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Organization

COMMUNITY HEALTH AND IMMUNIZATION SERVICES, LLC

Active
Other names
Community Health and Immunization Services
Organization subpart
No

Provider details

NPI number
Authorized official
MR. PAUL FISHBURN COO (CHIEF OPERATING OFFICER)
(480) 646-9099
Entity
Organization

Contact information

Practice address
5330 N OAK TRFY STE 105, KANSAS CITY, MO 64118-4600
(877) 358-8648
(877) 440-1795
Mailing address
668 N 44TH ST STE 100W, PHOENIX, AZ 85008-6507
(877) 358-8848
(877) 440-1795

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary

Other

Enumeration date
11/20/2019
Last updated
05/12/2021
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