| Chiricahua Community Health Centers, Inc - Bisbee | |
|
310 Arizona St Bisbee AZ 85603-1502 | |
| (520) 432-3309 | |
| Not Available |
| Full Name | Chiricahua Community Health Centers, Inc - Bisbee |
|---|---|
| Speciality | Clinic/Center |
| Location | 310 Arizona St, Bisbee, Arizona |
| Authorized Official Name and Position | Jonathan P Melk (CEO) |
| Authorized Official Contact | 5203641429 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Chiricahua Community Health Centers, Inc - Bisbee 1205 N F Ave Douglas AZ 85607-1920 Ph: (520) 364-6852 | Chiricahua Community Health Centers, Inc - Bisbee 310 Arizona St Bisbee AZ 85603-1502 Ph: (520) 432-3309 |
| NPI Number | 1710462593 |
|---|---|
| Provider Enumeration Date | 09/27/2018 |
| Last Update Date | 09/01/2021 |
| Medicare PECOS PAC ID | 5395638878 |
|---|---|
| Medicare Enrollment ID | O20231130003166 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710462593 | NPI | - | NPPES |
| 435634 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Chiricahua Community Health Centers, Inc-bisbee Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 108 Arizona St, Bisbee, AZ 85603 Phone: 520-432-3309 Fax: 520-364-4261 | |
Bisbee Hospital Association Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 Cole Ave, Bisbee, AZ 85603 Phone: 520-432-1724 | |
Copper Queen Medical Associates Bisbee Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7 Bisbee Rd, Bisbee, AZ 85603 Phone: 520-432-2042 |