| Chiricahua Community Health Centers Inc | |
|
1111 N F Ave Douglas AZ 85607-1918 | |
| (520) 364-1429 | |
| Not Available |
| Full Name | Chiricahua Community Health Centers Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1111 N F Ave, Douglas, Arizona |
| Authorized Official Name and Position | Tamra V Springer (REVENUE CYCLE MANAGER) |
| Authorized Official Contact | 5204593011 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Chiricahua Community Health Centers Inc 1100 N F Ave Douglas AZ 85607-1919 Ph: (520) 364-6860 | Chiricahua Community Health Centers Inc 1111 N F Ave Douglas AZ 85607-1918 Ph: (520) 364-1429 |
| NPI Number | 1124803648 |
|---|---|
| Provider Enumeration Date | 08/31/2023 |
| Last Update Date | 08/31/2023 |
| Medicare PECOS PAC ID | 5395638878 |
|---|---|
| Medicare Enrollment ID | O20231101003535 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124803648 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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