Community Healthcare Of Douglas Clinic

LBN: Community Healthcare Of Douglas Inc
Community Healthcare Of Douglas Clinic 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 Ambulatory Health Care Facilities / Rural Health, which is considered as the primary health care specialty. Community Healthcare Of Douglas Inc 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
Fax: (520) 364-2551
Website:
Authorized official contact:
Name: Carter, Michael J

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rural Health 261QR1300X H-0015 Arizona

Profile Details

NPI number 1437272283
LBN Legal business name Community Healthcare Of Douglas Inc
DBA Doing business as Community Healthcare Of Douglas Clinic
Authorized official Carter, Michael J
Entity Organization
Organization subpart 1 No
Enumeration date Apr 9th, 2007
Last updated May 29th, 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 1437272283 NPPES
Arizona Other 033995 MEDICARE/OTHER

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