CHIRICAHUA COMMUNITY HEALTH CENTERS, INC (NPI# 1417331711) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417331711 |
| Entity Type | Organization |
| Organization Name | CHIRICAHUA COMMUNITY HEALTH CENTERS, INC |
| Practice Address |
155 Calle Portal Suite 300 Sierra Vista AZ 85635-2900 |
| Mailing Address |
1205 F Ave Douglas AZ 85607-1920 |
| Practice Telephone | 5204593011 |
| Practice Fax Number | 5203644261 |
| Mailing Telephone | 5203641429 |
| Mailing Fax Number | 5203644261 |
| Enumeration Date | 2015-07-16 |
| Last Update Date | 2017-02-08 |
| Authorized Official Name | JONATHAN 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) |
OTC7227 | AZ | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 043871 | 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 |
| 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 |
| 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 |
155 CALLE PORTAL SUITE 300 |
| City | SIERRA VISTA |
| State | AZ |
| Zip Code | 85635-2900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235103508 | Kathleen Jane Vedock | Pediatrics | 155 Calle Portal, Suite 700, Sierra Vista, AZ 85635-2900 | 2006-02-14 |
| 1205381472 | Lakeisha Love | Nurse Practitioner | 155 Calle Portal, Suite 300, Sierra Vista, AZ 85635-2900 | 2016-08-17 |
| 1710342043 | Kerstin P Hurley | Psychologist | 155 Calle Portal, Suite 300, Sierra Vista, AZ 85635-2900 | 2015-12-31 |
| 1316318728 | Kerstin P. Hurley, Phd | Psychologist | 155 Calle Portal, Suite 300, Sierra Vista, AZ 85635-2900 | 2015-10-12 |
| 1033532163 | Akdhc, LLC | Internal Medicine | 155 Calle Portal, Suite 400, Sierra Vista, AZ 85635-2900 | 2014-01-24 |
| 1689925711 | Dean D Ettinger Md PC | Pediatrics | 155 Calle Portal, Suite 200, Sierra Vista, AZ 85635-2900 | 2012-09-28 |
| 1760781017 | Dixie Jean Millican | Nurse Practitioner | 155 Calle Portal, Suite 200, Sierra Vista, AZ 85635-2900 | 2011-03-24 |
| 1821309089 | Chiricahua Community Health Centers, Inc | Clinic/Center | 155 Calle Portal, Suite 700, Sierra Vista, AZ 85635-2900 | 2010-06-23 |
| 1649595174 | Amy Christine Clark | Family Medicine | 155 Calle Portal, Suite 300, Sierra Vista, AZ 85635-2900 | 2010-03-26 |
| 1790961167 | Carnett Clinic, LLC | Family Medicine | 155 Calle Portal, Suite 600, Sierra Vista, AZ 85635-2900 | 2008-01-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134740640 | Taylor Anne Phelps | Student in an Organized Health Care Education/Training Program | Haven of Sierra Vista LLC, 660 Coronado Drive, Sierra Vista, AZ 85635 | 2020-05-06 |
| 1568001543 | Gp Medicine, Pllc | Family Medicine | 1800 E Wilcox Drive, Sierra Vista, AZ 85635 | 2019-12-23 |
| 1518515212 | Canyon Vista Dental | Dentist | 1993 S Frontage Road, Suite 208, Sierra Vista, AZ 85635 | 2019-08-27 |
| 1225697402 | Kristine Vincent Cruz Angeles | Dentist | 115 Calle Poral, Sierra Vista, AZ 85635 | 2019-06-11 |
| 1700397411 | Vivian Ryu | Social Worker | 2300 E Fry Blvd, #3822, Sierra Vista, AZ 85635 | 2017-10-20 |
| 1750806758 | Rosemary Nduta Kagwanja | Technician | 425 Bernini Avenue, N/a, Sierra Vista, AZ 85635 | 2017-08-10 |
| 1093245789 | Akdhc, LLC | Internal Medicine | 5555 Mesa Verde Dr, Suite 100, Sierra Vista, AZ 85635 | 2017-06-14 |
| 1609304633 | Vincent Guarino | Emergency Medicine | 5700 E, Az-90, Sierra Vista, AZ 85635 | 2017-06-04 |
| 1629506811 | Andrew Tang | Student in an Organized Health Care Education/Training Program | 5700 Arizona 90, Sierra Vista, AZ 85635 | 2017-06-01 |
| 1194259382 | Walik Hargett | Contractor | 800 N. Lenzner Ave Apt 776b, Sierra Vista, AZ 85635 | 2017-04-14 |
| Find all providers in zip 85635 | ||||
| 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 |
|---|---|---|---|---|
| 1629499397 | Chiricahua Community Health Centers, Inc. | Clinic/Center | 115 Calle Portal, Sierra Vista, AZ 85635-2232 | 2013-12-26 |
| 1487175162 | Chiricahua Community Health Centers, Inc | Clinic/Center | 4755 Campus Dr, Sierra Vista, AZ 85635-2449 | 2017-07-03 |
| 1821309089 | Chiricahua Community Health Centers, Inc | Clinic/Center | 155 Calle Portal, Suite 700, Sierra Vista, AZ 85635-2900 | 2010-06-23 |
| 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 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | SIERRA VISTA |
| Zip Code | 85635 |
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.