Chiricahua Community Health Centers, Inc
LBN: Chiricahua Community Health Centers, Inc
Chiricahua Community Health Centers, Inc is an health care organization with primary practice located at 155 Calle Portal Suite 300, Sierra Vista AZ 85635-2900. The organization recently has only one registered license in Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), which is considered as the primary health care specialty.
Chiricahua Community Health Centers, Inc can be contacted via phone (520) 459-3011, or through Melk, Jonathan P via phone (520) 364-1429.
Contact Information
Primary practice address
155 Calle Portal Suite 300
Sierra Vista AZ 85635-2900
Phone: (520) 459-3011
Fax: (520) 364-4261
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X | OTC7227 | Arizona |
Profile Details
| NPI number | 1417331711 |
|---|---|
| LBN Legal business name | Chiricahua Community Health Centers, Inc |
| DBA Doing business as | |
| Authorized official | Melk, Jonathan P Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 16th, 2015 |
| Last updated | Sep 1st, 2021 - about 4 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1417331711 | NPPES |
| Arizona | MEDICAID | 043871 |
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