CHIRICAHUA COMMUNITY HEALTH CENTERS, INC. (NPI# 1366005936) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366005936 |
| Entity Type | Organization |
| Organization Name | CHIRICAHUA COMMUNITY HEALTH CENTERS, INC. |
| Other Organization Name | CHIRICAHUA DOUGLAS PHARMACY |
| Practice Address |
1111 N F Ave Douglas AZ 85607-1918 |
| Mailing Address |
1205 N F Ave Douglas AZ 85607-1920 |
| Practice Telephone | 5203646860 |
| Mailing Telephone | 5203646852 |
| Mailing Fax Number | 5203644261 |
| Enumeration Date | 2019-04-18 |
| Last Update Date | 2019-07-16 |
| Authorized Official Name | JONATHAN PAL 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 | 333600000X | Pharmacy | Suppliers |
| Other Name | Type Code |
|---|---|
| Chiricahua Douglas Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447725783 | Chiricahua Community Health Centers, Inc. | Pharmacy | 307 Arizona St, Bisbee, AZ 85603-1501 | 2018-10-12 |
| 1629499397 | Chiricahua Community Health Centers, Inc. | Clinic/Center | 115 Calle Portal, Sierra Vista, AZ 85635-2232 | 2013-12-26 |
| Street Address |
1111 N F AVE |
| City | DOUGLAS |
| State | AZ |
| Zip Code | 85607-1918 |
| 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 |
| 1174820898 | Chiricahua Community Health Centers, Inc | Clinic/Center | 815 15th Street, Douglas, AZ 85607 | 2011-02-15 |
| 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 |
| Find all providers in zip 85607 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578746558 | Mobleys Discount Pharmacy Inc | Pharmacy | 235 Ward St W, Douglas, GA 31533-3501 | 2007-12-12 |
| 1740384791 | Roy Powells Drug Store Inc | Pharmacy | 223 Ashley St W, Douglas, GA 31533-2349 | 2006-09-12 |
| 1447362223 | Malcolms Drug Store Inc | Pharmacy | 250 South Peterson Ave, Malcolms Drug Store Inc, Douglas, GA 31533-5237 | 2006-08-31 |
| 1538274550 | Bashas Inc | Pharmacy | 1300 N San Antonio Ave, Douglas, AZ 85607-2422 | 2006-08-20 |
| 1356370308 | Safeway Inc | Pharmacy | 90 Fifth St, Douglas, AZ 85607 | 2006-07-02 |
| 1851798532 | The Medicine Cabinet - Ward Street, LLC | Pharmacy | 235 Ward St W, Douglas, GA 31533-3501 | 2014-11-25 |
| 1629412812 | Hark Pharmaceutical, LLC | Pharmacy | 250 Peterson Ave S, Douglas, GA 31533-5237 | 2013-04-18 |
| 1679784680 | Coffee Regional Medical Center | Pharmacy | 1101 Ocilla Rd, Douglas, GA 31533-2207 | 2007-05-24 |
| 1700925500 | J M Bailey Pharmacy Inc | Pharmacy | 301 Shirley Ave, Douglas, GA 31533-2333 | 2007-02-06 |
| 1144375015 | Westside Drugs Inc | Pharmacy | 308 Westside Dr, Douglas, GA 31533-3530 | 2007-01-23 |
| Find all providers in DOUGLAS | ||||
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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.