE OF DOUGLAS INC

NPI Number 1437272283
Legal business name
LBN
COMMUNITY HEALTHCARE OF DOUGLAS INC
Authorized official MICHAEL CARTER - (CHIEF EXECUTIVE OFFICER)
Entity Organization
Organization subpart No
Enumeration date 04/09/2007
Last updated 05/29/2008 - About 18 years ago
Sole proprietor1 Not specified
Identifiers
  • AZ License #: H-0015
  • AZ Other: 033995 MEDICARE/OTHER

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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