CHIRICAHUA COMMUNITY HEALTH CENTERS, INC (NPI# 1063540144) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063540144 |
| Entity Type | Organization |
| Organization Name | CHIRICAHUA COMMUNITY HEALTH CENTERS, INC |
| Other Organization Name | CHIRICAHUA COMMUNITY HEALTH CENTERS, INC-BISBEE CLINIC |
| Practice Address |
108 Arizona St Bisbee AZ 85603-1804 |
| Mailing Address |
1205 F Avenue Douglas AZ 85607 |
| Practice Telephone | 5204323309 |
| Practice Fax Number | 5203644261 |
| Mailing Telephone | 5203641429 |
| Mailing Fax Number | 5203644261 |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2017-12-05 |
| Authorized Official Name | JONATHAN P MELK (CEO) |
| Authorized Official Telephone | 5203641429 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
OTC3370 | AZ | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 945154 | 05 |
| Other Name | Type Code |
|---|---|
| Chiricahua Community Health Centers, INC-Bisbee Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710462593 | Chiricahua Community Health Centers, Inc | Clinic/Center | 310 Arizona St, Bisbee, AZ 85603-1502 | 2018-09-27 |
| 1811472665 | Chiricahua Community Health Centers, Inc | Clinic/Center | 1151 16th Street, Douglas, AZ 85607 | 2018-09-27 |
| 1821582529 | Chiricahua Community Health Centers, Inc | Clinic/Center | 335 South Ocotillo Avenue, Benson, AZ 85602 | 2018-06-18 |
| 1174820898 | Chiricahua Community Health Centers, Inc | Clinic/Center | 815 15th Street, Douglas, AZ 85607 | 2011-02-15 |
| 1942241443 | Chiricahua Community Health Centers, Inc | Clinic/Center | 1205 F. Avenue, Douglas, AZ 85607 | 2006-06-08 |
| 1487175162 | Chiricahua Community Health Centers, Inc | Clinic/Center | 4755 Campus Dr, Sierra Vista, AZ 85635-2449 | 2017-07-03 |
| 1417331711 | Chiricahua Community Health Centers, Inc | Clinic/Center | 155 Calle Portal, Suite 300, Sierra Vista, AZ 85635-2900 | 2015-07-16 |
| 1821309089 | Chiricahua Community Health Centers, Inc | Clinic/Center | 155 Calle Portal, Suite 700, Sierra Vista, AZ 85635-2900 | 2010-06-23 |
| 1457489890 | Chiricahua Community Health Centers, Inc | Clinic/Center | 10566 N Highway 191, Elfrida, AZ 85610-9021 | 2007-02-28 |
| 1801821970 | Chiricahua Community Health Centers, Inc | Clinic/Center | 1100 F Ave, Douglas, AZ 85607-1919 | 2006-07-11 |
| Street Address |
108 ARIZONA ST |
| City | BISBEE |
| State | AZ |
| Zip Code | 85603-1804 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497741375 | Theresa M Mcentee | Family Medicine | 108 Arizona St, Bisbee, AZ 85603-1804 | 2005-09-26 |
| 1811485584 | Davina Elena Ronn | Social Worker | 108 Arizona St, Bisbee, AZ 85603-1804 | 2018-04-27 |
| 1386002335 | Marlyne Perez | Dietitian, Registered | 108 Arizona St, Bisbee, AZ 85603-1804 | 2016-02-05 |
| 1679825152 | Tonya Lee Johnson | Nurse Practitioner | 108 Arizona St, Bisbee, AZ 85603-1804 | 2012-10-09 |
| 1508124686 | Hadi Safavi | Family Medicine | 108 Arizona St, Bisbee, AZ 85603-1804 | 2012-04-26 |
| 1356617211 | Lisa E Johnson | Social Worker | 108 Arizona St, Bisbee, AZ 85603-1804 | 2012-03-26 |
| 1700156510 | Melba Travis | Family Medicine | 108 Arizona St, Bisbee, AZ 85603-1804 | 2012-01-10 |
| 1770814790 | Tamika Michelle Williams | Social Worker | 108 Arizona St, Bisbee, AZ 85603-1804 | 2010-01-15 |
| 1548593510 | Michael J Milazzo | General Practice | 108 Arizona St, Bisbee, AZ 85603-1804 | 2009-09-09 |
| 1427231729 | Jessica Lea Watters | Family Medicine | 108 Arizona St, Bisbee, AZ 85603-1804 | 2007-12-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619221553 | Community Partners Integrated Healthcare, Inc. | Community/Behavioral Health | 24 Howell Avenue, Bisbee, AZ 85603 | 2012-10-30 |
| 1144525080 | Denice Maylene Gaddie | Acupuncturist | 125 Bisbee Rd., Bisbee, AZ 85603 | 2011-01-25 |
| 1295038529 | Arizona Counseling & Treatment Services, L.L.C. | Community/Behavioral Health | #24 Howell St., Bisbee, AZ 85603 | 2010-12-08 |
| 1467753673 | Robert W. Luigs | Counselor | 229a Tombstone Canyon, Bisbee, AZ 85603 | 2010-11-04 |
| 1245544162 | Ernestina S Buck | Counselor | 33 Subway St, Bisbee, AZ 85603 | 2010-08-03 |
| 1558588558 | Juliet Elizabeth Caudle Kihl | Registered Nurse | 519 Melody Ln, Bisbee, AZ 85603 | 2007-04-19 |
| 1003032194 | Candace Lynne Quibell | Social Worker | 907 B Tombstone Canyon, Bisbee, AZ 85603 | 2007-04-17 |
| 1902924806 | Faye Chapman Hoese | Counselor | 24 Howell Ave., Box 544, Bisbee, AZ 85603 | 2007-03-27 |
| 1831214493 | Pamela Rose Blunt | Social Worker | 43 Howell Avenue, Bisbee, AZ 85603 | 2007-03-20 |
| 1578625091 | Derrick Thor Johnston | Dentist | 2 Naco Rd, Bisbee, AZ 85603 | 2006-12-14 |
| Find all providers in zip 85603 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710462593 | Chiricahua Community Health Centers, Inc | Clinic/Center | 310 Arizona St, Bisbee, AZ 85603-1502 | 2018-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831730795 | El Rio Santa Cruz Neighborhood Health Center, Inc | Clinic/Center | 434 E University Blvd, Tucson, AZ 85705 | 2019-10-02 |
| 1811472665 | Chiricahua Community Health Centers, Inc | Clinic/Center | 1151 16th Street, Douglas, AZ 85607 | 2018-09-27 |
| 1194207878 | Valle Del Sol, Inc. | Clinic/Center | 1510 S 19th Dr, Phoenix, AZ 85009-6540 | 2018-08-30 |
| 1861970139 | Horizon Health and Wellness, Inc. | Clinic/Center | 374 W Alden Rd, Kearny, AZ 85137-1208 | 2018-07-30 |
| 1578059168 | Native Health | Clinic/Center | 6850 W Indian School Rd Ste Nh1, Phoenix, AZ 85033-3249 | 2018-07-06 |
| 1821582529 | Chiricahua Community Health Centers, Inc | Clinic/Center | 335 South Ocotillo Avenue, Benson, AZ 85602 | 2018-06-18 |
| 1881198992 | Valle Del Sol, Inc. | Clinic/Center | 334 W 10th Pl Ste 100, Mesa, AZ 85201-3499 | 2018-03-22 |
| 1841706785 | Circle The City | Clinic/Center | 206 S 12th Ave, Phoenix, AZ 85007 | 2017-12-14 |
| 1346755295 | Circle The City | Clinic/Center | 210 S 12th Ave, Phoenix, AZ 85007-3101 | 2017-12-13 |
| 1548794142 | Ajo Community Health Center | Clinic/Center | 13060 S Sunland Gin Rd, Arizona City, AZ 85123 | 2017-04-20 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on CHIRICAHUA COMMUNITY HEALTH CENTERS, INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.