Organization
COMMUNITY HEALTHCARE OF DOUGLAS INC
Active
Other names
SAMC Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL J CARTER PHD (CHIEF EXECUTIVE OFFICER)
(520) 364-7931
Entity
Organization
Contact information
Practice address
1906 11TH STREET, DOUGLAS, AZ 85607
(520) 364-1120
(250) 364-6417
Mailing address
2174 W OAK AVE, DOUGLAS, AZ 85607-6003
(520) 364-7931
(520) 364-2551
Taxonomy
Speciality
Code
Description
License number
State
261QC0050X
Critical Access Hospital Clinic/Center
Primary
H-0015
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
562498
—
AZ
Enumeration date
07/23/2007
Last updated
06/18/2008
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