Organization
CHIRICAHUA COMMUNITY HEALTH CENTERS, INC.
Active
Organization
CHIRICAHUA COMMUNITY HEALTH CENTERS, INC.
Active
Parent organization
CHIRICAHUA COMMUNITY HEALTH CENTERS, INC.
Other names
Suite 300 DSMES/DSMT Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
CHIRICAHUA COMMUNITY HEALTH CENTERS, INC.
Authorized official
TAMRA V SPRINGER (REVENUE MANAGER)
(520) 459-3011
Entity
Organization
Contact information
Practice address
155 CALLE PORTAL STE 300, SIERRA VISTA, AZ 85635-2900
(520) 459-3110
Mailing address
1205 N F AVE, DOUGLAS, AZ 85607-1920
(520) 459-3110
Taxonomy
Speciality
Code
Description
License number
State
2080P0205X
Pediatric Endocrinology Physician
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
04/04/2024
Last updated
04/04/2024
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