# COMMUNITY HEALTHCARE OF DOUGLAS INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** SAMC Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033319512
- **Authorized official:** MICHAEL J CARTER PHD (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (520) 364-7931

## Contact information

- **Practice address:** 1906 11TH STREET, DOUGLAS, AZ 85607
- **Practice address phone:** (520) 364-1120
- **Practice address fax:** (250) 364-6417
- **Mailing address:** 2174 W OAK AVE, DOUGLAS, AZ 85607-6003
- **Mailing address phone:** (520) 364-7931
- **Mailing address fax:** (520) 364-2551

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC0050X | Critical Access Hospital Clinic/Center | H-0015 | AZ | Yes |

## Other

- **Enumeration date:** 07/23/2007
- **Last updated:** 06/18/2008