Organization
CHIRICAHUA COMMUNITY HEALTH CENTERS, INC
Active
Other names
Chiricahua Community Health Centers, INC-Bisbee Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN P MELK (CEO)
(520) 364-1429
Entity
Organization
Contact information
Practice address
108 ARIZONA ST, BISBEE, AZ 85603-1804
(520) 432-3309
(520) 364-4261
Mailing address
1205 F AVENUE, DOUGLAS, AZ 85607
(520) 364-1429
(520) 364-4261
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
OTC3370
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
945154
—
AZ
Enumeration date
03/01/2007
Last updated
09/01/2021
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