Organization
COMMUNITY HEALTHCARE OF DOUGLAS
Active
Other names
Southeast Arizona Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL J CARTER (CHIEF EXECTUIVE OFFICER)
(520) 364-7931
Entity
Organization
Contact information
Practice address
2174 W OAK AVE, DOUGLAS, AZ 85607-6003
(520) 364-7931
(520) 364-2551
Mailing address
2174 W OAK AVE, DOUGLAS, AZ 85607-6003
(520) 364-7931
(520) 364-2551
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
H-0015
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
562498
—
AZ
Enumeration date
03/07/2008
Last updated
03/07/2008
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