Southeast Arizona Medical Center

LBN: Community Healthcare Of Douglas
Southeast Arizona Medical Center is an health care organization with primary practice located at 2174 W Oak Ave , Douglas AZ 85607-6003. The organization recently has only one registered license in Hospitals / Critical Access, which is considered as the primary health care specialty. Community Healthcare Of Douglas can be contacted via phone (520) 364-7931, or through Carter, Michael J via phone (520) 364-7931.

Contact Information

Primary practice address
2174 W Oak Ave Douglas AZ 85607-6003
Phone: (520) 364-7931
Fax: (520) 364-2551
Website:
Map and Directions
Authorized official contact:
Name: Carter, Michael J
Phone: (520) 364-7931

Health care specialties

SpecialtyCodeLicense #State
Hospitals / Critical Access 282NC0060X H-0015 Arizona

Profile Details

NPI number 1427228212
LBN Legal business name Community Healthcare Of Douglas
DBA Doing business as Southeast Arizona Medical Center
Authorized official Carter, Michael J
Entity Organization
Organization subpart 1 No
Enumeration date Mar 7th, 2008
Last updated Mar 7th, 2008 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427228212 NPPES
Arizona MEDICAID 562498

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