CHIRICAHUA COMMUNITY HEALTH CENTERS, INC (NPI# 1457489890) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457489890 |
| Entity Type | Organization |
| Organization Name | CHIRICAHUA COMMUNITY HEALTH CENTERS, INC |
| Practice Address |
10566 N Highway 191 Elfrida AZ 85610-9021 |
| Mailing Address |
1205 F Avenue Douglas AZ 85607 |
| Practice Telephone | 5206422222 |
| Practice Fax Number | 5203644261 |
| Mailing Telephone | 5203646852 |
| Mailing Fax Number | 5203644261 |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2017-02-08 |
| Authorized Official Name | JONATHAN P MELK (CEO) |
| Authorized Official Telephone | 5203646852 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
OTC0924 | AZ | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 941042 | 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 |
| 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 |
| 1801821970 | Chiricahua Community Health Centers, Inc | Clinic/Center | 1100 F Ave, Douglas, AZ 85607-1919 | 2006-07-11 |
| Street Address |
10566 N HIGHWAY 191 |
| City | ELFRIDA |
| State | AZ |
| Zip Code | 85610-9021 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861480873 | Deborah D Moroney | Family Medicine | 10566 N Highway 191, Elfrida, AZ 85610-9021 | 2005-10-12 |
| 1255882858 | Julie Marie Gamez | Dental Hygienist | 10566 N Highway 191, Elfrida, AZ 85610-9021 | 2016-10-18 |
| 1316399397 | Teresa Ann Colby | Nurse Practitioner | 10566 N Highway 191, Elfrida, AZ 85610-9021 | 2016-07-01 |
| 1346622271 | Leonard James Atencio | Nurse Practitioner | 10566 N Highway 191, Elfrida, AZ 85610-9021 | 2015-06-27 |
| 1831446319 | Brianna Leigh Hillier | Dentist | 10566 N Highway 191, Elfrida, AZ 85610-9021 | 2012-08-14 |
| 1811220197 | Behnam Kamvari | Dentist | 10566 N Highway 191, Elfrida, AZ 85610-9021 | 2009-09-17 |
| 1689774895 | Karolyn Kay George | Dentist | 10566 N Highway 191, Elfrida, AZ 85610-9021 | 2006-09-25 |
| 1770556730 | Heidi A Mcguigan | Registered Nurse | 10566 N Highway 191, Elfrida, AZ 85610-9021 | 2006-02-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114257565 | Isaac Okechukwu Okoye | Pharmacist | Pinon Route 4, At Pinon Pharmacy, Pinon, AZ 85610 | 2010-01-07 |
| 1881608479 | Dennis Joel Day Sr. | Dentist | 10566 Hwy 191, Elfrida, AZ 85610 | 2006-07-28 |
| 1548742067 | Health From Home Pllc | Nurse Practitioner | 4138 W Whispering Pine Ln, Elfrida, AZ 85610 | 2018-08-31 |
| 1013916618 | Elfrida Fire District | Ambulance | 10293 N Central Hwy, Elfrida, AZ 85610-0068 | 2005-07-18 |
| 1982058277 | Jason Steinberg | Nurse Practitioner | 4138 W Whispering Pine Ln, Elfrida, AZ 85610-0221 | 2016-04-22 |
| 1972501245 | Dale R Parry | Dentist | 10566 N Hwy 191, Elfrida, AZ 85610-9021 | 2005-07-12 |
| 1801939574 | Michael A. Lindstrom | Dentist | 10566 N Hwy 191, Elfrida, AZ 85610-9021 | 2007-02-14 |
| 1316009079 | Karen Elizabeth Crockett | Family Medicine | 10566 N Hwy 191, Elfrida, AZ 85610-9021 | 2006-12-15 |
| 1558362145 | Peggy M Avina | Family Medicine | 10566 N Hwy 191, Elfrida, AZ 85610-9021 | 2005-08-03 |
| 1750382354 | John P Haun | Family Medicine | 10566 N Hwy 191, Elfrida, AZ 85610-9021 | 2005-08-03 |
| Find all providers in zip 85610 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
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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.