CHIRICAHUA COMMUNITY HEALTH CENTERS, INC (NPI# 1174820898) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174820898 |
| Entity Type | Organization |
| Organization Name | CHIRICAHUA COMMUNITY HEALTH CENTERS, INC |
| Practice Address |
815 15th Street Douglas AZ 85607 |
| Mailing Address |
1205 F. Avenue Douglas AZ 85607 |
| Practice Telephone | 5203645437 |
| Practice Fax Number | 5203644261 |
| Mailing Telephone | 5203641429 |
| Mailing Fax Number | 5203644261 |
| Enumeration Date | 2011-02-15 |
| Last Update Date | 2017-02-08 |
| Authorized Official Name | JONATHAN P MELK (CEO) |
| Authorized Official Telephone | 5203641429 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
OTC5111 | AZ | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 945141 | 05 |
| 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 |
| 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 |
| 1063540144 | Chiricahua Community Health Centers, Inc | Clinic/Center | 108 Arizona St, Bisbee, AZ 85603-1804 | 2007-03-01 |
| 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 |
815 15TH STREET |
| City | DOUGLAS |
| State | AZ |
| Zip Code | 85607 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811472665 | Chiricahua Community Health Centers, Inc | Clinic/Center | 1151 16th Street, Douglas, AZ 85607 | 2018-09-27 |
| 1457758609 | Angela Leah Overturf | Nurse Practitioner | 100 East 5th Street, Douglas, AZ 85607 | 2014-12-02 |
| 1609279108 | Walter Tucker | Counselor | 2100 E 8th, Douglas, AZ 85607 | 2014-09-29 |
| 1851700488 | Gerardo Grijalva | Non-emergency Medical Transport (VAN) | 2714 E 6th St, Douglas, AZ 85607 | 2014-08-07 |
| 1174933246 | Caring Connections for Special Needs, LLC | Community/Behavioral Health | 1019 F Ave, Douglas, AZ 85607 | 2014-04-29 |
| 1831473164 | Cheryl Lynn Mcneeley | Speech-Language Pathologist | 815 E. 15th Street, Douglas, AZ 85607 | 2011-10-05 |
| 1245523364 | Community Intervention Associates | Community/Behavioral Health | 1701 North Douglasave, Douglas, AZ 85607 | 2011-05-23 |
| 1033319512 | Community Healthcare of Douglas Inc | Clinic/Center | 1906 11th Street, Douglas, AZ 85607 | 2007-07-23 |
| 1538360888 | Jay Daniel Zamora | Chiropractor | 1915 E 10th St, Douglas, AZ 85607 | 2007-05-31 |
| 1174736177 | Suzanne Marie Crase | Pharmacist | 90 Fifth St., Douglas, AZ 85607 | 2007-05-07 |
| Find all providers in zip 85607 | ||||
| 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 |
|---|---|---|---|---|
| 1811472665 | Chiricahua Community Health Centers, Inc | Clinic/Center | 1151 16th Street, Douglas, AZ 85607 | 2018-09-27 |
| 1295236503 | South Central Primary Care Center, Inc | Clinic/Center | 303 Shirley Ave Ste A, Douglas, GA 31533-2367 | 2018-02-22 |
| 1063840296 | South Central Primary Care Center | Clinic/Center | 303 Shirley Ave, Ste B, Douglas, GA 31533 | 2013-10-25 |
| 1942241443 | Chiricahua Community Health Centers, Inc | Clinic/Center | 1205 F. Avenue, Douglas, AZ 85607 | 2006-06-08 |
| 1669085742 | South Central Primary Care Center, Inc. | Clinic/Center | 159 Trojan Way, Douglas, GA 31533-8263 | 2020-08-28 |
| 1770981813 | South Central Primary Care Center, Inc. | Clinic/Center | 1309 Ocilla Rd, Suite A, Douglas, GA 31533-2209 | 2014-12-05 |
| 1831273028 | South Central Primary Care Center, Inc. | Clinic/Center | 1309 Ocilla Rd, Suite A, Douglas, GA 31533 | 2006-10-24 |
| 1801821970 | Chiricahua Community Health Centers, Inc | Clinic/Center | 1100 F Ave, Douglas, AZ 85607-1919 | 2006-07-11 |
| 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 |
| 1710462593 | Chiricahua Community Health Centers, Inc | Clinic/Center | 310 Arizona St, Bisbee, AZ 85603-1502 | 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 | ||||
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| 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.