| Douglas Family Care Pllc | |
|
1906 E 11th St Douglas AZ 85607-2413 | |
| (520) 364-1120 | |
| (520) 364-6417 |
| Full Name | Douglas Family Care Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 1906 E 11th St, Douglas, Arizona |
| Authorized Official Name and Position | Alfred P Wu (PRESIDENT) |
| Authorized Official Contact | 5203641120 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Douglas Family Care Pllc 1906 E 11th St Douglas AZ 85607-2413 Ph: (520) 364-1120 | Douglas Family Care Pllc 1906 E 11th St Douglas AZ 85607-2413 Ph: (520) 364-1120 |
| NPI Number | 1457676611 |
|---|---|
| Provider Enumeration Date | 03/31/2010 |
| Last Update Date | 02/15/2012 |
| Medicare PECOS PAC ID | 7315077815 |
|---|---|
| Medicare Enrollment ID | O20100609001015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457676611 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 17078 (Arizona) | Primary |
| Provider Name | Alfred P Wu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558386003 PECOS PAC ID: 1153422613 Enrollment ID: I20070727000325 |
| Provider Name | Patricia I Wu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669901211 PECOS PAC ID: 4183989346 Enrollment ID: I20200901000875 |
| Provider Name | Jamie Ann Wu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790452399 PECOS PAC ID: 8527466069 Enrollment ID: I20211013001912 |
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 | |
Chiricahua Community Health Centers, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 815 15th Street, Douglas, AZ 85607 Phone: 520-364-5437 Fax: 520-364-4261 | |
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 | |
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 |