Samc Clinic

LBN: Community Healthcare Of Douglas Inc
Samc Clinic is an health care organization with primary practice located at 1906 11Th Street , Douglas AZ 85607. The organization recently has only one registered license in Ambulatory Health Care Facilities / Critical Access Hospital, which is considered as the primary health care specialty. Community Healthcare Of Douglas Inc can be contacted via phone (520) 364-1120, or through Carter, Michael J via phone (520) 364-7931.

Contact Information

Primary practice address
1906 11Th Street Douglas AZ 85607
Phone: (520) 364-1120
Fax: (250) 364-6417
Website:
Map and Directions
Authorized official contact:
Name: Carter, Michael J PHD
Phone: (520) 364-7931

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Critical Access Hospital 261QC0050X H-0015 Arizona

Profile Details

NPI number 1033319512
LBN Legal business name Community Healthcare Of Douglas Inc
DBA Doing business as Samc Clinic
Authorized official Carter, Michael J PHD
Entity Organization
Organization subpart 1 No
Enumeration date Jul 23rd, 2007
Last updated Jun 18th, 2008 - about 16 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 1033319512 NPPES
Arizona MEDICAID 562498

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