| Chiricahua Community Health Centers, Inc | |
|
815 15th Street Douglas AZ 85607 | |
| (520) 364-5437 | |
| (520) 364-4261 |
| Full Name | Chiricahua Community Health Centers, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 815 15th Street, Douglas, 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 1205 F. Avenue Douglas AZ 85607 Ph: (520) 364-1429 | Chiricahua Community Health Centers, Inc 815 15th Street Douglas AZ 85607 Ph: (520) 364-5437 |
| NPI Number | 1174820898 |
|---|---|
| Provider Enumeration Date | 02/15/2011 |
| Last Update Date | 09/01/2021 |
| Medicare PECOS PAC ID | 5395638878 |
|---|---|
| Medicare Enrollment ID | O20171129003270 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174820898 | NPI | - | NPPES |
| 945141 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | OTC5111 (Arizona) | Primary |
Red Canyon Infectious Disease Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2174 W Oak Ave, Douglas, AZ 85607 Phone: 520-366-0335 Fax: 520-366-0388 | |
Chiricahua Community Health Centers Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1111 N F Ave, Douglas, AZ 85607 Phone: 520-364-1429 | |
Douglas Family Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1101 N San Antonio Ave, Douglas, AZ 85607 Phone: 520-417-3001 Fax: 520-417-3297 | |
Community Healthcare Of Douglas Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2174 W Oak Ave, Douglas, AZ 85607 Phone: 520-364-7931 Fax: 520-364-2551 | |
Douglas Family Care Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1906 E 11th St, Douglas, AZ 85607 Phone: 520-364-1120 Fax: 520-364-6417 | |
Ginger Ryan Clinic-dsmes Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1100 N F Ave, Douglas, AZ 85607 Phone: 520-364-3285 |