Organization
COMMUNITY HEALTHCARE OF DOUGLAS INC
Active
Organization
COMMUNITY HEALTHCARE OF DOUGLAS INC
Active
Other names
Community Healthcare of Douglas Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL J CARTER (CHIEF EXECUTIVE 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
261QR1300X
Rural Health Clinic/Center
Primary
H-0015
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
033995
MEDICARE/OTHER
AZ
Enumeration date
04/09/2007
Last updated
05/29/2008
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