Organization
COMMUNITY HEALTH AND IMMUNIZATION SERVICES
Active
Other names
CHIS
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL FISHBURN (CHIEF OPERATING OFFICER)
(480) 646-9020
Entity
Organization
Contact information
Practice address
400 N. CENTER DRIVE, SUITE 108, NORFOLK, VA 23502-0002
(877) 358-3733
(877) 440-1795
Mailing address
668 N 44TH ST STE 100W, PHOENIX, AZ 85008-6507
(877) 358-3733
(877) 440-1795
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
101255440
VA
Other
Enumeration date
06/04/2014
Last updated
10/08/2021
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