COMMUNITY HEALTHCARE OF DOUGLAS INC; NPI #1437272283

Contact Information

COMMUNITY HEALTHCARE OF DOUGLAS INC

2174 W OAK AVE
DOUGLAS, AZ 85607-6003

Phone: 520-364-7931
Fax: 520-364-2551
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Rural Health	261QR1300X	B4[14]	Rural Health Clinic

Indicates primary specialty

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NPI Profile & details for COMMUNITY HEALTHCARE OF DOUGLAS INC

NPI # 1437272283

LBN Legal business name COMMUNITY HEALTHCARE OF DOUGLAS INC

Authorized official MICHAEL CARTER - (CHIEF EXECUTIVE OFFICER)

Entity Organization

Organization subpart ¹ No

Enumeration date 04/09/2007

Last updated 05/29/2008 - About 18 years ago

Identifiers

AZ	License #	H-0015
AZ	Other	033995	MEDICARE/OTHER

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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