<unavail> in Douglas, AZ - Medicare Clinic/Center

is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Douglas, Arizona. The current practice location for is 1151 16th Street, Douglas, Arizona. For appointments, you can reach them via phone at (520) 364-5437. The mailing address for is 1205 N F Ave, Douglas, Arizona and phone number is (520) 364-6852.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1811472665. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (520) 364-5437.

Contact Information


	1151 16th Street Douglas AZ 85607
	(520) 364-5437
	Not Available

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/Center
Location	1151 16th 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 and Practice Location

Mailing Address	Practice Location Address
1205 N F Ave Douglas AZ 85607-1920 Ph: (520) 364-6852	1151 16th Street Douglas AZ 85607 Ph: (520) 364-5437

NPI Details:

NPI Number	1811472665
Provider Enumeration Date	09/27/2018
Last Update Date	09/01/2021

Medicare PECOS Information:

Medicare PECOS PAC ID	5395638878
Medicare Enrollment ID	O20181012002337

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1811472665	NPI	-	NPPES
435308	Medicaid	AZ

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261QF0400X	Clinic/center - Federally Qualified Health Center (fqhc)	(* (Not Available))	Primary

Reviews and Comments

Clinic/Center in Douglas, AZ

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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
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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
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1100 N F Ave, Douglas, AZ 85607 Phone: 520-364-3285

- Medicare Primary Care in Douglas, AZ